Dentists in your Area:
Staten Island, 10312
Distance: 5.4 Miles
New Brunswick, 08901
Distance: 10.0 Miles
Chatham , 07928
Distance: 13.6 Miles
New York, 10021-7215
Distance: 16.9 Miles
Brooklyn, 11235
Distance: 17.9 Miles
New York, 10005-3105
Distance: 18.2 Miles
New York, 10038-5120
Distance: 18.4 Miles
New York, 10038-1101
Distance: 18.9 Miles
New York, 10013-2550
Distance: 19.0 Miles
New York, 10012-2005
Distance: 19.5 Miles
start your health research here
Search Checkdent
dental-videos
DENTAL FORUM
Search Forum
0

Problems with temporary crown

User Level:
Patient
Posted by: athome41  (2 years ago)
Hi there,

About a month ago, I had cracked my second molar in the upper left side. I had a filling on this tooth. I went to the dentist it have it fixed. The dentist after checking me out told me that my second molar on the lower right side has a fracture too. He said both teeth needed root canal treatment and he referred me to an Endodontist.

After two days, I went to the Endodontist and had the root canals done. When I got the temporary crowns, my jaws hurt a lot and my gums were raw. The pain was killing me! I took Ibuprofen three times a day for three weeks. One day, I noticed a black stuff coming out from my gums around the crown in my lower right second molar tooth. I informed the dentist about it during my appointment for the permanent crowns. He said it was a chunk of the filling, which was stuck in my gums. After he removed it, the pain in my gums and jaw went away instantly. While the dentist fit the permanent crown on my lower right second molar, it cracked when he asked me to bite down to check the fit. (The permanent crown on the upper tooth was fitted perfectly fine.) The dentist said he would have the lab make a new one. After a week, I finally had the permanent crown fitted in. Two days later, the crown broke in half for no apparent reason. The dentist returned it to the lab. While waiting for the lab to finish the new crown, he put on a temporary crown, which gave me sharp pain. It hurts so badly whenever anything hot touches it. My bite does not line up anymore and I had a lot of discomfort.

I now regret allowing the dentist to touch this tooth. I should not have to deal with a lot of pain and sensitivity now. It was not painful before and it did not give me any problems at all. Does anyone else have this kind of experience? Will my bite line up again after I get the permanent crown fitted in? How long does it take pain to go away? I would be thankful for any help or suggestions.
User Level:
Student
Posted by: Novocaine  (2 years ago)
Hey athome41,

I'm terribly sorry to hear you endure such discomfort. While it is unfortunate that you have to go through this, your dentist (the endodontist), however, could have done a lot better in terms of providing quality treatment.

After two days, I went to the Endodontist and had the root canals done. When I got the temporary crowns, my jaws hurt a lot and my gums were raw. The pain was killing me! I took Ibuprofen three times a day for three weeks. One day, I noticed a black stuff coming out from my gums around the crown in my lower right second molar tooth. I informed the dentist about it during my appointment for the permanent crowns. He said it was a chunk of the filling, which was stuck in my gums. After he removed it, the pain in my gums and jaw went away instantly.

There could be two definite reasons behind this:

First, temporary crowns never have to cause you pain. This was most likely a misfitting crown that your dentist ignored to shape and trim. Misfitting temporary crowns with over-sized borders usually impinge against the gums and hence cause extreme pain when engaged upon.

Second (most likeliest), your dentist failed to clean and retrieve all of your previous filling’s debris after drilling it out. This allowed a piece of your silver amalgam filling (‘black’ chunk) dislodged in your gum and the temporary crown only made things worse by pushing it further down and inflaming your gums. In any case, when in situations like these, it is always best to contact your dentist immediately.

Regarding painkillers, I'd suggest taking prescription strength OTC Advil versus Ibuprofen (sp).

While the dentist fit the permanent crown on my lower right second molar, it cracked when he asked me to bite down to check the fit. (The permanent crown on the upper tooth was fitted perfectly fine.) The dentist said he would have the lab make a new one. After a week, I finally had the permanent crown fitted in. Two days later, the crown broke in half for no apparent reason. The dentist returned it to the lab. While waiting for the lab to finish the new crown, he put on a temporary crown, which gave me sharp pain. It hurts so badly whenever anything hot touches it. My bite does not line up anymore and I had a lot of discomfort.

Again, there is absolutely no reason for a temporary crown to cause you extreme discomfort when fabricated and placed in the right manner. The fracturing of the permanent crowns makes me wonder if your tooth has been prepared (or reduced) to the right dimensions for it to accept a crown. Remember that the human bite force (especially with molar-molar) exhibits an extraordinary amount of pressure and therefore, if a casual bite check breaks this crown, you are better off making sure with your dentist if the newer one will last its time (an average of 10 years or so).

Regarding pain when in touch with hot substances, a tooth that has undergone root-canal treatment will never respond to heat or cold stimuli. This could either be your adjacent tooth that is reacting or, in worst case scenario (rare), you had a shoddy root-canal procedure. About the bite line-up, you definitely should get it corrected by your endodontist.

I now regret allowing the dentist to touch this tooth. I should not have to deal with a lot of pain and sensitivity now. It was not painful before and it did not give me any problems at all. Does anyone else have this kind of experience? Will my bite line up again after I get the permanent crown fitted in? How long does it take pain to go away? I would be thankful for any help or suggestions.

I do feel your pain. Yes, make double sure you have your bite lined up when you have the permanent crown fixed in your next appointment. The pain should be a non-issue in 3-5 days if everything goes right. Keep faith and good luck!
0
loading