I hope my reply moves this old thread 'in front' somewhere....
This a a very fundamental question that was not answered in the thread, or anywhere else on the internet that I have found.
I have read that tooth nerves don't recover 'as well' from infection as other nerves. This was posted on a pro-root canal Dentist's page.
If the nerve is not dead (obvious as it reacts to the heat), and you clear up the infection and it's source - it just seems common sense to leave it be if possible. I had a cavity under a filling and suddenly lost half the tooth. Now the source of infection is removed.
I have heat sensitivity to the one tooth, am on antibiotics. My tooth is 'telling me', "just give me a chance to get better." I am looking at an "indirect pulpal cap" (essentially fills the tooth leaving the root.)
IS IT WISHFUL THINKING THAT THE ROOT CAN BE COVERED UP AND GET BETTER? MUST I WAIT TILL HEAT SENSITIVITY IS GONE?
I might just ad that the one tooth it seems should always have more sensitivity until a cap or crown is on it, because it has less insulation over it.
I have been through this before, and while there are probably many reasons that could have caused the tooth or teeth to be sensitive there is something that works very well to greatly reduce or stop the pain all together.
Sensitivity is caused in most cases because the holes in your teeth become exposed these holes (called Tubules) are filled with fluid and when the fluid shifts it affects the nerve and causes a twinge of pain or sensitivity.
My dentist told me to use a product that I could buy online and it would help, and it is way faster and more effective than toothpaste.
I found it at www.stop-sensitivity.com, It was a life savor for me.
NEVER ONCE have i had a dentist or an ENT NOT do a root canal.. every time i have ever had a sinus infection they have performed a root canal.. I now have had 17 root canals, (3 are second root canals on the same teeth) and they have taken all that money from me and still can't find a dentist that i trust.. NOT ONE TIME when my teeth were heat or cold sensitive did they send me home with an antibiotic.. so sick of dentists.. if you know one that is reputable in the Dallas area, please contact me.
Heat sensitivity means that the pulp tissue is completely inflamed to the point that the nerves in the center of the tooth are super sensitive to something they normally do not feel- heat. Once this symptom occurs an abscess will follow. The tooth may begin to feel better once the nerve tissue totally dies but the next step is infection from the bacteria in your mouth. How quickly this occurs varies from case to case but it will happen. The absence of symptoms means nothing because the low grade infection may not hurt but your body will begin to dissolve the bone around the tooth. The more this progresses the harder it is to save the tooth. It can be done but the success rate falls the more bone is lost around the tooth. It is always better to treat a tooth before it abscesses. Always remember that the absence of symptoms or the lack of intensity of symptoms may be meaningless. Bad things can still he happening.