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Jaw pain after crown prep?

User Level:
Patient
Posted by: Azmus29  (3 years ago)
Hi everyone,
Sorry for the length but I want to be thorough so someone can help! I recently had four crowns placed on all four of my lower back molars due to a combination of weak tooth enamel and a horrible bite (caused by a REALLY terrible childhood dentist who completely screwed up my orthodontia and caused me to dread going to the dentist). All four teeth were very bowl shaped from erosion and several sides had started cropping away. However I never experienced any pain or sensitivity with them; I just figured it was time to have them taken care of when they started breaking.

Anyway, my current dentist (whom I love) recommended doing one side first, then the other side a few weeks later. My left side two teeth went great and permanent crowns are on and feel great. However, after I had my right side molars prepped, I began experiencing deep jaw pain at night. The teeth themselves don't hurt at all, but the pain begins underneath the bottom right molars in what feels like the bone of my jaw and then after a while radiates up to the area where the front of my jaw bone meets my cheek bone (not the joint, back towards the ear, but more like an inch forward of there). From what I've read it follows the path of the nerve situated there. At first this was only happening at night so I thought it might be that I'm grinding. But a few days later I laid down to watch a movie and the pain started. Since then it started even when reclining in a chair.

The pain doesn't throb, just aches, and responds very well to Advil (goes away completely) but the severity seems to be getting worse over time. It also is independent of movement; I can chew, open my mouth, and yawn without it getting worse. Oddly enough today I went for a run after the pain started and it diminished, although didn't go away completely. If I take a dose of Advil and don't lay back down, the pain goes away until I lie down again, usually until the end of the day.

I'm hoping someone can shed some light on this... My dentist is being very helpful, has adjusted the fit of the crown several times as he thinks it might be bite related but without any success, has offered to put me on antibiotics to see if it's an infection (though the X-ray looks fine) and has even given me his personal cell number in case I need something, but it seems pretty clear he's a little stumped. Anybody run across this sort of thing?
User Level:
Patient
Posted by: Peter_Afanasyev  (3 years ago)
I have the same problem. I bigan to fell jaw pain after crowns were placed on my lower molars. About 1.5 yars i suffer from that. The pain not so hard, but it make me tied. Also i fell pruritus in mouth in the morning and fill like wont to scratch gums...
User Level:
Dentist
Hi everyone,
Sorry for the length but I want to be thorough so someone can help! I recently had four crowns placed on all four of my lower back molars due to a combination of weak tooth enamel and a horrible bite (caused by a REALLY terrible childhood dentist who completely screwed up my orthodontia and caused me to dread going to the dentist). All four teeth were very bowl shaped from erosion and several sides had started cropping away. However I never experienced any pain or sensitivity with them; I just figured it was time to have them taken care of when they started breaking.

Anyway, my current dentist (whom I love) recommended doing one side first, then the other side a few weeks later. My left side two teeth went great and permanent crowns are on and feel great. However, after I had my right side molars prepped, I began experiencing deep jaw pain at night. The teeth themselves don't hurt at all, but the pain begins underneath the bottom right molars in what feels like the bone of my jaw and then after a while radiates up to the area where the front of my jaw bone meets my cheek bone (not the joint, back towards the ear, but more like an inch forward of there). From what I've read it follows the path of the nerve situated there. At first this was only happening at night so I thought it might be that I'm grinding. But a few days later I laid down to watch a movie and the pain started. Since then it started even when reclining in a chair.

The pain doesn't throb, just aches, and responds very well to Advil (goes away completely) but the severity seems to be getting worse over time. It also is independent of movement; I can chew, open my mouth, and yawn without it getting worse. Oddly enough today I went for a run after the pain started and it diminished, although didn't go away completely. If I take a dose of Advil and don't lay back down, the pain goes away until I lie down again, usually until the end of the day.

I'm hoping someone can shed some light on this... My dentist is being very helpful, has adjusted the fit of the crown several times as he thinks it might be bite related but without any success, has offered to put me on antibiotics to see if it's an infection (though the X-ray looks fine) and has even given me his personal cell number in case I need something, but it seems pretty clear he's a little stumped. Anybody run across this sort of thing?


It could be:

1. TMJ/ muscle spasm due to the injections and/or holding your mouth open so long.
2. Pulpits or osteitis in one of the crowned teeth.
3. Some sort of gum infection.

I would bet on #2 from your description of the symptoms.
Posted 3 years ago
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