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Nerve damage?

User Level:
Patient
Posted by: littlelila  (8 years ago)

Two weeks ago, I got a temporary crown on tooth #3. After the procedure, I’ve been in chronic pain on both the tooth and jaw. Sometimes, the pain would shoot up into my ear, eyes and temple. There are also times that both sides of my tongue become painful. I also feel burning sensations in my mouth. The dentist said he cannot see any sign of infection.

Does this sound like a damaged lingual nerve? How long does this usually last? Thanks!
User Level:
Student
Posted by: Novocaine  (8 years ago)

Two weeks ago, I got a temporary crown on tooth #3. After the procedure, I’ve been in chronic pain on both the tooth and jaw. Sometimes, the pain would shoot up into my ear, eyes and temple. There are also times that both sides of my tongue become painful. I also feel burning sensations in my mouth. The dentist said he cannot see any sign of infection.


Did you have a root canal on tooth #3 (upper right first molar)? Assuming there is no infection (according to your dentist), your symptoms (shooting pain) that involve the jaw and upper facial structures indicate that your temporary crown might be the primary reason behind it. Your TMJ is most likely affected by it too. From what I can gather, this is either an over-sized crown that needs trimming or you are probably suffering from a cracked tooth (pretty common in molars with crowns or large fillings due to high bite forces).

In any case, I'd recommend you get a second opinion (dentist and physician) to rule out other conditions that evoke similar symptoms like trigeminal neuralgia, dry mouth syndrome, oral thrush, GERD, etc.

Does this sound like a damaged lingual nerve? How long does this usually last? Thanks!

Your lingual Nerve is responsible for the innervation of your tongue and it definitely doesn't sound like it's having a problem.

Keep us posted!

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

I supposed to have a root canal on this tooth but when I went back to the dentist and checked the tooth again, he said a root canal is not needed. He just had it crowned. Doesn't it sound like I need a root canal this time? If ever I need one, wouldn't the crown be compromised? Thank you for your help!
User Level:
Student
Posted by: Novocaine  (8 years ago)
Hi,

I supposed to have a root canal on this tooth but when I went back to the dentist and checked the tooth again, he said a root canal is not needed. He just had it crowned. Doesn't it sound like I need a root canal this time? If ever I need one, wouldn't the crown be compromised? Thank you for your help!


Well, I hope you get a second opinion, preferably from an endodontist, on this RCT issue. But, if you ever need it done, your temporary crown would be removed for the procedure or your dentist might just do it through the crown. Either way, you'd be fine considering the fact that you'll be fitted with a permanent crown eventually.

Anyway, your symptoms predominantly sounds like your temporary crown or a crack in the root has something to do with it.
User Level:
Patient
Posted by: littlelila  (8 years ago)
Hello!
I went to an endodontist and he said I indeed need a root canal for this tooth. I was scheduled next week. I hope everything will turn out well. Thank you. You've been very helpful.
User Level:
Student
Posted by: Novocaine  (8 years ago)
You're welcome! I'm glad things are turning out for the best. Take care!
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