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Adjacent gum pain following crown placment

User Level:
Patient
Posted by: Ozimundo  (8 years ago)
I have seen the dentist twice now for pain in my lower and upper teeth post placement of a gold crown on tooth 18 3 weeks ago.
The pain was initially during chewing but now has progressed to pain between the teeth adjacent to the crown within 1 minute of eating. The pain is relieved after flossing and brushing.

I never had such pain before the crown or with the temporary. I can barely chew for fear any food particles on that side will cause severe pain.
This makes no sense that both the upper an lower teeth adjacent to the crown would be so painful. I do have slightly receding gums but have never had this kind of pain.
I return to the dentist to have my whole mouth realigned since the bite was off. Any other possibilities I could bring up as a cause to ask my dentist?
Thank you in advance
User Level:
Dentist
I have seen the dentist twice now for pain in my lower and upper teeth post placement of a gold crown on tooth 18 3 weeks ago.
The pain was initially during chewing but now has progressed to pain between the teeth adjacent to the crown within 1 minute of eating. The pain is relieved after flossing and brushing.

I never had such pain before the crown or with the temporary. I can barely chew for fear any food particles on that side will cause severe pain.
This makes no sense that both the upper an lower teeth adjacent to the crown would be so painful. I do have slightly receding gums but have never had this kind of pain.
I return to the dentist to have my whole mouth realigned since the bite was off. Any other possibilities I could bring up as a cause to ask my dentist?
Thank you in advance


There are two possible explanations right off the bat.

1. The nerve of the tooth was pushed into inflammation. However, pain like this is more often triggered by cold, and hurts deeper toward the end of the root.

2. The gums are inflamed because of:

a. Cement stuck underneath gum.
b. Overcontoured crown.
c. Retraction cord left underneath gum.
d. Open or loose contact letting food pack between teeth.
e. A coincidental Herpes lesion on the gum, triggered by the trauma of the crown preparation.

Gold crowns are usually very kind to the gums. Have your dentist check out each of these possibilities.
Posted 8 years ago
User Level:
Patient
Posted by: Ozimundo  (8 years ago)
Thank you for that information Dr Henry. The inflammation might be correct as initially I had cold sensitivity but had been using Sensodyne to counteract that pain.
The adjacent tooth pain due to food I referred to are 3 teeth forward which also might be explained by the inflammation I assume.
Thanks again.
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