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Dental Health  (Expert Forum)
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Jaw pain after crown
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Questions in the Dental Health forum are answered by Dr. Jerome Tsang and Dr. Jerome Bogin. Topics covered include bridges, cavities, crowns, and x-rays.

Jaw pain after crown

by jnnymdsn, Oct 28, 2007 12:00AM
I had a permanent crown put on my left back bottom molar 10/25. The previous weeks, while I had my temp on, I had occasional low level pain in my jaw running from my ear to my chin. The dentist told me when the permanent went on, this pain would go away, but it has not and I still have intermittent jaw painn. There is no hot/cold sensivity or pain when biting and the crown feels completely normal. Is this something I should be concerned about? How long might it go on?

by Jerome Bogin, D.D.S. , Oct 29, 2007 12:00AM
I would be concerned that the tooth was in need of root canal therapy. If the discomfort persists then I think you would have to explore the possibility of the nerve being inflamed or non-vital(dead).
Member Comments (3)

by love1221, Oct 28, 2007 12:00AM
I would give it at least a week from the day you had the permanent crown put on.  If it isn't better by then I would call the dentist.

by Zzzdentist, Oct 29, 2007 12:00AM
A crown preparation does require a fair amount of the outside of the tooth to be removed in order to provide room for the artificial crown material.  As well, sometimes the old filling needs to be replaced with a new core and pins.  All this occurs on a tooth that most likely had experienced having a large filling on it so one can expect that the nerve sometimes isn't in the best shape to begin with in terms of health.

You may be experiencing a temporary reversible pulpitis where the nerve is slightly inflammed so it aches now and then.  Unless the pain becomes severe or you have any lingering sensitivity, it's best to take some anti-inflammatory painkillers if needed and to give the tooth some time to settle down.  It can take anywhere from weeks to months.

If the pain worsens and you start to have lingering sensitivity in the tooth, the nerve may be dying (irreversible pulpitis) in which case a root canal is needed.  It all depends on how healthy your nerve is and whether it's capable of recovering from all the work that has been done on it.

Zzzdentist
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