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Root canal or deep filling...
No lingering pain..only when tight clenching and cold sensitivity...that too for brief time...2 3 second
Answers (6)
In my opinion its very difficult to say that u will be needing either restoration or rct.
Visit your dentist and he will do proper physical examination and let u know as in such cases can go for temporary restoration and wait for 20-25 days and if there is no pain or sensitivity then will go for permanent restoration.
But if pain starts then will have to ho for rct.
Next Steps
So get it properly checked and go for the treatment accordingly.
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It’s a little complicated situation. Always better to do root canal in cases like these. Bcz it’s deep and the carious area is itself a difficult accessible area. The infection has not yet reached your pulp or periapical area, but is still irritated due to the close proximity with the carious region, and that explains the short pangs of pain u r telling.
Next Steps
Do as your dentist suggests.
Health Tips
Dnt delay treatment any further.
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The symptoms described — brief cold sensitivity lasting only 2–3 seconds with no lingering pain or spontaneous pain — are more consistent with a vital pulp with possible reversible pulpal inflammation, rather than established irreversible pulpitis. The discomfort on tight clenching may indicate periodontal ligament irritation/occlusal trauma and should also be evaluated. The radiograph appears to show a carious lesion, but its exact depth and pulpal involvement cannot be reliably determined from this photographed radiograph alone.
Next Steps
A clinical examination with cold pulp testing and/or EPT, percussion, palpation and occlusal evaluation is recommended. A properly exposed IOPA/bitewing should be taken to assess the depth of caries.
If the pulp responds normally and the pain to cold is brief/non-lingering, caries removal and a definitive restoration/deep caries management may be possible without RCT. If the caries is very deep, selective/stepwise caries removal or an appropriate pulp-protective approach may be considered depending on the clinical findings.
RCT should be considered only if clinical findings demonstrate irreversible pulpitis/necrotic pulp or other endodontic indications.
Health Tips
Do not decide between “deep filling” and RCT from the X-ray alone. The pulp-test response is particularly important here. Avoid repeatedly clenching or biting hard on the tooth until it is evaluated. If cold pain begins to linger, becomes spontaneous/night pain, or the tooth develops significant pain on biting, swelling or tenderness, seek dental evaluation promptly.
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Hello sir,
Your symptoms describes that it is reversible pulpitis rather than established irreversible pulpitis, According to radiograph cavity is pulp approaching so caries removal should be done precisely and permanent restoration can be attempted but if symptoms does not subsides then RCT would be the ultimate solution.
Next Steps
Visit to the dentist and get your pulp vitality testing done
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