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Too much pain on a tooth with temporary crown

User Level:
Patient
Posted by: bcd903  (6 months ago)
Hello everyone!

I chipped my left upper incisor and my dentist put a temporary crown on about 5 days ago. The tooth was chipped in half and the dentist attempted to bond it twice but both failed. Since the crown was placed, I’ve been feeling so much pain on the site that extends to my jaw. I can’t even touch the crowned tooth because it would hurt so badly. It does not hurt to anything cold and hot. The dentist doesn’t recommend a root canal.

Is there anything else that I can do to manage the pain? Would the pain go away once the permanent crown is placed? Thank you in advance.
User Level:
Student
Posted by: ghnane  (6 months ago)
Hello,

It is hard to know where the chip is exactly and if it resulted in pulpal exposure. Are your gums red and inflamed around the tooth with the temporary crown?

If pain persists the next option would be to perform root canal treatment so you can go back to normal function. The temporary crown protects the tooth structure that is left after the tooth was prepared for crown and prevents you from being hypersensitive.

If you are experiencing such severe pain the likelihood of having success with the final crown is not that great.
User Level:
Dentist
If the pain has only started after you had the temporary crown fitted, and the tooth is not sensitive to hot or cold, but only to touch, then most likely the temporary crown is a little too big at the back and is being bitten on too heavily by the lower tooth. Get your dentist to polish down the back of the temporary crown to eliminate any contact with the lower teeth.
The other possibility is that the nerve inside the tooth is already dead, and you have an early-stage abscess on the tip of the root, making it painful to touch. In this case a root canal will be needed to save the tooth.
Richard from www.dental-health-advice.com
Posted 6 months ago
User Level:
Patient
Posted by: bcd903  (6 months ago)
Are your gums red and inflamed around the tooth with the temporary crown?

I don't have problem with the gum around the crowned tooth. I experienced jaw pain before but it's gone now and the pain is now centralized on this tooth.
User Level:
Patient
Posted by: bcd903  (6 months ago)
Dr. Mitchell, the pain started only after the crown was placed. I never experienced any pain after the tooth was bonded. The bondings just never stayed.
User Level:
Patient
Posted by: bcd903  (6 months ago)

The other possibility is that the nerve inside the tooth is already dead, and you have an early-stage abscess on the tip of the root, making it painful to touch. In this case a root canal will be needed to save the tooth.


Can this be seen on x-ray? I am going to see my dentist this weekend and will ask him for x-ray if necessary.
User Level:
Student
Posted by: smileconcepts  (6 months ago)
hi..
I understand your pain.Root canal is the best way to come out of this pain.But your Doctor doesn't recommend a root canal.Well there is a another option for you i hope this can help you.

The temporary cement is washing out, allowing saliva to percolate under the crowns, and allowing the crowns to move on the teeth. Sometimes a simple re-cementation will provide significant relief.

User Level:
Dentist
If the tooth is not sensitive to hot or cold, as stated in the original post, then it is unlikely that the pain is coming from something as simple as cement washing out. If the tooth is painful to touch, then the socket in which the tooth sits is inflamed, right at the root tip. The only 2 possible causes in this case are either the temporary crown being too big, affecting the bite and causing trauma to the tooth (interesting that you mention jaw joint pain - this would fit with the crown affecting your bite), OR the tooth nerve has died already, and there is an infection on the tip of the root.
You cannot see a tooth nerve on an X-ray, but you CAN see changes in the density of the bone around the root tip, providing evidence of either bite trauma or a dead nerve. If it's a dead nerve, then root canal and antibiotics are the only solution.

Richard from www.dental-health-advice.com
Posted 6 months ago
User Level:
Patient
Posted by: bcd903  (6 months ago)
Thanks everyone for your replies. The dentist polished the crown but it didn't give any improvement so the dentist, even if he does not think I need a root canal, referred me to an endodontist. I will be seeing him next week. I hope he will be able to solve my problem.
User Level:
Dentist
It may take a few days to settle down if the problem was due to the crown being bitten on too much. It's a bit like hitting your thumb with a hammer; you can get rid of the cause, (throw the hammer away) but it still takes several days for your thumb to recover. Your tooth is similar. If the tooth is feeling better by the time your endodontist appointment is due, cancel it. You only need to see the endodontist if there's no improvement after 3-5 days.
Richard from www.dental-health-advice.com
Posted 6 months ago
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