[Root Canal Treatment] I had a crown on a tooth before, but it suddenly became sensitive.

Hello.

I’m Dr. Jeon Jun-hee, head of Sinchon Chiajikimhee.

I am a specialist in Conservative Dentistry.

Diagnosing the condition of natural teeth and providing treatment suited to that condition is my profession.

A female patient in her 20s came in with unbearable sensitivity in her right molar.

As a result of the examination,

it was confirmed that severe pain was occurring in the crowned tooth on the lower right.

The crown itself was not in bad condition. She said the previous cavity had been deep.

Even when a cavity is large or deep, if there is no direct exposure of the pulp,

considering the patient’s young age, there are many cases where treatment is completed with a crown without root canal treatment.

A dental material placed close to the nerve may very weakly and continuously irritate the nerve,

or

as time passes, microleakage may occur between the tooth and the material,

which can later lead to sensitivity or pain.

Then I should have done root canal treatment from the beginning, right??

You may think that,

but in terms of having delayed the timing of root canal treatment by several years,

the previous treatment can already be seen as having fulfilled its role properly.

I also explain things to patients based on this treatment philosophy.

After the root canal treatment was completed, the crown portion has been provisionally filled.

After this,

the tooth crown is refined more precisely and then covered with a crown.

Preventing any gap from forming between the tooth and the filling material is important for long-term success.

She was glad that the sensitivity, which had troubled her so much, disappeared all at once, while also finding it amazing.

The final step in root canal treatment for a molar is crown treatment.

After filling the crown portion with resin following root canal treatment, covering it once more with a cap

can be thought of as giving the tooth a double lock.

It helps protect the molar from the strong chewing forces and from bacterial invasion.

That’s it for today’s post. Thank you for reading.