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Perth Amboy, NJ
A 20-year-old male asked:

Tooth nerve is shrinking: pain level: 1-3 ( 7-8 times per day) wearing braces front anterior normal because of braces? root canal? treatment?

5 doctor answers8 doctors weighed in
Dr. Robert Trager
Dentistry 56 years experience
Pressure: The braces could be too tight causing more pressure than normal so that the (pulp) nerve is sensitive and the added trauma could cause it to die and a root canal would be indicated.
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Dr. Gary Sandler
Dentistry 56 years experience
Wait and watch: Pulp canal obliteration occurs commonly following traumatic injuries to teeth. The critical management decision being whether to treat these teeth endodontically immediately upon detection of the pulpal obliteration or to wait until symptoms or signs of pulp and or periapical disease occur. Personally, i would suggest limiting orthodontic pressures on that tooth temporarily and see what happens.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Gary Sandler
Dentistry 56 years experience
Provided original answer
Ultimately it is a judgment call by your dentist (and you) depending upon the severity and duration of symptoms, as well as if the discomfort is getting better or worse. Regardless, it still requires periodic monitoring with x-rays.
Feb 21, 2013
Dr. Nishan Odabashian
Endodontics 32 years experience
See your dentist: Make sure your orthodontist is not moving your teeth too fast. Have your general dentist take an xray radiograph and check to see if you have any teeth with irreversible pulpitis. If ther is a large decay then, you may need root canal treatment.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Arnold Malerman
Orthodontics 55 years experience
Seek Rx now: Tooth nerves don't shrink. There may be some transient discomfort with orthodontic treatment. Talk to both your orthodontic specialist and your general dentist to see if pain management treatment is necessary.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Kenneth Grossman
A Verified Doctoranswered
Endodontics 46 years experience
Calcification s: By a shrinking nerve you are probably referring to a calcified pulp chamber and canal. This can be a result of mant things, and if its associated w pain, you should get an endodontic evaluation.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Apr 2, 2015

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