It is normal to experience some discomfort or pain when biting down after getting a fixed dental prosthesis, such as a crown or bridge, especially if it was recently placed. This can be due to several factors, including adjustment of the bite, inflammation of the surrounding gums, or sensitivity of the teeth. However, if the pain persists or worsens, it is important to consult your dentist to ensure there are no complications or issues with the prosthesis?
Hello Dr.
Tseng, I recently had a fixed dental prosthesis placed on my front teeth, about three days ago! However, I am experiencing pain when biting down on things.
Is this normal? I had dental implants placed first, followed by the crown.
Is this considered tooth sensitivity? Because everything was normal after the implant placement and before the crown was placed.
How long is the pain expected to last? Are there any remedies or medications I can take to alleviate inflammation?
Ben, 20~29 year old female. Ask Date: 2023/03/19
Dr. Zeng Guanghui reply Dentistry
If you experience pain when biting after getting fixed dentures, it is advisable to return for an examination to check if it is due to high occlusion or inflammation at the gum margins of the dentures.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2023/03/19
More Info
Experiencing pain after getting a fixed dental crown is not uncommon, especially within the first few days following the procedure. When you have a dental crown placed, it involves several steps, including the preparation of the tooth, which may involve drilling and the placement of a dental post (or pin) if the tooth structure is compromised. This can lead to temporary sensitivity or discomfort.
Understanding the Pain
1. Sensitivity: After the placement of a crown, it is normal for the tooth to be sensitive to pressure, temperature, or sweet foods. This sensitivity can occur due to the trauma of the tooth preparation or the materials used in the crown itself. The tooth may also be reacting to the dental cement used to secure the crown.
2. Inflammation: The procedure can cause inflammation in the surrounding gum tissue and the tooth itself. This inflammation can lead to pain, especially when biting down or chewing.
3. Bite Adjustment: Sometimes, the crown may be slightly too high, causing an improper bite. This can lead to discomfort when chewing. Your dentist may need to adjust the occlusion (the way your teeth come together) to alleviate this issue.
4. Underlying Issues: If there were any pre-existing conditions, such as decay or infection, these could also contribute to pain after the crown placement. If the tooth had a root canal treatment, there might still be residual sensitivity.
Duration of Pain
The duration of pain can vary. Typically, any discomfort should start to diminish within a few days to a week. If the pain persists beyond this period, it is crucial to consult your dentist for further evaluation. Persistent pain may indicate an issue such as an improper fit, infection, or other complications that need to be addressed.
Relief Strategies
1. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or acetaminophen can help manage pain and reduce inflammation. Always follow the recommended dosage on the packaging or as advised by your healthcare provider.
2. Salt Water Rinse: Rinsing your mouth with warm salt water can help soothe inflamed gums and reduce discomfort.
3. Avoid Certain Foods: For the time being, avoid very hot, cold, or sweet foods that may exacerbate sensitivity. Stick to softer foods that require less chewing.
4. Cold Compress: Applying a cold compress to the outside of your cheek can help reduce swelling and numb the area, providing temporary relief.
5. Follow-Up Appointment: If the pain continues or worsens, schedule a follow-up appointment with your dentist. They may need to check the fit of the crown, assess for any underlying issues, or provide further treatment.
Conclusion
In summary, while some discomfort after getting a fixed dental crown is normal, it should not be severe or prolonged. If you find that the pain is affecting your daily activities or not improving, it is essential to reach out to your dentist for a thorough examination. They can determine the cause of the pain and recommend appropriate treatment to ensure your dental crown functions well and feels comfortable. Remember, maintaining open communication with your dental care provider is key to addressing any concerns you may have during your recovery process.
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