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Still in pain after a root canal, crown and redone crown

User Level:
Patient
Posted by: EaSy_MeD  (8 years ago)
Hello,

Last year, one of my top molars, broke in half while I was eating. I had a root canal done on this tooth with a post put in. Everything was fine with the temporary crown but when I got the permanent crown in, I got a pain, which wouldn’t go away. The dentist kept on telling me that everything was fine. During my last visit to him, he said I maybe grinding my teeth but I know I am not.

Last month, I went to another dentist for second opinion. He said the crown was poorly done and suggested to have it redone.

The crown was redone two months ago but the pain did not go away. Three days ago, I woke up with a swollen face. The dentist said, maybe the tooth has a vertical fracture and I should have it extracted. What should I do? What type of dentist should I go to for another opinion? I do not want this tooth to go...please help! Any information would be highly appreciated.
User Level:
Student
Posted by: Novocaine  (8 years ago)
Hello,

Last year, one of my top molars, broke in half while I was eating. I had a root canal done on this tooth with a post put in. Everything was fine with the temporary crown but when I got the permanent crown in, I got a pain, which wouldn’t go away. The dentist kept on telling me that everything was fine. During my last visit to him, he said I maybe grinding my teeth but I know I am not.

Last month, I went to another dentist for second opinion. He said the crown was poorly done and suggested to have it redone.

The crown was redone two months ago but the pain did not go away. Three days ago, I woke up with a swollen face. The dentist said, maybe the tooth has a vertical fracture and I should have it extracted. What should I do? What type of dentist should I go to for another opinion? I do not want this to tooth to go...please help! Any information would be highly appreciated.


Yep, all of your history and symptoms tend to strongly lean towards a vertical root fracture. Your swelling confirms this too. The fact that this began with the cusps of your molar breaking and the extensive endodontic therapy that was performed on the rest of your tooth, I wouldn't be surprised if you had one. The initial temporary crown must have held and sealed the fracture (must have been minor because it was too early) tight but the subsequent removing and fitting of crowns must have made this worse. Also, incorrect posts (too big, too wide) and post-containing restorations are primarily known to weaken the tooth and aid in vertical root fractures.

In any case, extracting it would be your only option. There is currently no other solution to repair a fracture like that. Getting a second opinion (from an endodontist/oral surgeon) is always helpful but I'm guessing you will hear the same, so why bother. Good luck!
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