Yeomchang-dong Prosthetic Treatment: My Right Tooth Feels Sensitive When Chewing

Yeomchang-dong Prosthetic Treatment

My right tooth feels sensitive when chewing

Teeth that have received gold inlay treatment

can often be used relatively stably for a long time,

but as time passes, tiny gaps may form

between the tooth and the restoration, or cracks

may develop as chewing forces are repeatedly applied.

Especially in areas such as molars,

where strong chewing forces are applied,

even a small crack can cause

sharp pain or sensitivity when chewing,

or discomfort when biting in

a particular direction if left untreated.

Tooth cracks often appear

not to be a major problem on the surface,

so they can easily be mistaken

for simple tooth decay or temporary pain.

However, if the crack becomes deeper,

it may severely irritate the nerve

or lead to a fracture.

Therefore, if symptoms recur,

it is important to check the condition

through a detailed examination.

Today, Yonsei Grida Dental Clinic

would like to introduce a case

of Yeomchang-dong prosthetic treatment

performed due to a tooth crack. :)

26.04.27

The patient above

visited our clinic because the upper and lower teeth

on the right side felt sensitive when chewing.

The patient said that if treatment was necessary,

they wanted to preserve the tooth

and have the procedure performed without pain,

which was why they sought out

a prosthodontics specialist.

26.04.27

Upon examination,

a crack line that appeared to extend

behind the gold inlay was observed.

This crack appeared to be

the cause of the pain.

26.04.27

At our clinic, we carefully examined the condition

using Q-ray equipment,

which allows cracks like this to be viewed in detail.

Q-ray equipment can help show

subtle changes, cracks, and tooth decay

more clearly—changes that can be difficult

to distinguish under ordinary lighting

or with the naked eye.

After confirming the location and extent of the crack,

we evaluated the area that could be causing the current pain

and developed a plan to preserve the tooth.

In this case, based on the crack line found

behind the gold inlay and the pattern of pain,

we decided to first proceed with crown restoration

to cover and protect the entire tooth

before it became weaker.

However, teeth with cracks

may continue to show symptoms even after treatment,

depending on the depth of the crack

and the degree of nerve irritation.

Therefore, we explained in detail before starting treatment

that root canal treatment might be necessary

if pain continued after the crown,

and that extraction and an implant

might also be considered

if symptoms did not improve after root canal treatment

or if the tooth was considered difficult to preserve.

26.04.27

In addition, the old gold crown toward the front

had developed a hole over time.

If such a gap is left untreated,

bacteria may penetrate inside,

increasing the likelihood of secondary tooth decay.

Therefore, we explained that the existing crown

would be removed and newly remade,

and decided to proceed with this treatment as well.

26.04.27

First, we removed the existing inlay,

then cleaned and reshaped the tooth

so that the crown could be placed.

We then took an impression

for fabrication of the final restoration,

and made and bonded a temporary tooth

to protect the tooth until the restoration was completed.

26.05.06

We also removed the restoration toward the front

and temporarily bonded the fabricated crown.

The patient was asked to use it temporarily

so that we could observe any changes in symptoms.

In the case of a tooth with a crack,

it may be necessary to monitor whether pain occurs

for a certain period before final bonding.

Therefore, we decided to check

whether any discomfort when chewing

or sensitivity remained.

26.05.13

After using it for one week,

the patient said that everything felt fine

without any notable symptoms.

We therefore proceeded with permanent bonding.

Because the tooth had a crack,

we carefully checked and adjusted the bite

so that chewing forces would not be excessively concentrated

on one side even after bonding. (^^)

26.04.27 / 26.05.13

These are photos from before and after treatment.

After the treatment was completed,

the patient was satisfied that there was no pain

from temperature stimuli or when chewing,

and said they were relieved that the treatment

could be completed without root canal treatment.

As in this case, even when a tooth has a crack,

treatment does not necessarily lead directly

to root canal treatment or extraction.

Depending on the extent of the crack

and the pattern of symptoms,

conservative treatment aimed at protecting the tooth

can be considered first.

At Yonsei Grida Dental Clinic,

the director, a prosthodontics specialist,

carefully checks the patient’s condition and symptoms,

as well as problems with existing restorations,

through Yeomchang-dong prosthetic treatment,

and provides guidance on the treatment approach

needed for each individual.

In particular, when discomfort is caused

by a crack or an old restoration,

we first consider methods that may preserve the tooth

and help ensure stable Yeomchang-dong prosthetic treatment

based on a detailed diagnosis.

If you are experiencing discomfort

because of a crack in a tooth, as in the case above,

please do not leave it untreated;

we recommend getting an examination.

Thank you. :)

*All case photographs were posted with the consent of the individuals concerned, in accordance with Articles 23 and 56 of the Medical Service Act.

*All treatment photographs are of patients treated at our clinic.

*All treatment photographs are of the same individual and were taken under the same conditions.

*Depending on individual differences, side effects may occur after procedures or surgery. Please consult sufficiently with your medical professionals.

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