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Too much pain on a tooth with temporary crown

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Patient
Posted by: bcd903  (10 years ago)
Hello everyone!

I chipped my left upper incisor and my dentist put a temporary crown on about 5 days ago. The tooth was chipped in half and the dentist attempted to bond it twice but both failed. Since the crown was placed, I’ve been feeling so much pain on the site that extends to my jaw. I can’t even touch the crowned tooth because it would hurt so badly. It does not hurt to anything cold and hot. The dentist doesn’t recommend a root canal.

Is there anything else that I can do to manage the pain? Would the pain go away once the permanent crown is placed? Thank you in advance.
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Student
Posted by: ghnane  (10 years ago)
Hello,

It is hard to know where the chip is exactly and if it resulted in pulpal exposure. Are your gums red and inflamed around the tooth with the temporary crown?

If pain persists the next option would be to perform root canal treatment so you can go back to normal function. The temporary crown protects the tooth structure that is left after the tooth was prepared for crown and prevents you from being hypersensitive.

If you are experiencing such severe pain the likelihood of having success with the final crown is not that great.
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Dentist
If the pain has only started after you had the temporary crown fitted, and the tooth is not sensitive to hot or cold, but only to touch, then most likely the temporary crown is a little too big at the back and is being bitten on too heavily by the lower tooth. Get your dentist to polish down the back of the temporary crown to eliminate any contact with the lower teeth.
The other possibility is that the nerve inside the tooth is already dead, and you have an early-stage abscess on the tip of the root, making it painful to touch. In this case a root canal will be needed to save the tooth.
Richard from www.dental-health-advice.com
Posted 10 years ago
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Posted by: bcd903  (10 years ago)
Are your gums red and inflamed around the tooth with the temporary crown?

I don't have problem with the gum around the crowned tooth. I experienced jaw pain before but it's gone now and the pain is now centralized on this tooth.
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Posted by: bcd903  (10 years ago)
Dr. Mitchell, the pain started only after the crown was placed. I never experienced any pain after the tooth was bonded. The bondings just never stayed.
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Posted by: bcd903  (10 years ago)

The other possibility is that the nerve inside the tooth is already dead, and you have an early-stage abscess on the tip of the root, making it painful to touch. In this case a root canal will be needed to save the tooth.


Can this be seen on x-ray? I am going to see my dentist this weekend and will ask him for x-ray if necessary.
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