Tooth aches after crown prep

[coachb123]

I had my 2 back molars prepped for crowns on Wednesday.  I have no problem eating with the temporary (which he fused into one) , no sensitivity or pain when pressure is applied but the teeth just ache.  Also he had to shave down one of my lower molars to adjust my bite and it is very sore.  My question is, how long should this last?  I am currently taking 2 Advil and 3 Tylenol every 6-8 hours and it works well, but I don't want to be doing this for long.

[Jerome Tsang, DDS]

Well they need to figure out whats going on.  There may be some excess cement in the area that might be causing some discomfort or the bite may still be off and putting excess pressure on the tooth causing trauma to the ligament.  

How come the endodontist didn't do a root canal?  There must be a reason why he thinks its not a pulp pain but something else.

If there is a fracture and a root canal doesn't help, then yes, most likely it would need to be extracted.

[Jerome Tsang, DDS]

If it is indeed dry socket, the only thing we can do is pack the socket to alleviate the pain.  You may want to ask for a different prescription for a stronger pain medication to help.  

[coachb123]

The pain is when I bite down while eating.  I also get pain when I press on the bottom of the tooth.  It is the tooth in the very back (beside the one they did the root canal on).  why does it only hurt when I bite on it?  The endodontist said the pulp looked inflamed in the back tooth as well but didn't do a root canal on it.  I've been reading about biting pain and says it may be caused by a cracked or fractured tooth?  Does that mean I will now lose this tooth?

I swear as much trouble as I have had to place 2 crowns I will never go back again!!  Well after this is fixed :)

[bunay]

DR. Please help me. I had my 2nd from the last tooth extracted last monday. Since the second day I habe been getting SEVERE migrains and   ear pain along with a ongoing ringing in my ear. I havent slept in 3 days. My dentist keeps calling it dry socket  and packing it but that only helps my jaw, not my head and ear. Please help. ***@**** and by the way, even vicodin doesn't help.

[Jerome Tsang, DDS]

That's odd.  Maybe the temporary filling that was placed was high and you knocked it down after you ate.  How's it feeling now?

[coachb123]

Okay so went back to have the bite adjusted and was also put on antibiotic.  Today I had an emergency root canal on one of the teeth in question.  Everything went fine but tonight my pain has returned and I have a lot of pressure in my upper left jaw.  Funny thing is I just ate dinner and the pain went away after chewing for a few minutes.  What the heck is going on in there?

[Jerome Tsang, DDS]

Well there shouldn't be a galvanic shock cause there's no metal in the temporaries.  I'm assuming the doctor made an acrylic temporary, not a metal stainless steel crown.  If the bite is off, it may be causing some discomfort due to the extra pressure.  Go get it adjusted and see if that helps.

[coachb123]

And I get a slight tinge of galvanic shock when brushing the side of my teeth now.  What causes that?

[coachb123]

My bite still feels a little off as well.  Could this be causing the aching?

[Jerome Tsang, DDS]

It may take up to a few weeks for the teeth to settle.  Its possible that the gums are sore from the procedure which may take a few days to settle.  If there was a deep cavity, then it may take up up 6 weeks for the nerve inside the tooth to settle down although its also usually associated with sensitivity which you don't have.