What Is The Best Solution For Throbbing Pain In The Maxillary Central Incisors?
Q.
Hi Doc, I wanted to know what is the best solution for throbbing pain in the Maxillary central incisors with pfm capping and done 2 yrs back on both. I am 26 , have no history of trauma.I had this pain 2 months back , to which the doctors declared my lateral maxillary incisor non-vital supposing it to be acute periapical abcess and did an RCT to it.I had an ortho treatment ( with braces and RCT on 11, 21) when I was 15 with metal capping because my permanent maxillary incisors on eruption were brittle and showed signs of discolouration. Doctors said my mother might have had some medications while she was pregnant with me, due to the reaction of which I had distorted permanent teeth on eruption. Now I have again started to get this throbbing pain on both the incisors for the past 1 month post Lateral incisor RCT , and every doctor I visit says go for episectomy , which I dont want to since there is no gum boil , no mobility in both the teeth , no visible swelling or inflammation, just dull throbbing pain which gets really aggravated during the nights. I have been constantly put on antibiotics for past 2 months , and undergone OPG . Please advice some line of treatment . I donot want to go in for episectomy for sure. Thank a mil!
Hi Doc, I wanted to know what is the best solution for throbbing pain in the Maxillary central incisors with pfm capping and done 2 yrs back on both. I am 26 , have no history of trauma.I had this pain 2 months back , to which the doctors declared my lateral maxillary incisor non-vital supposing it to be acute periapical abcess and did an RCT to it.I had an ortho treatment ( with braces and RCT on 11, 21) when I was 15 with metal capping because my permanent maxillary incisors on eruption were brittle and showed signs of discolouration. Doctors said my mother might have had some medications while she was pregnant with me, due to the reaction of which I had distorted permanent teeth on eruption. Now I have again started to get this throbbing pain on both the incisors for the past 1 month post Lateral incisor RCT , and every doctor I visit says go for episectomy , which I dont want to since there is no gum boil , no mobility in both the teeth , no visible swelling or inflammation, just dull throbbing pain which gets really aggravated during the nights. I have been constantly put on antibiotics for past 2 months , and undergone OPG . Please advice some line of treatment . I donot want to go in for episectomy for sure. Thank a mil!
A.
My advice would be to see a specialist endodontist of repute and have a second opinion. You must also consider extraction of the tooth and it’s replacement, for example with a dental implant as an alternative to the apical surgery.
My advice would be to see a specialist endodontist of repute and have a second opinion. You must also consider extraction of the tooth and it’s replacement, for example with a dental implant as an alternative to the apical surgery.
Kind regards
Mark
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