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Sensitive Teeth
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BlissfullyMe17 posted:
My name is Olivia and I'm currently 17 years old. When I was little I was diagnosed with hyperplasia or loss of enamel is what I've always been told on my teeth due to high fevers as an infant. Since then I've had multiple fillings to protect my teeth from cavities and its safe to say their really sensitive and one tooth has been bothering me. At my normal 6 month cleaning today I told them I've been having problems with one of my upper molars-number 14 I think it is and they determined instead of putting a crown on it quickly they are going to seal it so I wont be so uncomfortable for the time being. They said it was because the enamel was wearing away because of plaque. They didn't tell me it was a cavity but I'm still confused on what their going to seal it with. Will they have to give me a local anesthetic for this if its not a cavity but my tooth is still really sensitive in order to cover it? I'm don't do well with needles at all and its been a long time since I remember getting one when I was little. Is a shot needed for this? Or am I just totally confused on whats happening?
Thanks!
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Zev Kaufman, DDS responded:
Dear BlissfullyMe17:

Sorry for the delay in getting to your question. However, I cannot answer it for you. I do not know what your dentist means be sealing the tooth in this particular case.

There are dental sealants available to seal the pits and fissures of teeth which are susceptible to caries (cavities), but they are not done "instead" of a crown.

What I can recommend to you is that you ask the question of your dentist and tell him/her that you are confused and you cannot have things done to you without understanding all the ramification of doing or not doing a procedure.

In addition, prior to any crown work, essentially anything larger than a small filling, you should go and consult with a Prosthodontist. The prosthodontists receive three years of additional training past dental school in handling situations such as yours. You are very young and you need to receive the highest quality/longevity dental work possible. Even if it is more expensive right now, you will end up paying less in the future.

Go to the specialist to see if you he/she comes up with a similar treatment plan, and compare the costs.

I am sorry that this is all that I can give you based on the information you have provided.

Best of luck,
Dr. Zev Kaufman


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