Temporary dental crown after tooth extraction
Hello, Doctor:
1.
After tooth extraction (molar), there is a white protruding object on the gum that feels like soft tissue when pressed.
What could this be? It happened because the tooth root could not be extracted and had to be tapped out.
What is the cause of this? How should it be managed? Is it covered by health insurance?
2.
After root canal treatment on the front tooth, wearing a temporary crown feels like having a foreign object in the mouth, and it feels like my tongue is shorter.
When will this sensation go away? Will it still be present after switching to a permanent crown?
3.
Additionally, when biting food, there is a sensation similar to teeth colliding (like crunching on bone).
How should this be managed? Thank you.
Xiangqi, 50~59 year old female. Ask Date: 2024/04/29
Dr. Lin Jiayong reply Dentistry
Hello: 1.
If there is a suspicion of retained root fragments, it is advisable to visit a medical center for an X-ray and seek a second opinion.
2.
If the temporary dentures are rough, this condition may indeed occur.
3.
Before switching to permanent dentures, inform the dentist about these issues and request adjustments to be made before transitioning to the permanent prosthesis.
Reply Date: 2024/04/29
More Info
After tooth extraction, especially of molars, it is common to experience various sensations and changes in the oral cavity, including the appearance of a white protrusion on the gums. This protrusion is often a result of the healing process, which can involve the formation of granulation tissue or a blood clot that has not fully dissolved. When a tooth is extracted, particularly if the roots were difficult to remove, as in your case where the tooth was "knocked out," the surrounding tissues can become irritated or inflamed, leading to the formation of this soft tissue mass.
1. Understanding the White Protrusion: The white protrusion you are feeling could be a normal part of the healing process, such as granulation tissue, which is a sign that your body is repairing itself. However, if it feels unusually soft or painful, or if you notice other symptoms like swelling or discharge, it is essential to consult your dentist. They can assess whether this tissue is healing properly or if there is an infection or other complication. Regarding health insurance coverage, this will depend on your specific plan and local regulations, but many insurance policies cover necessary follow-up treatments after an extraction.
2. Temporary Dentures and Speech Issues: When you receive a temporary denture after root canal treatment, it is not uncommon to feel as though your tongue is restricted or that you are speaking with a lisp. This sensation can occur because the temporary denture may not fit as securely as a permanent one, and your mouth is adjusting to the new appliance. Typically, these feelings should diminish as you become accustomed to the denture, which can take a few days to a couple of weeks. Once you transition to a fixed prosthesis, these sensations should largely resolve, as the permanent solution is designed for better fit and comfort.
3. Biting and Sensation of Crunching: The sensation you describe when biting into food, akin to "crunching bones," could be due to the temporary denture not providing adequate support or stability. Temporary dentures are often made from softer materials that may not withstand the forces of chewing as well as permanent restorations. If this sensation persists or causes discomfort, it is advisable to return to your dentist for an adjustment. They can ensure that the temporary denture fits properly and does not interfere with your ability to eat comfortably.
In summary, while temporary dental solutions can provide a stopgap measure after tooth extraction or root canal treatment, they often come with challenges such as discomfort, speech issues, and inadequate chewing ability. It is crucial to maintain open communication with your dental care provider to address any concerns promptly and to ensure that you transition smoothly to more permanent solutions. Regular follow-ups will help monitor your healing process and adjust any temporary appliances as needed, ensuring that you maintain both oral health and comfort during your recovery.
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