Causes of the pain after temporary crown put in?

[Lim Yuan Hai]

My tooth under temporary crown (the temp crown put on 25^th January 2022) is painful, I do not know how to best describe this pain, it is more like sore pain or sensitivity pain when not biting/eating/drinking and tolerable until now.

After temp crown put on, there was the gum pain for around 6 days. No more the gum pain after 6 days.

The tooth pain is obvious after 11 days from the temp crown put in. This tooth has not done root canal as there is no decay.

The tooth is number 25^th, number 4^th tooth from the back on upper left-hand side.

1) Is it the result of the dentist trimmed too much so expose to the nerve layer (the pulp)?
(or) Other possible causes for this pain?

2) Is it ok to go ahead with permanent crown put in?

3) This dentist has advised me if it is too pain then better to do root canal. However, this pain is tolerable until now and I do not wish to do the root canal. What should I do?
 
Can anyone who has knowledge or experience advise?

Thank you and have a nice day!

[Paulaew]

Though many in this forum dispense excellent medical advice (lack of medical training notwithstanding), I think your questions can really only be answered by your dentist. He has the slight advantage of being able to look at the tooth and examine the x-rays.

 

Paul Laew

[harry94]

Do as the Dentist advised root canal the tooth is then dead , i have had four root canal and then crown . the root canal treatment was done then i had to wait for a month before i went back to make sure the infection had cleared up . If i still had pain then my tooth would be removed . Dentist do not like removing teeth unless they really have to ..

[mogy]

I had a final crown put on top of a tooth that had broken. Dentist told me no need for a root canal as no visible decay. Went thru the worst 5 weeks of pain (went back to work in remote location) until the next dentist drilled into the crown and it popped with such a sound and smell from the expanding rotting inside. Just get it root canal-ed for your own sanity. 

[Pravda]

I did my crown 10 years ago. All I can say it's completely normal. After the final crown was put I had tooth sensitivity for 2 months.

[blackcab]

@Sheryl is away from the forum for a few days. I have tagged this post so that she can reply on her return.

[Lim Yuan Hai]

3 minutes ago, Pravda said:

I did my crown 10 years ago. All I can say it's completely normal. After the final crown was put I had tooth sensitivity for 2 months.

Did you mean no pain nor sensitivity after temporary crown? Mine is sensitivity pain after temp crown. 

Can you kindly describe more detail about your sensitivity (when sensitivity? during eating/drinking (or) ?) and how bad and how could you tolerate it for 2 months?
Thank you.

[Lim Yuan Hai]

2 minutes ago, blackcab said:

@Sheryl is away from the forum for a few days. I have tagged this post so that she can reply on her return.

Thank you so much and have a great day to you.

[Pravda]

29 minutes ago, Lim Yuan Hai said:

Did you mean no pain nor sensitivity after temporary crown? Mine is sensitivity pain after temp crown. 

Can you kindly describe more detail about your sensitivity (when sensitivity? during eating/drinking (or) ?) and how bad and how could you tolerate it for 2 months?
Thank you.

 

I had pain after temporary crown. It's normal. I don't remember much else.

[bbko]

I once had a crown done and a few days later the surrounding area was painful and inflamed, I went back to the same office but saw a different dentist (I guess it was the original guy's day off), the new dentist looked around and told me the original guy didn't properly wash away the small bits he grinded away and the foreign substance was causing my problem, he cleaned it and all was good.  I'm not saying you have the same problem, but you should at least go back and get the crown reevaluated, maybe you do need a root canal, maybe you need an adjustment.

[chilly07]

Never had a tooth crowned without root canal being done before. I regard it as essential to give the repair a long life. Without it I would expect continued problems with that tooth especially infections under the crown

[jobsworth]

Why do teeth need nerves?

I can't see that these nerves serve any useful purpose than to cause pain if and when exposed.

 

[sawadee1947]

Change the dentist ????

[Lim Yuan Hai]

41 minutes ago, jobsworth said:

Why do teeth need nerves?

I can't see that these nerves serve any useful purpose than to cause pain if and when exposed.

 

The tooth is dead without nerves, so I think it is not strong compare to the tooth with nerves.
If not, can you elaborate? Thank you, Jobsworth.

[Lim Yuan Hai]

46 minutes ago, chilly07 said:

Never had a tooth crowned without root canal being done before. I regard it as essential to give the repair a long life. Without it I would expect continued problems with that tooth especially infections under the crown

Wow, I am wondering how many percentage of infections under the crown?
Thank you, chilly07.

