Chipped back tooth

amandstu

I have had a root canal done on a lower molar .It is the furthest back and I was waiting for a final filling or a crown.

Now it has chipped at the back and I wonder what I can do since I anticipate the dentist will not be able to see me and it is not an emergency.

Should I fill up the tooth flush to the top with OTC filling so as to hopefully protect it from any further damage.?

The root canal man left the filling a small amount below the level of the original tooth ,so there is a smallish depression that I could fill if that would help until such time as I get a dentist to have a proper look at it.

To explain the size of the chip it would be ,on the top about half the length of the back quarter of the tooth land ,below it goes down in a v shape to just above the gum.

So ,I don't anticipate that it will break up so long as I am careful but ,if I can fortify the area will pharmacy filling I would do that.

I think I may have to wait for some weeks or months before going to a dentist as present conditions prevail In the country.

Fishorsealant

Hi, if you post a picture I can offer some more advice.

You can definitely keep the area clean with good oral hygiene.. brush the broken tooth and keep food and debris out of it. Rinse with corsodyl if you have it. Don’t bite hard foods on it to prevent further fracture.

amandstu

Fishorsealant wrote: »

Hi, if you post a picture I can offer some more advice.

You can definitely keep the area clean with good oral hygiene.. brush the broken tooth and keep food and debris out of it. Rinse with corsodyl if you have it. Don’t bite hard foods on it to prevent further fracture.

20200322_182429.jpg20200322_182426.jpg

Hope those worked:)

btkm8unsl0w5r4

amandstu wrote: »

20200322_182429.jpg20200322_182426.jpg

Hope those worked:)

Nothing you put in there will increase the strength. Just keep it clean, avoid hard foods full stop and avoid eating on the tooth as much as you can.

Now we are into a weird situation. That tooth will break without a crown, you want a crown, and the dentists wants it to have a crown. Problem is the COVID shutdown. This would not be emergency work, lets hope this COVID musk flips off and we can get back to normal soon, no holding my breath.

amandstu

Is salty water as good as corsodyl?


What counts as "soft food"? Cooked veg alright? Bread without the crust?

Apples too hard?

NSAman

What about filler..those dental repair kits online as a temporary solution?

Fishorsealant

amandstu wrote: »

Is salty water as good as corsodyl?


What counts as "soft food"? Cooked veg alright? Bread without the crust?

Apples too hard?

You don't need to use either really..


Just keep the area clean with good tooth brushing and hygiene



common sense things - nuts, hard sweets etc etc

amandstu

Should I up my morning and evening brushing to doing it anytime after eating?

amandstu

NSAman wrote: »

What about filler..those dental repair kits online as a temporary solution?

Sadly Fitzgeme has said nothing like that will be of any use.

I do have the missing piece though,I don't suppose gluing it back with a strong glue would provide any strength to the area?

If that is not dangerous....

Oral Surgeon

amandstu wrote: »

Sadly Fitzgeme has said nothing like that will be of any use.

I do have the missing piece though,I don't suppose gluing it back with a strong glue would provide any strength to the area?

If that is not dangerous....

Don't do this

amandstu

Oral Surgeon wrote: »

Don't do this

Thanks (I won't)

toothworrier

What about infection please? Can bacteria get into a crack like that and cause a tooth infection? If so, is there anything you can do about this?

amandstu

toothworrier wrote: »

What about infection please? Can bacteria get into a crack like that and cause a tooth infection? If so, is there anything you can do about this?

Well the "crack " I have doesn't go as far as the gum line (it is a chip ,rather than a crack) and so ,in my case I don't think there is a special risk of infection so long as it is kept clean.

However ,if there was a crack that went below the gum line then I would anticipate there might well be a problem with likely infection.

Perhaps if you have such a crack you should contact your dentist.

I emailed my dentist (with a photo) and he was able to reassure me in my case that there was no urgent worry at the moment although he could not see me for now....

nthclare

I got a cracked tooth fixed this morning and, the part that chipped was digging into the side of my tongue and cheek , causing abrasion and chaffing.

He made an acrylic crown for me, no anastasia drilled the thing down a bit, cleaned it all out and put a crown on top.
Polished it and no pain whatsoever.

