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Rct or filling
Had impacted wisdom and it caused distal decay in 2nd molar...now wisdom has been removed...symptoms before extraction were cold sensitivty 2.. 3 second and pain while biting...after extraction cold sensitivty is same..but pain while biting increased...14th August was the date for extraction...now dentist said it is 50-50 for rct or filling ..they said we will remove a decay...and put temporary filling and wait for 21 days ..if no pain then filling otherwise wise rct...now it has been 4 days since...normally no pain...some time mild pain...1/10..and cold sensitivity same...1 2 second...and pain while biting at a certain angle...what to expect next
Answers (6)
Looks like a permanent filling might just work out. Try to maintain good oral hygine in this phase so that there is no scope of the temporary restoration to fail. The pain and sensitivity all should go away to rule out not doing an rct.
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Based on the history provided, the second molar appears to have distal caries associated with the previously impacted wisdom tooth. The fact that cold sensitivity is brief (1–2 seconds), with no spontaneous or night pain, is relatively reassuring and may be compatible with a vital/reversibly inflamed pulp. However, the depth of the caries and pulpal status need to be assessed clinically before deciding between a definitive restoration and root canal treatment. Mild biting discomfort 4 days after wisdom-tooth extraction can also have several causes and does not by itself indicate the need for RCT.
Next Steps
Continue with the dentist’s planned temporary restoration and observation period. During the review, the dentist should reassess the tooth clinically, including cold/EPT testing, percussion, palpation and bite testing, along with evaluation of the caries after excavation. If symptoms remain mild and the cold response remains brief without spontaneous/night pain, definitive restoration may be considered if the pulp is judged healthy enough. If pain becomes spontaneous, lingers significantly after cold, occurs at night, or biting/percussion pain progressively increases, the tooth should be reassessed sooner for possible endodontic treatment.
Health Tips
Avoid chewing very hard foods on that side while the temporary filling is present and maintain good oral hygiene around the second molar. Some mild postoperative discomfort after wisdom-tooth extraction can persist for several days. However, increasing pain, facial swelling, fever, pus/bad taste, difficulty opening the mouth or swallowing, or progressively worsening tooth pain warrants an earlier dental review rather than waiting for the scheduled follow-up.
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Hlo sir….from x ray i can say that your cavity is deep and that’s why its quite close to the pulp and anyway u will have to go for rct in near future if u will go for temporary filling.
Its better to treat it appropriately now only.
It might be possible if u will go for filling there are chances of pulp exposure during cavity preparation and anyway u will need rct to be done.
So better to go for rct and save yourself from unnecessary trouble.
Next Steps
Visit your dentist and get rct done and crown placement done.
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From this x ray,the molar appears to have a fairly deep cavity close to the pulp,but the x ray alone cannot tell whether the nerve is irreversibly inflamed.
Next Steps
wait for 15 to 20 days but if there is spontaneous pain, pain on biting/ percussion, pain lingers after cold/heat than you are advised to undergo a root canal treatment.
Health Tips
you can go ahead with the deep restoration if everything remains fine for 15 days.
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