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Dental Health (Expert Forum)
Severe pain after 2nd crown
Answered by
Jerome Bogin, D.D.S. - Dental
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.
Severe pain after 2nd crown
by Rosa4200, Apr 24, 2007 12:00AM
Last year I had a cracked tooth (#19) that ended up being crowned. Up until about 6 weeks ago, all was fine, no pain whatsoever. Then the crown chipped. My dentist patched it up over the weekend, but it came off the same evening. The piece remained off until my appointment a week and a half later. During this time I still had absolutely no pain. At the next appointment, my dentist reprepped the tooth and created a cerec crown right there in the office. From the moment the novocain wore off, I was in severe pain that wouldn’t go away without taking a couple of extra strength Tylenol. About 5 days after the crown was cemented, I returned to my dentist for the pain. She took an x-ray and checked my bite, but couldn’t find anything wrong, so she sent me to an endodontist. He could find nothing wrong either and suggested that I wait another week to see if the pain would subside. If it didn’t, then a root canal would be in order. I now have an appointment for Monday for a root canal. I have been in nonstop pain for about 4 weeks. What I’m concerned about is that I didn’t have pain before this recent crown. I understand that the reprepping of the tooth could have irritated it, but could the pain also have been caused by something lying between the tooth and crown? Before an expensive root canal is considered, should the crown be removed and checked?
Doctor's Answer
by Jerome Bogin, D.D.S. , Apr 25, 2007 12:00AM
, Apr 25, 2007 12:00AM
It is possible that you have an inflammation of the nerve of the tooth(pulpitis). This can be a result of the prepping of the tooth or the cement that was used. The pulpitis is either reversible(it gets better on its own) or irreversible which require root canal therapy. The bottom line here is the discomfort you are in, if that does not abate then the rct will be necessary.
Member Comments (2)
by mike1105, Apr 25, 2007 12:00AM
the nerve gets inflamed anytime a tooth is drilled on. sometimes it s more severe than other times, sometmes it is reversible and sometimes it is not. your sensitivity in this case may be related to the fact that a different cement is used under resin crowns as opposed to the porcelain metal kind it seems you had before. If it were me, and if indeed a resin cement (different) was used under your new crown, knowing what I know I would want the resin crown removed, and a temporary made and cemented with IRM-- which contains a sedative called Eugenol. If you do ok there, I'd want a new crown made from yellow gold, and cemented with the same IRM material.
