Pain after crown

[mojoandrew]

Hi all,
  
I cracked #19 about 1 1/2  years ago, went to the dentist and was told a bridge was needed.  I couldn't afford one at the time and was not in any pain at all so I neglected to do anything about it.  Later, that cracked tooth pretty much fell apart, however, no pain... no insurance either so i didn't bother to see someone.  I just kept the area clean with flossing several times a day.  
About 2 months ago I got insurance, got a cleaning and examination.  I had them check out the tooth, they said that #19 could be fixed with a crown and # 18 needed a filling.  Makes sense, the back side of 18 had a lot of exposure from #19 being chipped/cracked.
  About 4 weeks ago I went to the dentist to have the work done, one filling on #18 and one Crown on #19.  When I got there the dentist took a free xray before we began to check for deep decay.  The dentist told me that the decay on those two teeth had worsened since my last visit and wanted to crown both of them.  He said the decay was not clearly at the root, so a canal was not needed, however he wasn't sure...  I opted to save some $$ and went with the two crowns.  Here again, I wasn't in any pain at the time.

After the the teeth were prepped and the temps placed on, I noticed a huge difference.  These temps were extremely bigger than my normal molars, plus I had been missing a small chunk of #19 for over a year, my mouth was not use to being that full.  I was good for about 2 days, then I noticed the teeth directly above the temps starting hurting.. I mean all of them.  That would go on for 5 to 10 minutes then my left temple area and left ear would hurt, similar to a headache.  Ibuprofen would calm this down. I told the dentist about this, he had me come in and he cut the temps down.  He said my bite was too high... I did feel better for about a day after he cut them down. However, the next day the headaches continued and I dealt with it for another three days thinking it would subside after my bite adjusted.  At this point my bite was still high and had been for over a week.  I went back to the dentist and they cut the temps down again, this time it was right and I felt a lot better, the pain in the upper teeth was becoming less and less and the headaches were going away.  I started to notice some sensitivity in the temps...only to heat though...

4 days ago I went in for the permanent crowns.  I explained all the issues to the dentist and they recommended putting the permanents in with Temp. cement to see if the bite and everything else got better.  Well, it did.. I have strength in those crowns, cold nor heat bothers me... however, I have had the upper part of my face to have some swelling...  Actually, those teeth above the crown will hurt like crazy, then I can feel my cheek (under my nose, outside my upper lip) start to swell.  I take one Ibuprofen and it goes away.. 6 to 8 hours later the swelling is back and those teeth will bother me.. but not really the crowns... When I eat something it sets those teeth off..

Could this be a bruised periodontal gum line situation or what is going on?  Could my bite have been off so bad that I bruised my upper gum line in my sleep and now it has problems?  Did I screw up my bite for going over a year with a piece of my molar missing?  

I feel like I was OK when I went in and now I have problems. I really want to stop taking Ibu because I have been for about 2 or 3 weeks solid.  At least two a day, one in the morning after breakfast and one in the evening.

Thanks!

[kayla276]

my advice is to see a specialist  (prosthodontist)  same as scottma stated.

I had a bad experience with crowns, occlusional problem, it's best to pay more to see a specialist if the original denstist doesn't know what the problem is and it continues.

[mojoandrew]

Let me add a little update to this...  I have been experiencing TMJ like symptoms since the temporaries were put on.  The permanents improved these symptoms, however, they still exist, just not as consistently.  The symptoms include facial bone pain, pain in temple and sometimes all my teeth feel upset.

Would a Bite that is poorly lining up cause these problems?

Can anyone provide me with any pointers as to how I should be able to tell if my bite feels normal.  I have been dealing with this for about a month now and I can't seem to tell my dentist how to make the adjustment.

It feels like #4 and # 13 are absorbing almost all the bite pressure... is that correct?

[mojoandrew]

Hi,

  Thank you for your suggestion.  You might be correct with the infection, thing... however, I still have this weird thought that I might be experiencing a reaction to the temporary cement.  Is that possible?  
I left out some important information... the day I had my permanents placed on the left, I also was prepped for a bridge on #32, #31 and #30... a three piece.  

This morning I woke up with similar problems, now on the right side. **My left side is not bothering me at all now. **  The teeth above the temporary bridge hurt.  I have already told my dentist the temp bridge is too low, I can't touch the bridge together with the teeth above it.  Would this be causing problems as well?

Thank you for your time and opinion.

[scottma]

Acute onset swelling of perioral or facial soft tissue is commonly associated with allergy or bacterial infection, further investigating the source of swelling is warrented.Headache and sentitivity to cold are commonly associated with occlusal interference introduced by new restoration.If temporary crowns can not be adjusted optimally, success of final crowns is questionable.Occlusal adjustment of molar teeth reuires some skill, which may not be owned by all dentists.If your dentist can not solve your problem, you may need to see an occlusionist or prosthodontist.