Please some advice on this nightmare

[Moonchilde@2714]

I am having a nightmare with my teeth and I don’t know what to do. I started having mild pain coming and going on the lower left side of my mouth. My dentist looked and told me tooth #19 had a hairline crack extending to the gum line and needed a crown. I went to another dentist for a second opinion and she told me it had two cracks, one of them was a stain line and the other she could cut out and replace the filling. So, I opted to have the filling replaced. After I got home that night, I was feeling the tooth and I felt a crack in the occlusolingual edge where the cusps meet that I could stick my fingernail into. I called the dentist and told her and she said that’s not a crack it’s a natural indentation in your tooth. I went to see her, and she still told me it was a natural indentation in my tooth. I went to two more dentists, one of them an endodontist and they said no crack. Finally, I went to a dental college emergency clinic and I showed them that I could stick my fingernail into the crack and they confirmed indeed there was a crack and it was through the tooth structure and on the filling there. I have a report that says this. I went back to the original dentist and requested she bond the crack shut. She did it but when I went home, I noticed a tiny crack/depression still there in that exact spot. I can’t stick my fingernail deep into it anymore but I can feel it. My tooth hurts badly on that side and especially if I touch that area. It hurts so badly that I have to take 4000 mg of Tylenol and 3200 mg of Ibuprofen every day to stop the pain. I wrote a complaining email to the dentist and she told me there’s no hole in my filling and never to come back to her. I then went to another endodontist. She listened to my story and looked at the area and told me it’s a natural depression in my tooth. She said tooth #18 has a crack in it that is referring pain to tooth #19. She obviously does not believe my story about the bonding. I then went back to my regular dentist. He told me it’s a natural depression in my tooth also. He does not believe my story either. He told me I’m mistaken. He says there’s natural tooth structure all along the edge of the tooth. He could call the original dentist, but I don’t know if she will admit to bonding it now that I had this argument with her. I don’t understand how there could be continuous tooth structure there when there had been a crack in the edge of the tooth. He can see where the other crack was cut out. Why doesn’t anyone believe me? They see the depression. Why can’t they see it was bonded? How can they tell me it’s contiguous tooth structure when I had been able to stick my fingernail deep into it before?

 

[Moonchilde@2714]

Here is a photo, I can't get the tongue side right now by myself but I will try to post one later

 

[MattKW]

A crack cannot be bonded shut. Without xrays, clinical notes, and a copy of the report you say you have, there's nothing else I can suggest right here.

 

[Moonchilde@2714]

What did she do then to close the area that I could put my fingernail into if it wasn't bonded? I was in the chair, and she did something using air abrasion and a light wand and it wasn't replacing the filling. The x rays did not show anything nor the CBCT scan. I don't have her treatment notes yet because she is on vacation. I could scan and upload the report but I could just tell you what it says: Upon clinical evaluation, there is a crack on the occlusolingual of #19. The crack line is on the filling and the natural tooth structure. Pt. says "I can fit my fingernail into the crack. Whenever the crack is touched, I don't feel immediate pain but I feel pain minutes after. Sometimes the pain is not bad but sometimes it is really bad that I take Tylenol to control temporarily." The "crevice" is bothering the pt heavily and pt wants to fix it. Recommend to remove existing filling and pack with IRM to see if pain goes away in the next weeks. Separately, they told me in a text message that the reason they wouldn't fix up the small crack is because of liability and they would only replace the entire filling to make sure it is properly done. They did not have an appointment for this until January 21.