Should my crown feel like this?

Question

I went to the dentist because I had what felt like a chip in my back top right tooth. He said it might need a root canal, and he would drill it and see if we can just do the crown. He drilled the tooth down and put a filling in the tooth. I came back and he took x-rays he said it was close but it looked like he saved the tooth. He then put a temporary crown on it, and I waited for the permenant one to come back in so i could get it put on. When I went back he poped the temp off, and he scraped the bad tooth gently which still hurt. He said it would be sensitive because its so close to the root. He then cleaned it, and he dried the tooth with gause then pushed the permenant crown on very fast, and it was a VERY intense pain. He said its normal for that pain, and that it would go away. It eventually did, and it was sore. But its been a week today and I still get tooth aches. Im starting to get concerned on if there is something wrong. Does anyone know if this is normal?

Answer 1

Yes the cementation process you described is normal. I explain a crown prep tooth procedure as being somewhat like an apple being peeled, except it's your tooth having the enamel peeled or drilled away. Then the temp or crown replaces the enamel or the peeled part so to speak of. So when the cold cement touched the dentin or the exposed bare part of the tooth, it reacted with the intense pain. Remember, you weren't numb for this part. It should have gone away within seconds though.

Now the toothaches your getting aren't normal. Some pain may occur from the stimuli to the pulp during the prep, but not always, it's referred to as pulpitis. Does the pain occur when you apply some stimuli to the tooth, such as hot or cold drinks? Is it throbbing at night keeping you up? Does it hurt for no reason? Do you feel like your hitting that tooth first when you close your teeth together? There are a lot of things that could be the cause of the pain, although if the decay was close to the pulp or nerve it could have suffered irreversible damage. The best thing to do is call your dentist let him check your bite, tissue and put you on a round of antibiotics and see if it clears up the inflammation. Sometimes it takes a couple of rounds of med's but it works and never bothers the patient again. Then sometimes it doesn't work and you try and try with the med's and still wind up in need of a root canal. But first things first, call your dentist and let him know what's happening and get on some antibiotics, inflammatories and probably something for pain as well. Hope I've been of some help and good luck! I'll keep my fingers crossed for you!

Answer 2

There are many different types of crowns available. You have the traditional porcelain fused to metal ones, that are just simply UGLY! There are a few things that I would suggest to you, one is to look for the training of the doctors. Not all dentists are the same, not all crowns are created the same and not all ceramists who make the crowns are created the same. There are many different types of porcelain available today, not all dentists know that. There are also many different types of restorations available which can be much more conservative. The back side of your upper teeth are where the strength of your teeth come from. If that area is cut back like in a crown situation, it can actually weaken your tooth, so there should be a great reason why someone recommends a crown to you in this age of dentistry. Unless the dentist is practicing in the dark ages of dentistry. Check his training and his continuing education and credentials and accolades. If your dentist has not discussed your overbite issue and is only looking at the crowns first, run, run run. It is like if you want to build a house, and you hire a contractor, instead of an architect and engineers, and the contractor says, OK, lets start building a house. He has no idea what the house is going to look like, and how the foundation of this house is. If the crowns are the old school crowns, yes, they can feel bulky, or weird, the newer materials are much nicer, life like, and very esthetic, but the dentists must be trained to understand which type of porcelain is best for your situation and also they need to know which materials to use for each one of them.

Answer 3

Looky here crown boy.. have been going in for a couple of years with tons of problems.. many root canals and such..and sometime it takes weeks for the work I had done to spot hurting.. your nervous system does sustain a shock when you get you teeth worked on and is inflamed in the area for a while.... if the pain get worse or does not go away go back in.. and bring you r shotgun! and shoot his golf clubs!!

Answer 4

call your dentist to be sure.
this happend to my husband...it was normal but not necessary..
the dentist didn't use enough local pain killer so he was in a lot of pain.
try taking some otc pain killers or ambesol. they also have this "gum" like thing that they sell at drug stores that you can "cap" your tooth in that releases pain killer. it sort of looks like a pack of gum and it really works!
best of luck!