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My leaping tooth — 12 Comments

  1. I’m an endodontist, retired.
    In all likelihood, what is happening is that the tooth is “extruding” because there is pressure at the apex (base/tip) of the root.
    Typically the roots of all teeth are conical (there are a few exceptions) and any pressure at the tip pushes the tooth quite easily out of its place in the socket, which normally conforms to the shape of the root.
    This pressure (commonly occurring after several days/weeks) is due to degeneration of the pulp tissue into excess liquids and gases which leak out of the apex to push against the very solid membrane there. This situation is commonly treated by root canal therapy, which, in this case, has a high incidence of failure.
    The failure is not the dentist’s fault; rather it is due to microscopic fractures set up in the enamel, dentin, and cementum at the time of the incident, destroying the integrity of and preventing the total seal of the canal.
    Today’s (reasonable) choices are:
    1. attempting root canal therapy (with the understanding that such cases have a high incidence of failure)
    2. removal of the tooth followed by:
    a. replacement by a fixed bridge (with the understanding that this will involve “cutting down” the teeth on either side of the space)
    b. replacement by an implant

    Thank G-d I’m ret’d

  2. Similar story: I have had root canals on four teeth, which means they’re dead. (I also have an implant, which means really, really dead.) One day, one of my dead teeth started hurting. That made no sense — it’s dead! There are no nerves to feel pain. Well, the dead tooth below it had a small break in the floor of the tooth, causing an inflammation of the live tissue it was imbedded in, which caused the tooth to rise up, and in turn pressed the dead tooth above it into the maxilla, and THAT hurt. Referred to fantastic endodontist who did a new technique on the tooth with the break and so far, it works great. But it’s weird how your teeth cause pain…

    My teeth are a mess (four root canals), but one thing that delayed getting them fixed in a more timely manner was that I spent MONTHS and MONTHS seeing various doctors about ear aches. And not a one of them connected it to my teeth. I finally did because I ate something hot and it was painful. (Normally I eat pretty much everything at room temperature. I have since I was a child.)

  3. Gary D. G.:

    I figured I’d draw a dentist out of hiding 🙂 .

    An endodontist is a bonus.

    Fortunately, the tooth seems good now. Virtually no pain, no movement, no extrusion, no looseness, no grinding. I hope it will stay that way. I have no desire for a root canal.

  4. In Ace of Spades mode I would post I saw Leaping Tooth open For Cream in Des Moines on their farewell tour, Here I say glad your teeth are happy.

  5. chewy candy has always bugged me. It sticks and pulls on the teeth in the wrong direction, at times causing my teeth to ache!

    So…for chewy candy I can’t resist, like caramels, I just put them in my mouth and let them melt…mmmmm.

  6. I drove through Arizona in mid summer 1980 without air conditioning. The temp was 114; that’s my excuse. Eating lunch, I bit on a fork and chipped out my incisor. The dentist had some of the then new UV light curing glass filled epoxy repair paste.

    Amazingly, 37 years later it’s still solid and the color hasn’t changed.

  7. LCB:

    I’m impressed. You have far more patience than most people. I seek a middle ground. I sometimes soften them up that way for a bit, then chew them.

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