Temporary Dentures: Pain, Adjustments, and Next Steps

Q: Temporary Dentures: Pain, Adjustments, and Next Steps

Hello： Teeth that have undergone root canal treatment are prone to fracture, so it is usually necessary to fabricate a crown to protect the tooth from breaking. <br>Your tooth has completed root canal treatment for over a year, and there is a possibility of it cracking, which can

Denture issues

I had a root canal treatment on my lower right molar over a year ago, and everything was fine during that time.
However, I felt some pain near the gums when tapping on it.
I was considering getting a crown, but I hesitated due to my fear of discomfort.
Recently, I started experiencing sensitivity and pain in that tooth, so I visited a nearby dentist.
The dentist informed me that I had peripheral inflammation and some swelling.
After a dental cleaning, I felt some improvement, but he advised that getting a crown would be the best option.
I questioned whether it was appropriate to get a crown while I had inflammation, and he said that it would help me heal faster.

Currently, I have been wearing a temporary crown for a week (the gums were adjusted before the crown was placed), but I still feel some sensitivity and discomfort when biting down.
Using dental floss in the gap also causes pain, and I suspect that the adjusted gums might be the issue.
I really want to remove it to give my mouth a break.
Is it advisable to do so? Was the dentist's approach correct? Can I really not bite down on anything with a temporary crown? Why was it necessary to adjust the gums? Do I have to wear this temporary crown until the pain subsides before I can get the permanent crown? I would appreciate clarification on these questions.
Thank you!

edward, 40~49 year old female. Ask Date: 2005/08/02

Dr. Wu Jinjun reply Dentistry

Hello: Teeth that have undergone root canal treatment are prone to fracture, so it is usually necessary to fabricate a crown to protect the tooth from breaking.
Your tooth has completed root canal treatment for over a year, and there is a possibility of it cracking, which can prevent normal biting.
If the tooth structure is compromised and the defect extends below the gum line or if there is gum inflammation, periodontal surgery may be required.
Of course, if the temporary crown causes pain upon biting, it is not advisable to proceed with a permanent crown.
Dr.
Wu Jin-jun, Director of Dentistry, Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/08/02

More Info

When it comes to understanding temporary dentures, particularly in the context of your recent dental experiences, it's essential to consider several factors, including pain management, adjustments, and the next steps in your dental treatment.

Firstly, it’s important to recognize that temporary dentures, or temporary crowns, are often placed after procedures like root canal treatment or tooth extractions to protect the underlying tooth structure and maintain aesthetics while the permanent restoration is being fabricated. They are not designed for long-term use and may not fit as snugly as permanent solutions, which can lead to discomfort or pain, especially if there is inflammation or sensitivity in the surrounding gums.

In your case, the discomfort you are experiencing could be attributed to several factors. The inflammation around the tooth that prompted the recommendation for a crown may still be present, and the temporary crown could be exacerbating this condition. Temporary crowns can sometimes irritate the gums, especially if they are not perfectly fitted, leading to soreness or sensitivity when biting or using dental floss. If you feel that the temporary crown is causing significant discomfort, it is advisable to consult your dentist. They can assess whether the crown is properly fitted and if any adjustments are necessary.

Regarding your question about whether you can remove the temporary crown to give your gums a rest, it is generally not recommended to remove it on your own. Doing so could expose the underlying tooth to further irritation or infection. If the discomfort is severe, it’s best to contact your dentist for advice. They may suggest a temporary solution or adjustment to alleviate your discomfort without compromising the treatment plan.

As for the necessity of having your gums reshaped before placing a permanent crown, this is often done to ensure a better fit and to promote healing. If the gums are inflamed or irregularly shaped, it can affect how the crown sits and functions. Proper gum contouring can help create a more stable and comfortable fit for the permanent crown, which is crucial for long-term success.

You also mentioned concerns about biting with the temporary crown. While temporary crowns can handle some chewing, they are not as durable as permanent crowns. It’s advisable to avoid hard or sticky foods that could dislodge or damage the temporary crown. If you find that biting down is painful, it may indicate that the crown is not fitting correctly or that the underlying tooth is still sensitive.

In summary, while temporary dentures serve an important role in your dental treatment, they can come with discomfort, especially if there are underlying issues such as inflammation. It’s crucial to maintain open communication with your dentist regarding any pain or discomfort you experience. They can provide necessary adjustments or treatments to ensure your transition to a permanent crown is as smooth and comfortable as possible. Always prioritize your oral health and seek professional guidance when in doubt.

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