New Crown pains

[jason12676]

I had a crown placed about 2 weeks ago on tooth #4 as it had cracked.

It was fine for a few days after I went back for a high bite adjustment but now its sensitive to cold(only a few seconds) and hurts periodically along with the neighboring teeth - both upper and lower.

The dentist said that this is from grinding my teeth but if I have been grinding all along wouldn't these symptoms of pain and sensitivity to cold have been present prior to the crown being placed?

I'm curious if I need to look at a bite adjustment again or what could be causing this discomfort. I'm just not sold on the grinding my teeth theory.

Should I wait a period of time to see if this resolves itself, if so how long and should I seek a 2nd opinion?

It seems to be slowly getting better as I started brushing with sensodyne and taking ibuprofen to calm the discomfort.

Please help

Jason

[jason12676]

I started the antibiotics yesterday and had no real pain to speak of - A little later that night but it soon subsided.

I managed to sleep very well and didn't wake up from pain which was a relief.

Today around 3ish the pain started to come on again - If I hold cold water on the left side where the pain is - it takes it away for a while until it decides to come back. I don't think its quite as bad as it was.

Since I have shown progress until just a few hrs ago - do you think I should wait a day or 2 more to see if improvement continues or should I just try and find an endo?


Problem is I am in a rural area currently and there is only one endo within 30mi radius.

[Cycl3Chick]

If it were my tooth, i would go to an endodontist.

[jason12676]

The pain was waking me up in the middle of the night now its just early morning & seems to be getting better - I was fine for most of the day today and it just fired itself up again for about an hr - the pain seems to be moving around but is mostly on the side where the crown was placed (upper and lower).

The dentist wrote a script for amoxicilin and some other type of pain pills - currently I am taking darvocet but it doesn't seem to be doing much. I'm thinking I will pick up the script tomorrow and try a round of the antibiotics.

The crown was placed DEC 28th - its almost a month now and I haven't been the same since. I never had any dental issues prior to this and its been a month of hell thus far.

Would I be wise to wait a week, seek out yet another opinion or go right to an endo?


Urghhhhhhhh :)

Jason

[Cycl3Chick]

I just read that it woke up up at night once.  If it keeps waking you up at night, its not normal and sounds like you need to see an endodontist.  If its truly getting better and you aren't waking up anymore, wait it out.  Could just be trauma from getting the crown.

[Cycl3Chick]

I am not a dentist, I'm a hygienist, but from my experience, you may want to give the crown a month or so to settle down before you do anything expensive or drastic.  I see so many people with crowns being super sensitive after having them placed and its from the tooth being dried bone dry, while placing the crown.  The tooth usually settles down within 3 months (long time I know).  An acrylic night guard would probably benefit you.  It does sound like you need a guard and I don't recommend the cheapo OTC ones as they will cause more damage in the long run with it not being fitted properly (with your teeth and TMJ).

If this is something that is waking you up at night, I would probably even get a 3rd opinion from another dentist, maybe even from an endodontist for a consult.

Another treatment you might want to try, before you do anything, is topical fluoride.  Go to your local pharmacy and ask for a tube of Gelcam or whatever brand fluoride gel that they have and follow the instructions on the bottle.  It used to be prescription but its OTC now, but kept behind the counter.

[jason12676]

I went to another dentist - He took x-rays and the only thing he found was a cavity in my top right wisdom tooth. He also tested me with a cold swab on my teeth as well as tapped on each tooth, both had no adverse effects.

He didn't think the cavity would cause the periodic pain and since the pain seems to be subsiding he said to monitor it and come back if it doesn't go away within a week.

He also mentioned that clenching at night could be the cause of the pain...Didint sound really sure overall.

It feels likes it getting better as time goes on...

After 2 different dentist observing the issue and neither with a distinct answer I guess I can only hope for the pain to vansih on its own..