Appreciate any advice

[Moonchilde@2714]

I had two vertical cracks in a molar tooth, one of them was diagnosed as a craze line. I went to a dentist and had the silver filling replaced with composite. She said she “cut-out” one crack and left the craze line. After the filling was done, I could feel a crack across the top edge of the tooth at the top of the craze line that was large enough to stick my fingernail into. It was diagonal and not vertical. I went back to her and she said, that’s not a crack, it’s a natural depression in your tooth where the cusps meet. I was in continuing pain for one month. I went to an emergency dental school clinic and they told me there was a crack there through the natural tooth structure and on the filling. They would not bond it due to liability issues and they said they would only replace the entire filling. I went back to the original dentist and insisted she bond that area. She did, but she told me I should put a crown on the tooth although that might not work either and she didn’t think that was the source of my pain. After the bonding, my pain decreased significantly. However, when I run my finger over the area, it is not flush with the edge of the tooth and there is still a very tiny depression there, and it starts to hurt when I press on it. Shouldn’t the bonding be flush with the edge of the tooth? Is it improperly bonded? Can this be causing my continuing pain? I already went to an endodontist who said I don’t need root canal. Should I insist that she bond the tooth again? I don’t want to get a crown if I don’t have to. I am not concerned about the cost, I just don’t want to lose natural tooth structure and there is no guarantee that will end the pain anyway. None of this appears on any x rays or photos.

 

[Dental cure and care]

Your situation illustrates how complex dental issues can be, particularly when dealing with cracks in teeth. It is crucial to have clear communication with your dentist about symptoms and treatment options. If you continue to experience pain or discomfort after these interventions, seeking further evaluation from specialists such as an endodontist (root canal specialist) or oral surgeon may be warranted.
Initial assessments indicated minor issues like craze lines, subsequent evaluations revealed more serious concerns requiring comprehensive treatment strategies such as crowns or possibly root canals.

Dental bonding can effectively restore function and aesthetics when done correctly, any imperfections in its application can lead to ongoing issues such as pain or discomfort. Since you have experienced significant pain relief after initial bonding but still have concerns about its quality and fit, pursuing further evaluation with your dentist regarding re-bonding seems warranted.
Maintaining open communication with your dental provider about your symptoms and treatment preferences will help ensure that you receive care aligned with both your health needs and personal values regarding dental preservation.

 

[tomletham]

It sounds like the bonding might not be flush, which could cause discomfort. Since the pain got better after bonding, it’s likely related to that area. You might want to get a second opinion or ask about a 3D scan (CBCT) to check for hidden cracks. If the pain keeps up, another adjustment or re-bonding could help.

 

[Moonchilde@2714]

Can she add bonding to this depression without redoing the entire crack?