Experiencing Pain with a Dental Implant After Orthodontic Treatment? - Dentistry

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I had a root canal and got a dental crown, but it hurts after the orthodontic wires were tightened?


Hello, about three years ago I had a root canal and got a dental crown on the left side, so I have been mostly chewing on the right side.
However, yesterday I went for orthodontic extraction on the right side, and the doctor also placed wires on two teeth on both sides.
I noticed that the wire on the left side is attached to the crown, and when I bite down on something, I feel some discomfort.
Is this normal? Thank you.

Xiao Jia, 20~29 year old female. Ask Date: 2017/08/14

Dr. Zhu Guanyu reply Dentistry


Hello, after pulp removal, there are still nerve supplies around the tooth root, so experiencing pain during the orthodontic process is a normal phenomenon.
However, it is important to rule out other possible causes, and it is recommended to consult a physician for further evaluation.
Thank you for your message, and I wish you a successful and pleasant orthodontic journey! Sincerely, Dr.
Kuan-Yu Chu, Chief of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/08/14

More Info


Experiencing pain with a dental implant or prosthetic after orthodontic treatment can be concerning, and it’s important to understand the underlying reasons for this discomfort. Based on your description, it seems that the pain you are experiencing when biting down on the left side, where your dental prosthesis is located, may be related to several factors.

Firstly, after orthodontic treatment, your teeth are often in a state of adjustment. The application of braces or other orthodontic devices can exert pressure on the teeth and surrounding structures, which may lead to temporary discomfort. If the orthodontist placed wires or bands around your teeth, this could also contribute to the sensation of pain, especially if they are applying pressure to a tooth that is already compromised by a previous root canal and prosthetic.

The fact that you have a dental prosthesis on the left side means that the surrounding teeth and the prosthetic itself may be under additional stress as your bite changes during orthodontic treatment. If the prosthetic is not properly aligned or if there is excessive force being applied to it during chewing, this can lead to discomfort. It’s also possible that the prosthetic is not adequately supported by the underlying bone or gum tissue, which can cause pain when biting down.

Another consideration is the possibility of inflammation or irritation in the gum tissue surrounding the prosthesis. If the prosthetic is not fitting well, it can cause localized irritation, leading to pain when pressure is applied. Additionally, if there is any underlying infection or inflammation in the area, this could also manifest as pain during chewing.

In terms of whether this pain is normal, it can be common to experience some discomfort after adjustments in orthodontic treatment, especially if there are changes in how your teeth come together. However, if the pain persists or worsens, it is essential to consult with your orthodontist or dentist. They can evaluate the fit of your prosthesis, check for any signs of infection, and ensure that your orthodontic treatment is not adversely affecting your dental health.

To address your concerns, here are some recommendations:
1. Follow Up with Your Dentist or Orthodontist: Schedule an appointment to discuss the pain you are experiencing. They can assess the fit of your prosthesis and the condition of your gums and teeth.

2. Pain Management: In the meantime, over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage discomfort. However, consult with your healthcare provider before taking any medication, especially if you have underlying health conditions.

3. Soft Diet: Consider sticking to a soft diet to minimize pressure on the affected area while you are experiencing pain.

4. Oral Hygiene: Maintain good oral hygiene to prevent any potential infections. Gently brush around the prosthesis and use an antibacterial mouthwash if recommended by your dentist.

5. Monitor Symptoms: Keep track of your symptoms. If you notice swelling, increased pain, or any discharge from the gums, seek immediate dental attention.

In conclusion, while some discomfort can be expected during orthodontic treatment, persistent pain, especially in a previously treated area, should not be ignored. A thorough evaluation by your dental care provider will help determine the cause of the pain and the best course of action to alleviate it.

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