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  1. Laurence Stein DDS

    tooth / temple pain upon ascent, but not until 10 ft

    Granny Scuba Let's take these a question at a time: 1) I dove 2 weeks ago at Vortex springs and experienced no pain. Could something have happened to the tooth since then? Surely if air was trapped in my tooth it would have hurt at Vortex. Could it be infection in the tooth? The simple...
  2. Laurence Stein DDS

    tooth implant -- sinus impact

    Hey ARCOII, Once healed properly, your implants should have no impact on diving. Typically, when the sinus is entered, the surgeon does a sinus lift... he raised the membrane lining the sinus and places particles of bone or some other bone graft material under the membrane. Once that bone...
  3. Laurence Stein DDS

    Can anyone help me with a diving problem?

    I would agree with all those who suggested a sinus squeeze. The lack of cavities or fillings would seem to rule out a dental pathology. That said, it is possible to have a fractured tooth which might create such a problem. In addition, an impacted wisdom tooth near the upper teeth might cause...
  4. Laurence Stein DDS

    Temporary Crown ~

    Hi cowdog77, In answer to your original question. Whether your cracked tooth will be a problem depends on a couple of things: 1) The severity and nature of the crack and 2) If the crack communicates with the tooth pulp (nerve). Hopefully, your tooth is feeling OK with the temporary in place...
  5. Laurence Stein DDS

    prolonged dizziness

    Hey saltybubbles, Categorize this in the "For what it's worth department." I don't know the name of the condition, but it is not uncommon for people cruising on smaller vessels or cruising for longer periods on larger vessels and experiencing moderate to heavy sea conditions, to experience a...
  6. Laurence Stein DDS

    Counseling for after an incident?

    Hi Matt, A number of years ago, while diving in, Curacao I was the primary in a rescue of an out of air situation involving another diver. Fortunately, the outcome was successful. A diver in 80 feet of water just kind of "chose me" as his next air supply. I will never forget the look on...
  7. Laurence Stein DDS

    Temporary Filling

    Hi Jacky Boy, You said the dentist has drilled on the tooth. What is in it now? Is your tooth sensitive? When a cavity gets deep enough to affect the nerve, the pulp tissues may begin to devitalize (die). In the process, the pH (acidity) if the pulp may go down... it goes from a...
  8. Laurence Stein DDS

    Ahg... I have a confirmed cracked tooth.. now what??

    Ta Da! Someone asked for the dentist? Paul Jr... If your tooth is symptomatic then it is probably best your skip the dive. In answer to your question, "My question, or interest for that matter is, has anyone knowingly dove with this condition and had serious issues?" My answer is "Only...
  9. Laurence Stein DDS

    Corrective Jaw Surgery

    Hey flashpoint340, Corrective jaw surgery is a nice way of saying the doctor is going to break my jaw and reposition the pieces. Typically, a minimum healing period for a fracture is around 6 weeks. That is assuming no complications. At that point, the bone will not be "mature". That can...
  10. Laurence Stein DDS

    Infection after dive.........

    Hi Designerdiver, I would agree with Doctormike. Most likely, the ear pain and the tooth pain are two separate problems. There are however, ways for ear or sinus problems to manifest as a seemingly unrelated tooth problem. You description of you ear problem is typically a barotrauma of the...
  11. Laurence Stein DDS

    Sick to my stomach

    I would first suspect Alternobaric Vertigo. You are possibly experiencing unequal clearing of the ears during ascent. This will trigger a vertigo reaction which can even lead to vomiting. If it persists, see and ENT MD. Laurence Stein DDS
  12. Laurence Stein DDS

    TMJ? Or Ear infection?

    Hey Budgirl, If it looks like a duck, quacks like a duck and walks like a duck, it's most likely a....duck! You were applying pressure to your chin, you yawned, it went crunch...most likely some form of trauma to the joint. You likely forced the head of the condyle (the ball part of the joint...
  13. Laurence Stein DDS

    New Diver and Pneumonia

    Tired fingers...for two years. Just got back from Alaska. Larry
  14. Laurence Stein DDS

    New Diver and Pneumonia

    Hey Fly Girl, There is no hard and fast rules for how long to stay out of the water other than you should be off all meds taken for your condition, your original signs and symptoms should have resolved, you should feel well and your exercise endurance should be normal. Your MD can check your...
  15. Laurence Stein DDS

    Older Dental Crowns and Diving

    Go ahead...do the dive. If the crown is good, it will most likely stay on. If it is problematic, then the dive might actually be a blessing in disguise. 30 year old crowns were generally cemented with zinc phosphate cement. It is rather strong and holds up fairly well. With time there can...
  16. Laurence Stein DDS

    Perilymphatic Fistula

    Dear Dolores, I can't really speak to the other medical aspects of your injury or the surgery that followed. However, if your numbness immediately followed a lower jaw dental procedure, the most likely culprit is the anesthetic injection itself. During a typical month of giving anesthetic...
  17. Laurence Stein DDS

    Tooth problems and diving

    Hi Jaynea, To most dentists, a diagnosis of a "tooth root infection" is meaningless and at best, ambiguous. A tooth with an endodontic infection (infected nerve), a periodontal infection (infection of the gum and bone around a tooth or infection of a tooth associated with a fractured root (the...
  18. Laurence Stein DDS

    Paralysis of the Face from DCI?

    I had an interesting incident occur at my office to one of my staff about 6 months ago. One of my assistants came to work one morning. Her eye was drooping/tearing. One side of her face was drooping. She complained of numbness of one side of her face, lips and tongue. For a week prior to...
  19. Laurence Stein DDS

    Paralysis of the Face from DCI?

    ROVengineer, If your original Bell's Palsey was caused by a herpes type virus, it is possible that the virus did NOT go away as in most viral infections. Typically, herpes viruses go into a dormant phase..within the nerver root... during which there are no symptoms. Then they may...
  20. Laurence Stein DDS

    Dental issue related to root canal and diving?

    Hi SadiesMom, A trephination is where a hole is put through the overlying skin and then into the bone to allow a drainage channel for infection/pressure. Generally, the soft tissue begins to close over in 24-48 hours. Even salt water rinses won't keep the opening patent if there is nothing...
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