about your tooth: diamond crown can b tough to work w/, so hopefully the dentist did it right. but, when u work on teeth, the nerve can get upset and u should give it a couple months to calm down. but, if it is hurting bad like u describe, what u need to do is go get a medicated filling put in. i believe they are ZOE (zinc oxide). they are a temporary filling that last 6 months to a yr. but after a short time, the tooth should feel better (i had one that took about a week to get rid of all th pain, then they put a diamond crown filling back in. he left a little of the medicated filling underneath so the nerve would not flare up again. that was months ago and it is still ok, and that tooth was hurting bad). if your tooth has already abcessed, there is nothing that can b done except pull it. let's hope that is not the case. my advice is to get in asap and get a medicated filling, then give it at least a couple months of no pain until u put the diamondcrown back in. no, if it is an end tooth, shouldn't b a problem w/ shifting. many ppl leave those. the only option is to crown the two teeth beside it and put a tooth in that space (3 unit bridge). they r not quite as strong as a bridge where there is a tooth on both sides. personally, i wouldn't get a bridge for an end tooth. of course u can wear a partial, but if it is one tooth, hard to balance it, and u would need the kind that goes all the was around instead of just a little nesbit.
BIOLOGIC DENISTRY AND IV SEDATION Before Conscious IV sedation was used in Biological Dentistry, there was no other choice but to have the patient come into the office as many as 5 or 6 times for treatment.
According to Dr. Hal Huggins, a pioneer researcher of biological dentistry, IV sedation is...[a good] approach for the patient's welfare because...[it will] not interfere with the 7-14-21 day cycle of the immune system (see The Huggins' Protocol on the Frequently asked Questions and Protocol for Mercury Removal page) ...this new approach...[allows] for faster recouperation, excellent detoxification,...and [is] less stressful for the patient.
IV sedation is performed by a licensed anesthesiologist (M.D.). ...we use MIDAZOLAM. the risk is minimal with heart and blood pressure being monitored throughout the procedure. ...[It] can last anywhere from 3-6 hours, depending on the amount of work required; But...to...the patient,...[it will seem like] it has only been an hour or less. The patient does not go under. They can talk, use the restroom, and interact and participate throughout the procedure. Some...patients drive home,...although the patient may opt to bring a friend or spouse with them.
TTorrie
http://www.dentalrevision.com/default.htm