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Constant pain from a filled cracked tooth

User Level:
Patient
Posted by: 1stNlast  (8 years ago)
Hi,

I had pain in my lower right first molar a few weeks ago. The dentist said the tooth has a small crack. He filled it and sent me on my way. After a month, I went back to the dentist for the crowning procedure. While I had the temporary crown, I had biting pain. When it was time to get the permanent crown, I told him about the biting pain. He looked at it and said he could still see the crack and I needed a root canal treatment. I had the root canal done that day. Before I left his office, he said one root was inflamed and I have to go back to him after two weeks. I went to him after two weeks for more cleaning and scraping of roots.

After another two weeks, I went to see him again for the preparation of the tooth for the crown. I went back to him two times more for the crown impressions and permanent crown placement. Right after I had the permanent crown put on, I was in a horrible pain. After a few days, I’ve got some swelling in my cheek and gums. I kept going back to the dentist but he could not see anything wrong, no evidence of abscess on X-ray and the crown was perfectly seated on the tooth. Does anyone have any ideas on what could be going wrong? I am tired going back to the dentist who could not find where the problem is coming from. I have been in pain for several weeks already. Please help! Thanks.
User Level:
Student
Posted by: ghnane  (8 years ago)
Hello,

It may be due to the factor that your tooth has been over-traumtized give your tooth some time to adjust having a crown on it and for pain to subside. Traumatic pain may become localized in the area and transmit pain signals through adjacent tooth structures and when a RCT was performed.
If RCT fails your other option would be extraction but we want to Preserve the natural teeth as long as posslble.
User Level:
Dentist
Hi,

I had pain in my lower right first molar a few weeks ago. The dentist said the tooth has a small crack. He filled it and sent me on my way. After a month, I went back to the dentist for the crowning procedure. While I had the temporary crown, I had biting pain. When it was time to get the permanent crown, I told him about the biting pain. He looked at it and said he could still see the crack and I needed a root canal treatment. I had the root canal done that day. Before I left his office, he said one root was inflamed and I have to go back to him after two weeks. I went to him after two weeks for more cleaning and scraping of roots.

After another two weeks, I went to see him again for the preparation of the tooth for the crown. I went back to him two times more for the crown impressions and permanent crown placement. Right after I had the permanent crown put on, I was in a horrible pain. After a few days, I’ve got some swelling in my cheek and gums. I kept going back to the dentist but he could not see anything wrong, no evidence of abscess on X-ray and the crown was perfectly seated on the tooth. Does anyone have any ideas on what could be going wrong? I am tired going back to the dentist who could not find where the problem is coming from. I have been in pain for several weeks already. Please help! Thanks.


About 50 % of the time cracked teeth can be saved with a crown only. It is good to test that with a temporary crown. The next step is to do a root canal. However, in 10% of the cases the fractures are severe that neither a crown nor a root canal will save the tooth. Unfortunately, it is impossible to tell by x-ray or any other means which teeth can be saved. It just takes trial and error.
Posted 8 years ago
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