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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 (5)
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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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Hi, this is a tricky place to treat. Xray shows that restoration can be attempted however, final diagnosis depends on your clinical symptoms.
Next Steps
kindly visit your dentist for final advice
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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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Dr. Tarun Pandey
Dentist
13 yrs exp
Bhopal
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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Dr. Parth Shah Dipeshbhai
Dentist
14 yrs exp
Surat
There is a cavity in the last tooth as seen on the X-ray. Please consult a dentist and get the tooth filled.
Next Steps
go to dentist and get the tooth filled
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.