Done in 15 minutes and out the door, it feels and looks great.

Got a letter off them in case I was stopped by the guards on an unnecessary journey.

amandstu

nthclare wrote: »

I got a cracked tooth fixed this morning and, the part that chipped was digging into the side of my tongue and cheek , causing abrasion and chaffing.

He made an acrylic crown for me, no anastasia drilled the thing down a bit, cleaned it all out and put a crown on top.
Polished it and no pain whatsoever.

Done in 15 minutes and out the door, it feels and looks great.

Got a letter off them in case I was stopped by the guards on an unnecessary journey.

Very interesting.My dentist told me that making a crown involved making the most potentially virus laden aerosols of any procedure and for that reason was not possible to do at the moment.

That procedure would contaminate the room.

I wonder if any one else would have an opinion on this.

nthclare

amandstu wrote: »

Very interesting.My dentist told me that making a crown involved making the most potentially virus laden aerosols of any procedure and for that reason was not possible to do at the moment.

That procedure would contaminate the room.

I wonder if any one else would have an opinion on this.

Sounds like that dentist hasn't much confidence in his profession.

It doesn't involve aerosols.

It was an acrylic crown.
If you look up acrylic crown procedure on YouTube you'll see how its done.

Although the dentist I went to is one of the top guys in the country, so I have great confidence in his craft.

The only reason he told you about contamination is because he doesn't think you'll pull him or her on their lack of skill set.

nthclare

nthclare wrote: »

Sounds like that dentist hasn't much confidence in his profession.

It doesn't involve aerosols.

It was an acrylic crown.
If you look up acrylic crown procedure on YouTube you'll see how its done.

Although the dentist I went to is one of the top guys in the country, so I have great confidence in his craft.

The only reason he told you about contamination is because he doesn't think you'll pull him or her on their lack of skill set.

Behave, every job is different, the ops situation could be very different to yours. If you put even a temporary acrylic crown on an almost intact tooth, it will be bigger than those around it, so some/a lot of drilling may be necessary. Hence the concern about aerosol contamination. It’s quick and easy to make a temp crown for a tooth that is already missing a big piece, is unopposed, or already lower than the teeth around it. The people most at risk from aerosol contamination from your mouth are the Dentist and his/her staff, not you, so unless you think Dentists can defy the laws of physics when using a water cooled turbine, I’m not sure how the op can pull him on his skill set.

nthclare

Dav010 wrote: »

Behave, every job is different, the ops situation could be very different to yours. If you put even a temporary acrylic crown on an almost intact tooth, it will be bigger than those around it, so some/a lot of drilling may be necessary. Hence the concern about aerosol contamination. It’s quick and easy to make a temp crown for a tooth that is already missing a big piece, is unopposed, or already lower than the teeth around it. The people most at risk from aerosol contamination from your mouth are the Dentist and his/her staff, not you, so unless you think Dentists can defy the laws of physics when using a water cooled turbine, I’m not sure how the op can pull him on his skill set.

Behave???

Is that a mistyped word or is it a suggestion that I'm misbehaving?

nthclare

nthclare wrote: »

Behave???

Is that a mistyped word or is it a suggestion that I'm misbehaving?

Misbehaving, misinformed, misunderstanding cross infection control, misguided, take your pick of the “mis”s.

Lwaker.

Any sign of emergency dentistry in operation soon?

Why aren't the government prioritizing this more

Lwaker.

Lwaker. wrote: »

Any sign of emergency dentistry in operation soon?

Why aren't the government prioritizing this more

Most Clinics are open for emergencies, (pain, infection/trauma), if you have a Med Card, you can also go you your local HSE dental centre.

The government are prioritising medical services.

Lwaker.

Dav010 wrote: »

Most Clinics are open for emergencies, (pain, infection/trauma), if you have a Med Card, you can also go you your local HSE dental centre.

The government are prioritising medical services.

When you say clinics do u mean regular practices, would they do an extraction for example?

Where would hse dental centres be found thanks?

Fishorsealant

nthclare wrote: »

The only reason he told you about contamination is because he doesn't think you'll pull him or her on their lack of skill set.

