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Help pain after crown then root canal
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AngelaTro posted:
Long story short I got a crown fitted for a small crack on my last lower tooth on R side. The next day I felt pain on the top tooth 2nd from the back. I waited it out and got the gold crown on and it felt odd, high, and painful. Went back and dentist took it off and did a root canal. Sent the crown in for fixing and I was left with throbbing, electric, numb, and pounding pain not only on the R side but it went to the L side upper teeth. Dentist gave me Prednisone, Antib, and Tyl #3. Did nothing. I had severe pain that prevented me from eating or talking for weeks. It is slowing going away but I am still waitint to get the crown put back on. If I eat anything cold the R side top hurts? Is this refered pain from the bottom root canal tooth and it needs pulled? I went to the dentist agian thinking the top one needed work and he x-rayed it and said it is fine becuase no filling even in it. Why after root canal is top tooth throbbing after cold liquids. Dentist doesnt want to pull tooth I just put $1500 in and sure doesn't want to pull the top tooth that he says is PERFECT. Who is right. I am tempted to have them both pulled but what if it is nerve pain. (Trygeminal Nerralgia)? Sorry no spell check. What if I pull them both and it is worse? He says the bottom root canal tooth CANNOT be the source is he lying becuase he is afraid I will refuse to pain for something that is pounding? I am going on 7 weeks of NARCS and pain. I need some help fast. I made an appointment with a Nuerologist but he thinks it is a tooth and says the dentist should be able to figure out which one......Someone help please..
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Zev Kaufman, DDS responded:
Dear Angela,

Trigeminal neuralgia, etc. are not all that common and it is NOT caused by a new crown or root canal. Some people are more sensitive than others and thus it is far more common to have a reaction to a crown which might not be adjusted properly, or root canal treatment which did not turn out as perfectly as possible.
I am very sorry for your pain, but I cannot possibly diagnose you without looking at your x-rays and performing a proper physical examination.

The next best thing is to go to a local Prosthodontist, who is the expert in restorative, cosmetic, and implant dentistry and have a thorough examination. First the crown has to be evaluated for fit around the tooth itself. Then the shape and anatomy of the new crown has to be examined as it relates to the other teeth in the same arch and in the opposing arch. Sometimes a small high spot can generate tremedous amounts of pain. Following that, the root canal has to be evluated properly (preferably by an Endodontist--the root canal specialist).

Do not rush to extract any teeth prior to a proper diagnsis! If the pain is from the tooth, then you should find out the reason. If the pain IS NOT from the tooth, then you would have had a good tooth extracted needlessly.

The easiest way to find out the reason for the pain is by placing a properly contoured provisional restoration (temporary) on the tooth and let the gum tissue heal. Also, if the root canal was done by a competent practitioner and looks good on the X-ray, there is no reason to believe that it is the reason for the pain. In addition, you have mentioned that the pain started when the crown was delivered. If it is all resolved by the provisional, then you know the crown IS the problem.

I am so sorry that this is all the help that I can give you. It is pure speculation, since, again, I haven't had a chance to examine you.
www.prosthodontics.org will have a link to a Prosthdontist near you. www.aae.org will have a link to an Endodontist near you.

Best of luck,
Dr. Zev Kaufman


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