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Avatar universal

How long should it take to heal after a crown

had 2 crowns done 3 months ago (december 18th). They didnt fit good so i had them pulled off and redone by a specialist 1 month ago (feb 10th)

One I needed a RC so i had that one extracted. (Feb 22)

I got the permanent one put on almost 2 weeks ago (march 10th), with temp cement.

when i had the temp on, it hurt in one corner, felt like it was pressing low in my gum.

when the temp was taken off I was FINE, no pain with it off for that brief time

When the put on the permanent one i felt the pressure and hurting again in that one area.

I went to back to the prosthodontist and he said that the crown fit well and looked good. he poked around with the instrument and said i would be bleeding if anything was wrong, and I was not bleeding.. the xray according to him looked good and i needed more time to heal. (this seems like a long time, i feel something else is wrong)

so now i just have pressure and Constant hurting in the front area of the crown.  I always feel like there is something in there.. but there is not.  I have no issues with cold or hot or biting.  the bite feels good.

Does anyone know what might be going on? it is normal for it to take this long?
15 Responses
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540545 tn?1377622918
MEDICAL PROFESSIONAL
I wouldn't think the cement would have much effect on it whether its permanent or temporary.  But its possible I suppose although I can't really think of a reason why
Helpful - 0
Avatar universal
One more question....

My question is, could the tooth be more sensitive to the crown sitting on it because of the temporary cement?  is it possible that my tooth would be more blocked from feeling the crown on it if I had the permanent cement?
Helpful - 0
540545 tn?1377622918
MEDICAL PROFESSIONAL
They could try to put a temporary crown in there also.  I know you said a previous temporary crown was giving you some minor discomfort too but it may be worth a try to see if that may remedy it and see if it is this particular crown's fault
Helpful - 0
Avatar universal
thank you for your time in helping me figure this all out.  i agree it is the crown at this point.
Helpful - 0
540545 tn?1377622918
MEDICAL PROFESSIONAL
It sounds like the crown is giving you the problem, not the tooth itself.  So therefore, a root canal may or may not help.  Unfortunately if the pain is coming from the tooth, the irritant is still present but the nerve is remove so no pain signal will be sent. But if the pain is coming from the gums, then a root canal will have no effect.

I would try a new crown again.  
Helpful - 0
Avatar universal
so I went back to the dentist and he took the crown off.  He let it sit off for 20 minutes and the pain went away.  then he narrowed the crown down around where it was bothering me and placed it back on with no cement.  

after 3 minutes i was hurting again.

He cemented it back on with temp cement and sent me home to see how it goes..

2 days later I went to an endodontist, i was in a lot of pain.  He checked the tooth and said I do not need one.  He said it may stop the pain and it also may not help me.

He suggested i try a night guard to see if this helps.

I have used the night guard for 2 nights with no improvement.

So my question is.. should I get the root canal, even though I dont "need" one just to see... I really dont want to.

Or at this point I am considering just extracting the tooth
Helpful - 0
Avatar universal
He looked and said it looked good because it was not bleeding.  i will go back next week and ask him if he can make it thinner.. he didnt seem to receptive to the idea weeks ago..
I can just feel that that area is not right and it is not getting better.

Thank you for all your advice on this issue.  i appreciate your time.. ill let you know how it ends up.
Helpful - 0
540545 tn?1377622918
MEDICAL PROFESSIONAL
Three weeks is a little longer than I would expect.  Especially if its not getting any better.  Usually the gums will adapt and change to the area but it could take potentially up to 6 weeks.  

You could ask for them to adjust the contact area of the teeth and make it a little "skinnier" to see it that helps relieve the pressure.  The only other thing I can think of is that there may be some gap somewhere where its impinging on the gums and you can't see it on the x-ray.  But the prosthodontist should be able to evaluate the margins and see if there's any gum tissue in the way
Helpful - 0
Avatar universal
yes it is temp cement.  i had this issue in the same spot with the temp and with the permanant.. so i question if in both cases they missed some cement in the same spot different times, but anything is possible.  

he checked the tooth after it was cemented and when i returned with my compaint.  he states that i need to heal.. I feel it is also somehow hitting on the gum or something in the gum, i am thinking the crown could be to wide or perhaps sitting too deep?  could that be? is that fixable with a little drilling?

it has now been 3 weeks.  is 3 weeks too long to still have an issue?
Helpful - 0
540545 tn?1377622918
MEDICAL PROFESSIONAL
I was thinking maybe its impinging on the gums but usually the gums will heal and adapt to the area over time.  But usually sooner rather than later.  So its still with a temporary cement?  Maybe there's some cement stuck in there that's causing a minor irritation?
Helpful - 0
Avatar universal
I wanted to add that i felt something pressure/hurting like in that same area when i had the temp on also.. and at that point there was no contact between the 2 teeth.

and thank you for your help with this!  It has been a long road!
Helpful - 0
Avatar universal
flossing is ok.. its tight but goes in and out, the floss does not rip.

When they first placed the crown it did not seal well on the xray so they drilled a little on the crown and pushed down, then it sealed well on the xray.  I was wondering if it was too tight against the other tooth and causing this feeling with pushing back on natural tooth under the crown.

I brought this up to the dental assistant and she said that the contact was supposed to be close and that it was a good contact.
Helpful - 0
540545 tn?1377622918
MEDICAL PROFESSIONAL
How's flossing the crown?  Is it too tight?  Maybe the crown fits well with the bite but its too wide and pushing against the adjacent teeth?
Helpful - 0
Avatar universal
Thank you for your response.

The permanant crown was cemented with tempoary cement on March 10th.  It is been 2 full weeks.
Helpful - 0
540545 tn?1377622918
MEDICAL PROFESSIONAL
It may take some time for the gums to adjust or grow and adapt to the new crown.  How long has it been since the permanent crown was cemented?
Helpful - 0

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