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Avatar universal

Crown pain

I had a fractured tooth a couple years ago and my previous dentist cut some of the tooth back and did a white filling to match the tooth. A few years laters, part of the filling came off the back of the tooth. I didnt have anything done about it because is wasnt bothering me and the main part of the filling was still intact.
Just a little over 2 months ago, the rest of the filling came off and took a good bit of the tooth with it, leaving a hole inbetween my teeth. I went to a new dentist and she said that i needed a crown put on. She preped the tooth and put a temporary on. And two weeks later my crown came in. After having the temp taken off and the crown examined, it was decided that the crown didnt fit at all and it wasnt the right color. They sent it back and put another temporary inplace.
I didnt have any problems with the temporary one. My tooth wasnt even sensitive really. Two weeks later they put the new crown on. I was kinda worried because the new crown was a bit bigger than my original tooth, but they said it couldnt be helped because my original tooth was very small. Also at the top of the crown there is a little gap where it doesnt meet the gum line. I asked about it and she said that the gum was just inflammed and it should go down.
It has been about 2 months sice the crown was put on, and this past weekend I started to have pain in the tooth. it was just a throbbing pain at first but after two days it is almost unbearable. Now the whole right ride of my mouth is in pain. I cant bite down, and parts of my face around the gum, upper lip, and part of my nasal passage has a numb throbbing pain.
The Dentist i have been seeing had been closed from Friday to Sunday, so i'm going by there first thing in the morning.
Is there anything i can take to ease the pain. I've tried taking asprin and it doesnt effect it at all. The pain is so bad, that i havent been able to sleep in the past 3 days because of the pain.

Any advise plz
8 Responses
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540545 tn?1377622918
MEDICAL PROFESSIONAL
If you are unhappy with your dentist, sometime it is best to move on and find another dentist that you are more comfortable with.  It is never worth it to go to a doctor that you do not trust.  It goes the same with being a dentist.  Its hard to work with a patient who doesn't trust you.  

I'm not sure what "stuff" they used 20-30 years ago.  I'm 30 years old so it was before my day so to speak.  

What did your primary care doctor say about the antibiotic prophylaxis?
Helpful - 1
540545 tn?1377622918
MEDICAL PROFESSIONAL
First off, for your anxiety, you can ask for a prescription for some sedatives to help relax you prior to the procedure although you would need a ride to and from the appointment.  Also, you need to discuss the specifics of your medical history to know there's no contraindications to the use of sedatives.

As for your problem, it may be that the crowns are not the proper size for your bite and may need to be adjusted.  I would attempt to get your bite adjusted first prior to any replacement work or getting another root canal.  If the problem persists, I would recommend replacing the crown prior to any root canal.  Bleeding in the gums would not be solved by a root canal generally.

Helpful - 1
540545 tn?1377622918
MEDICAL PROFESSIONAL
Definitely see your dentist first thing in the morning.  Its possible that the tooth may need a root canal.

You can always call your dentist over the weekend for a prescription of pain medication as well or ask your dentist the dosage for some over the counter medication.  They should have an emergency number on their answering machine and the doctor can call your pharmacy to give an order over the phone and you can pick it up.

Hope you feel better soon.
Helpful - 1
Avatar universal
He says absolutely on the prophylatic antibiotic.  I have pulmonary arterial hypertension and the aorta, mitral and tricuspid all regurg.
I am not truswting of many dentist, have had some unprofessional dental care in the past, the worst being a doctor that like to see you jump when he hurt you and would say you that that don't you, he also tatooed my gums.  Another one gave me nitrous and had it on too high I guess I nodded off and he didn't put a brace in my mouth when I nodded off my mouth closed with the drill inside taking our the side of my cheek.  And as a child a dentist that didn't novcaine to pull a tooth/molar that had cracked, strapped you down and said deal with it it won't take long.
This guy is not bad, he just is very set in his ways and was adamant that if he put a crown on I would never have trouble with it, that his work is supurb.  It is hard to burst ones bubble and not worry about repercussions.
Thank you again for your time I really have appreciated it.
Helpful - 0
Avatar universal
Thank you so much for your reply, I will make an appt for after the holiday, they are not in this week, so will not chew on the left side.  I was in my 20's when I had a root canal after a crown was placed on the hurting tooth.  The paste they used back then in the 70's to kill the root did it work right and is it supposed to last?  He told me when he put the crown on that it may not work as the stuff they used back in the 70's didn't kill the root.  Is that true?  They try to sell me everything they can when I go in, and I am not interested in all these new things, I just want plain basic care and not made to feel that I am not taking care of my teeth by not doing some of the new stuff.  If the paste stuff they used in the 70's didn't last or do what it is supposed to then I will accept his explanation, otherwise it may be time to look for a more people friendly dentist.  This dentist makes me call my primary doctor for prophlylactic antibiotics since I have 3 heart valves that regurgitate.  He also doesn't use nitrious or give sedatives to relax you.
I appreciate your time and response, thank you again.
Helpful - 0
Avatar universal
I had two crowns put on 2 months ago.  The second to the back one had a root canal done 20 years ago and had previously had a crown that came off (what sent me to the dentist in the first place).  The dentist did the crown on both of the back bottom teeth.  When it was first done you had to struggle to work floss between them, however, now there is a much wider space and the gum seems to get inflamed frequently.  I can not chew on the crowns as there is a lot of pain.  It feels like one corner of the 2nd to the last one I am able ot put floss under it, like coming up and under.  I have a feeling that food may be under the crown.  It is something that I have to be seen for, or can I just rinse really well with peroxide water and take antibiotic for a while and let it go.  I am petrified of dentist, just thinking about it get my heart racing.
The dentist had said the root canal that was done many years ago was done with a paste and didn't always kill all the nerve.  I don't understand why he didn't just clean it out and do it right from the get go.  I am afraid I am now going to have to have a root canal done again on this tooth.
Did what dentist used years ago truly not kill off the root?  Or am I being taken for a ride.  These procedures are really costly and I can't afford them so would like to do what I can to correct it without a lot of expense.
Any suggestions would be appreciated.
Helpful - 0
540545 tn?1377622918
MEDICAL PROFESSIONAL
It is defintely within the realm of possibility to have the need for a root canal after a crown.  Unfortunately, a crown does a significant amount of reduction of your tooth.  With this thinning of the tooth, it can be more susceptible to problems later on.  On the other hand, if a fractured tooth is left alone, it can potentially crack further and it does fracture below the jawbone, it can be un-saveable and would need to be removed.  I wish I could say there was a perfect solution but there really isn't.

Helpful - 0
Avatar universal
Is it common after having a crown put on to have possible nerve damage causing pain in the tooth?
Helpful - 0

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