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Pain in front of a tooth

User Level:
Patient
Posted by: justworried  (10 years ago)
Hello,

I had a root canal done through a crown 6 months ago. It was in my first molar at the bottom left side, which was crowned 5 years ago. My regular dentist first performed the root canal. Since the throbbing pain did not go away, she referred me to an endodontist.

The endo found a nerve tissue in the tooth. He said I had calcified blockages, which were very difficult for an ordinary dentist to reach. He completed the root canal treatment. Several weeks had passed but the tooth on the front side is still very painful to touch. I can chew anything on this tooth without any pain though. But when I push the front of it sideways, it would send me through the roof.

Both the endodontist and dentist said everything was fine with the tooth. They can’t understand why the front part of the tooth hurts. Does anyone know what’s causing the pain? If I will have the crown replaced, will it solve the problem? Thank you in advance for any information.
User Level:
Dentist
Hello,

I had a root canal done through a crown 6 months ago. It was in my first molar at the bottom left side, which was crowned 5 years ago. My regular dentist first performed the root canal. Since the throbbing pain did not go away, she referred me to an endodontist.

The endo found a nerve tissue in the tooth. He said I had calcified blockages, which were very difficult for an ordinary dentist to reach. He completed the root canal treatment. Several weeks had passed but the tooth on the front side is still very painful to touch. I can chew anything on this tooth without any pain though. But when I push the front of it sideways, it would send me through the roof.

Both the endodontist and dentist said everything was fine with the tooth. They can’t understand why the front part of the tooth hurts. Does anyone know what’s causing the pain? If I will have the crown replaced, will it solve the problem? Thank you in advance for any information.


The bad thing about crowned teeth is you cannot grind them down just out of bite after root canals to give the tooth a chance to rest. Usually we do this is teeth without crowns.

When all else fails, I try the patient on a Medrol dose pack to see if that eliminate the residual inflammation.

If the Medrol doesn't help and another month passes, you may conclude you either have a fracture or a missed canal. Sometimes root canals take quite a while to heal, especially on crowned teeth in function.
Posted 10 years ago
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