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Pain after crown

User Level:
Patient
Posted by: sosa321  (4 years ago)
I recently had a root canal on a back lower molar which had a crown. After the root canal the tooth felt great.

My dentist advised that the crown should be replaced due to decay under the crown.

After the prep for the new crown, the temp crown caused pain and irritation to my gums. When i went to have the permanent crown placed and the temp was removed I felt instant relief. My dentist then did some more drilling to the tooth near the gum line and then placed the permanent crown.

I have had trouble with the tooth and gums since then. The pain increased in the gums at first and then the tooth. I had the bite adjusted but it did not help.

I can chew on the tooth. The pain seems to be from where the crown meets the gum. Very tender when I touch it with my finger.

Any ideas?
User Level:
Dentist
I recently had a root canal on a back lower molar which had a crown. After the root canal the tooth felt great.

My dentist advised that the crown should be replaced due to decay under the crown.

After the prep for the new crown, the temp crown caused pain and irritation to my gums. When i went to have the permanent crown placed and the temp was removed I felt instant relief. My dentist then did some more drilling to the tooth near the gum line and then placed the permanent crown.

I have had trouble with the tooth and gums since then. The pain increased in the gums at first and then the tooth. I had the bite adjusted but it did not help.

I can chew on the tooth. The pain seems to be from where the crown meets the gum. Very tender when I touch it with my finger.

Any ideas?


1. A piece of cement remains under the gums.
2. The crown margin is placed too deep under the gums. (Ideally, the margin should be above the gums, if possible.)
3. The crown margin is overhanging or irregular under the gums and causes chronic irrigation.

Have your dentist take a check post-op x-ray to evaluate margins and check for cement. Then have him probe the gums and find exactly where the sore spot is. It is also possible that you merely had an outbreak of ulcers on the gums caused by a virus, and these will go away by themselves in about 10 days.
Posted 4 years ago
User Level:
Patient
Posted by: teeya92  (4 years ago)
thank you Dr. Kim Henry for giving this 1. A piece of cement remains under the gums.
2. The crown margin is placed too deep under the gums. (Ideally, the margin should be above the gums, if possible.)
3. The crown margin is overhanging or irregular under the gums and causes chronic irrigation.

"Have your dentist take a check post-op x-ray to evaluate margins and check for cement. Then have him probe the gums and find exactly where the sore spot is. It is also possible that you merely had an outbreak of ulcers on the gums caused by a virus, and these will go away by themselves in about 10 days."
Tooth Cleaning
User Level:
Dentist
Well, if your tooth crown pain persists, the sooner you get a professional diagnosis, the better.
 
Posted 3 years ago
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