[Stevemercer]

I had a crown at the local public hospital (cost 3000 Baht) last year. The tooth did not hurt and I didn't have any root canal work. The hospital did not have the tools for the job in any case.

 

Two months later intense pain and I had to go to a private dentist who drilled through the crown to do the root canal therapy. It's been good since then.

[cardinalblue]

If you have pain, you have an infection whether bad tooth or gum disease….

 

get it fixed….

[Tom89]

23 hours ago, Pravda said:

I did my crown 10 years ago. All I can say it's completely normal. After the final crown was put I had tooth sensitivity for 2 months.

I had a permanent crown put in 1 week ago. Occasional sensitivity when I eat something hot or cold. I take it that's normal? 

[Lim Yuan Hai]

8 minutes ago, cardinalblue said:

If you have pain, you have an infection whether bad tooth or gum disease….

 

get it fixed….

No pain before crown, so it is almost impossible to have infection, bad tooth or gum disease.

Do you mean infection during the crown preparation and temporary crown?

[bkk6060]

I have had many tooth procedures.  It sounds like it could well be a cracked root.  A crown will not help. You may need tooth/root extraction and an implant.

Edited February 11, 2022 by bkk6060

[swm59nj]

I had a crown put in many years ago in the states by a dentist I have seen for a number of years. No issues.  But as we all know anything can happen. 
I would think the dentist would know by X-rays and exam .  Being able to judge if a crown is sufficient, or needing root canal. Before advising just a crown. 
My personal advice.  Research a good dentist in your area. and get a second opinion ASAP..

You don’t want to wait too long and risk infection and more complications. 

[Dante99]

Second opinion would be good.

 

I have 8 crowns and do not remember any pain with the temporary or the permanent.  No root canals.  No problems about 10 years later.  Feeling lucky but I did search out an older dentist who taught at the local university school of dentistry.

[Brayka]

My wife is specialised in crowns and bridges, had an implant few months ago with bone construction, never had any pain or anything, even not a temporary implant. Not a day pain or what so ever. So I suggest to go back to your dentist! Why did he placed a temporary implant…no need for that…

[AustinRacing]

In my experience feeling some discomfort for a couple of days was the norm. Having pain for this long suggests something wasn’t done right. There are good dentists in thailand but there are some very ordinary ones around too. 

[The Hammer2021]

On 2/10/2022 at 5:13 PM, harry94 said:

Do as the Dentist advised root canal the tooth is then dead , i have had four root canal and then crown . the root canal treatment was done then i had to wait for a month before i went back to make sure the infection had cleared up . If i still had pain then my tooth would be removed . Dentist do not like removing teeth unless they really have to ..

'Dentist do not like removing teeth unless they really have to ..'

Dentists do that which is more profitable

[Tropposurfer]

https://www.bangkokdentalspa.com/

 

Go see Dr Lily. If you've got pain so long after a crown, temp or permanent, you have had something done, or not done that is not right. 

[The Hammer2021]

The OP needs help and support as this does not sound right.

[Duke007]

I would recommend the OP return to his dentist or possibly seek the services of a prosthodontist if located in a larger city. There can be many causes of sensitivity, starting with something as simple as a leaking temporary crown that could be repaired or recemented with a sedative material. The dentist must determine whether the inflammation is reversible (give it some more time) or irreversible (needs root canal treatment) or even a root fracture( probable extraction). Each case is different and you should not rely on a consensus of a group guessing at the best treatment. I personaly have had crowns placed with and without prior root canal treatment. There is no one best answer.

[elgenon]

On 2/10/2022 at 2:35 AM, Lim Yuan Hai said:

Did you mean no pain nor sensitivity after temporary crown? Mine is sensitivity pain after temp crown. 

Can you kindly describe more detail about your sensitivity (when sensitivity? during eating/drinking (or) ?) and how bad and how could you tolerate it for 2 months?
Thank you.

I've never had sensitivity afterwards.

[Sheryl]

On 2/12/2022 at 3:02 AM, Duke007 said:

I would recommend the OP return to his dentist or possibly seek the services of a prosthodontist if located in a larger city. There can be many causes of sensitivity, starting with something as simple as a leaking temporary crown that could be repaired or recemented with a sedative material. The dentist must determine whether the inflammation is reversible (give it some more time) or irreversible (needs root canal treatment) or even a root fracture( probable extraction). Each case is different and you should not rely on a consensus of a group guessing at the best treatment. I personaly have had crowns placed with and without prior root canal treatment. There is no one best answer.

This.