A member asked:

Very slight uncomfortableness to hot on one of my molar. cold is ok. it's been like this for long time. give me your opinion only if is root canal?

24 doctors weighed in across 12 answers

Impossible to : Diagnose without an exam, xray and clinical tests to evaluate the vitality of tooth. To suggest otherwise, would be malpractice. The best thing you can do for yourself is to get the tooth evaluated asap and hear the treatment options and then decide on the treatment route you wish to undertake. Waiting will only more than likely make it worse and potentially involve neighboring teeth. Hope thi.

Answered 12/3/2013

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Need exam: You have had a problem for awhile now. It will not go away without treatment. I can't tell if you need a root canal or not. This can only be done with an exam and x-ray. Te longer you wait the more complicated your problem van become. So. Get to a dentist.

Answered 12/3/2013

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Possibly.: Sensitivity to heat is either caused by either exposed cementum caused by gum recession, or an inflamation of the pulp. If the pulp is involved, a test by your endodontist will determine if a root canal is needed.

Answered 12/3/2013

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Comprehensive exam: With x-rays will be needed. This should include an examination of your bite and your gums. Let your dentist know exactly what a long time means to you... Is it months or years?

Answered 12/3/2013

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Possible: Best to have a consult with endodontist or gp to evaluate.

Answered 12/10/2013

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Exam is needed: Hi, you need a dental exam on the tooth. It's possible that it may need some endodontic treatment.

Answered 12/3/2013

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Hot/cold sensitivity: The best thing to do is go for a consultation with an endodontist. The dr will need to do some testing and take x-rays to evaluate the tooth.

Answered 12/3/2013

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Dr. Gary Sandler answered

Specializes in Dentistry

Another perspective: My esteemed colleagues already gave you some specific answers to your question as well as how to proceed. It's often difficult to evaluate a tooth and make recommendations when we can actually examine a patient and have recent x-rays at our disposal. You can't expect to find the answer to the puzzle by posting an internet question. Rely on an experienced endodontist to determine the need for rct?

Answered 12/10/2013

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Dr. Arman Roksar answered

Specializes in Dentistry - Prosthodontics

Possible root canal: Sensitivity to hot is usually a sign that the tooth have some type of "nerve" issue. If it is irreversible pulpitis, then root canal therapy is necessary.

Answered 12/3/2013

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Needs further eval: A slight sensitivity to hot alone is not enough to determine in a root canal is appropriate. Other factors, such a depth of a filling, pain to biting, appearance on an xray, history of unprovoked pain should all be considered. The possibility that a root canal is necessary should be considered, but seek the opinion of a dentist (or even better, an endodontist) and hear your options.

Answered 12/3/2013

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Dr. Randolph Todd answered

Specializes in Endodontics

See your DDS: Heat sensitivity is a common indicator that something is wrong. Not all problems require root canal treatment. Allowing your dentist to test the effected area will enable the doctor to provide you with an accurate diagnosis. Once you know the problem the two of you can come up with a treatment to eliminate the heat sensitivity. Good luck.

Answered 12/3/2013

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See your endodontist: Discomfort to heat is often a sign of pulpal inflammation. If you have heat sensitivity that lingers you most likely need a root canal. A lot of times it is accompanied by lingering cold sensitivity as well. Sometimes, heat sensitivity is preceded by pain to cold, then the cold sensitivity eases up and heat pain kicks up. If discomfort is shap and short lived it may be a cavity.

Answered 11/28/2017

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