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Any Endodontist here? Do I need RCT?
My symptoms are,severe sore pain in jaw under earlobe.mild swelling in jaw since may. No changes in swelling.No increase or decrease in swelling. have sore ear pain with fullness in ear.No ear infection. Checked with ENT.have severe sore burning pain in side of neck with mild swelling.have some lump like pea size inside skin near swelling.It hurts to touch spots.I have some sore spots in the neck and under the earlobe in jaw(small bump under ear).It hurts to touch.started when I chew something more than usual.Next day I heard a pop in jaw and this jaw,ear pain with swelling started.It's still same pain and swelling til today.ringing sound in ear whenever I lie down.I have some burning sensation inside ear.went to dentist.Told me to extract Upper wisdom tooth.extracted in July.dentist say,I have a fracture on tooth#46.its not visible in x-ray or cbct.went to endo&he couldn't find any crack.dentist want me to do RCT. that tooth is little sensitive to cold,bit tender to bite on one spot.
Answers (3)
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Any diagnosis and treatment plan need to be correlated with clinical examination and radiograph. So to be sure if your tooth requires RCT, both need to be done.
Although seeing your radiograph one of the tooth has radiolucency reaching pulp horn of the tooth indicative of your symptoms.
Next Steps
if you are still confused about going ahead with RCT, I would suggest you to try direct pulp capping ( base with filling) which can be done under LA. later reviewed and followed up for next two weeks for symptoms of pain. if pain still persists, then go with ahead with RCT. otherwise you are happy to go with filling
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too many opinions to a problem leads to hanged solution. you and your symptoms are best judgement. I have posted opinion in detail on your another query which you posted 3 days back. you can check there also. all the best. take care.
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This seems to be a defect of temporomandibular joint and associated structures. Consult me online so as to assess the status of the joint and plan a treatment.
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Dr. Siddharth Malhotra
Implantologist
13 yrs exp
Delhi
Hi..
There is issue wrt ur last molar tooth in this xray..
Please give us a call once and discuss on phone.
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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.