That comment is pretty ignorant..

Maybe it has to do with safeguarding patients, the general public and ourselves/staff/families in a time when non-emergency aerosol generating procedures aren’t to be performed?

Lwaker.

Lwaker. wrote: »

When you say clinics do u mean regular practices, would they do an extraction for example?

Where would hse dental centres be found thanks?

Dental Clinics have been advised to cease all routine dental treatments and see only patients who have acute pain, infection/swelling, or have suffered trauma. So if you are in pain, call your dentist, their arrangements will probably be on their answer phone. This becomes a bit difficult if you do not attend a particular dentist, or are not in pain. They may not as in the ops case (nth Clare this part is for your benefit as well) see you if you are not in pain and treatment is not urgent, as per the guidelines.

You can look up HSE website in your area and find telephone numbers for HSE clinics.

nthclare

Im getting a lot of stick here because I suggested that a dentist is able to fix a broken tooth, mine was quite bad to be honest and the nerve was exposed, causing a lot of discomfort and pain.

My dentists similar to the rest of the front line staff in the country at the moment treated me, fixed the problem and he put himself in the firing line and so did I as a patient.

He wore all the ppe and it was a pleasant experience, he did what needed to be done in challenging times and I appreciate his service.

Now some of you seem to think it's ok for a dentist to refuse to treat someone due to aerosols etc contaminating the practice therefore putting himself or herself in danger.

If that's acceptable in the profession and people are getting second class service so be it.

Luckily for me my dentist and I took the risk and I was looked after, if it festered I'd be in a lot of discomfort and pain.

He's what I'd call an unselfish professional and in times like this I think health professionals who are sticking with the programme and putting their principles before fear are the real heroes.

I may be ignorant in the lines of maxillofacial surgery and dentistry but, overall I meant well by my posts.

I do hope anyone who's in discomfort with their Jaws or gums will be treated and looked after by someone who is capable of the job.

Because there's nothing worse than an open nerve and walking the floors at all hours of the night in pain and your head and face soo sore that if you walked out into the darkness even looking at the twinkling stars would be insufferable..

Anyhow I meant well and best of luck to anyone who's suffering.

nthclare

nthclare wrote: »

Im getting a lot of stick here because I suggested that a dentist is able to fix a broken tooth, mine was quite bad to be honest and the nerve was exposed, causing a lot of discomfort and pain.

My dentists similar to the rest of the front line staff in the country at the moment treated me, fixed the problem and he put himself in the firing line and so did I as a patient.

He wore all the ppe and it was a pleasant experience, he did what needed to be done in challenging times and I appreciate his service.

Now some of you seem to think it's ok for a dentist to refuse to treat someone due to aerosols etc contaminating the practice therefore putting himself or herself in danger.

If that's acceptable in the profession and people are getting second class service so be it.

Luckily for me my dentist and I took the risk and I was looked after, if it festered I'd be in a lot of discomfort and pain.

He's what I'd call an unselfish professional and in times like this I think health professionals who are sticking with the programme and putting their principles before fear are the real heroes.

I may be ignorant in the lines of maxillofacial surgery and dentistry but, overall I meant well by my posts.

I do hope anyone who's in discomfort with their Jaws or gums will be treated and looked after by someone who is capable of the job.

Because there's nothing worse than an open nerve and walking the floors at all hours of the night in pain and your head and face soo sore that if you walked out into the darkness even looking at the twinkling stars would be insufferable..

Anyhow I meant well and best of luck to anyone who's suffering.

You’ve completely missed the point, again, dentists gown up and treat those in need, emergencies, but the op chipped a tooth, is not in pain, showed his/her dentist a photo of it, and was advised that it isn’t an emergency, so hold tight. Do you think we have an endless supply of PPE? Have you been living under a rock? Again, Dentists will see emergencies as per the advice/guidelines given, but not chipped teeth. Please don’t offer misinformed advice on dental services, if you do, expect to be corrected by those who know and understand what the actual situation is.

Fishorsealant

It’s went from a broken tooth irritating your cheek to an exposed nerve pain..

You are getting stick because you suggested another dentist used contamination as an excuse that he or she did not have the skills to fix a tooth and for your completely misguided interpretation of the current situation.

