Tooth Pain after a crown

[Kenz1013]

I had a toothache which progressed into a migrain so I saw the dentist the next day and he put on a crown. The next day I knew something was wrong by the amount of pain I was in and called the dentist. He said I needed a route canal so I saw the Endodontist the next day and he took an exray and said there was nothing near the nerve my pain was from a poorly constructed crown that was gabbing into my gums and part of the crown wasn't completely shaped to my tooth. I saw the dentist again and he shaved down the edges of the crown and said my problem should be fixed. I am in so much pain I cry 24/7 I have to take 2 Vicodan every 2 hours to feel not feel as extreme pain but then am nauseous because I can't eat anything before taking the pain meds. I have been like this for a week now and it has been the most miserable week of my life. Does anyone have any advice as to how to make this better? I seriously can't live this way anymore, it's torture.

[TMJDoc]

I would recommend getting an opinion from a orofacial/craniofacial pain dental specialist.  Your pain could be referred from muscles.  Pain this intense from a tooth will not be resolved with a crown anyway.  Crowns are used to restore structural integrity to the tooth, not treat pain.  "Cracked teeth" can cause pain from biting and need crowns, but to be in pain all the time and having it escalate is either pulpal (nerve inside of tooth) which was ruled out by the endodontist, or referred pain(Neuralgias have a different pain quality than you are describing).  It will take only a few minutes by a well trained specialist to be able to make that diagnosis.  Pulpal pain causes thermal sensitivity (hot and/or cold causes pain), and biting pressure pain.  One last thing--if the pain went away with the local anesthetic then it is probably pulpal pain and root canal therapy (endodontics) should eliminate the pain.  But get another opinion instead of living (miserably) on pain pills.  Crowns won't eliminate pain and conversely should be mostly a painless procedure post operatively.   TMJDoc

[scottma]

Seeing an occlusionist or prosthodontist to hvae occlusal adjustment of new restoration is advised. You may need a crown redone if  inaccuracy can not be corrected.