Question/Answer About Avoiding A Cavitation

Hello Torrie,

I've got a few questions about avoiding a cavitation.  I may need to get a molar extracted that has been giving me pain. My dentist cut off the crown to see if there were any cracks that could be causing the pain. He said it looked fine and put on a temporary crown ...... this dentist is mercury free but he left the amalgam in my tooth and started making a crown without metal to put over my tooth.  I'm still in constant pain with this tooth and want it extracted. (mercury free dentist won't extract molar teeth)....... now here's my questions:  if I go ahead with the crown should the dentist put the crown over the amalgam?   also, the new dentist I went to today to line up the extraction...........refused to remove the tooth without using epinephrine........he told me it was against standard care and I would bleed to death.............. without epi,,,,,,,,, in the past I've had bad reactions, heart racing BP elevated.........etc from epi.     I understand that using a vasodilator could cause a cavitation........... due to the lack of blood flow?     any advice is appreciated........

thanks

Debbie