Not performing aerosol generating procedures in a pandemic is not second class treatment.. in a non-emergency situation it’s quite the opposite. It’s not that I think it’s acceptable to not carry out non-emergency routine care, it is acceptable.

It’s not worth my time discussing it any further. You have a very misguided sense of responsibility and cross infection control. The point although laboured by previous comments remains lost on you.

nthclare

Ah sure thats OK Im slightly dyslexic a have problems putting my words in context.
That's no fault of my own, I often have to explain this in some of my posts.

Feel free to judge me for my lack of observation and clarity, im used to it.
Im content with my inability to communicate like regular people and getting things arse ways, I'm ambidextrous and both sides of my brain sometimes go off in different directions, but I'd no intention insulting anyone.

Its a blessing and a curse to be honest, and I think ill leave it there. Because quite frankly I explained that I meant well but ye keep on poking at me.

Ive no interest or intentions of being hostile or undermining the profession, as I explained that I'm not an expert.
But maybe if people can switch to being responsive rather than reactionary and suggesting that I'm thick or lacking empathy etc Which is my interpretation of the discussion.

nthclare

nthclare wrote: »

Ah sure thats OK Im slightly dyslexic a have problems putting my words in context.
That's no fault of my own, I often have to explain this in some of my posts.

Feel free to judge me for my lack of observation and clarity, im used to it.
Im content with my inability to communicate like regular people and getting things arse ways, I'm ambidextrous and both sides of my brain sometimes go off in different directions, but I'd no intention insulting anyone.

Its a blessing and a curse to be honest, and I think ill leave it there. Because quite frankly I explained that I meant well but ye keep on poking at me.

Ive no interest or intentions of being hostile or undermining the profession, as I explained that I'm not an expert.
But maybe if people can switch to being responsive rather than reactionary and suggesting that I'm thick or lacking empathy etc Which is my interpretation of the discussion.

Best to avoid posting about health care provision then.

nthclare

Dav010 wrote: »

Best to avoid posting about health care provision then.

Thanks Dave and I appreciate your feedback as I can sometimes go off on a tangent, and need to be put in my place.
Its good to be able to see myself from others perspective.

I'm sure you're a good dentist and I wish you well.

Barney224

Last night I broke my back tooth and at least a 3rd of it is gone. I'm not in extreme pain, but it's very sensitive. Reading previous threads, is it still not deemed essential to get this fixed by a dentist?

Barney224

Barney224 wrote: »

Last night I broke my back tooth and at least a 3rd of it is gone. I'm not in extreme pain, but it's very sensitive. Reading previous threads, is it still not deemed essential to get this fixed by a dentist?

No. Keep it clean and avoid biting hard things on it.

Barney224

Dav010 wrote: »

No. Keep it clean and avoid biting hard things on it.

OK thanks.

Barney224

Dav010 wrote: »

No. Keep it clean and avoid biting hard things on it.

Quick question....what's the best way to keep it clean? I accidentally touched my toothbrush against it last night and it was quite sore. Should I just use mouthwash?

sudzs

Barney224 wrote: »

Quick question....what's the best way to keep it clean? I accidentally touched my toothbrush against it last night and it was quite sore. Should I just use mouthwash?

You could try something like Sensodyne to brush very very gently. The Sensodyne might then help ease the pain you are feeling. Otherwise I suppose a good mouthwash like Corsodyl might be next best option.

I cracked a filled tooth myself and spoke to my dentist but they are doing nothing that involves creating aerosols. They can only do extractions as anything else is too high risk to them. Makes sense but I hope my tooth can hold out.

btkm8unsl0w5r4

Barney224 wrote: »

Quick question....what's the best way to keep it clean? I accidentally touched my toothbrush against it last night and it was quite sore. Should I just use mouthwash?

Sound like its getting sensitive. You might put some temp filling from a chemist if there is a well defined hole in the tooth. This doesnt add strength to the tooth so be really careful to stay off it eating and choose soft foods.

Your dentist is itching to get back to work, trust me, as soon as its ok to do so get it sorted.

Barney224

Thannks for the advice!