Persistent Pain After Dental Crown on Lower Left Wisdom Tooth: Is It Normal? - Dentistry

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I experience pain when a dental crown is placed on my lower left wisdom tooth?


Doctor, I would like to ask, recently my lower left wisdom tooth has been painful due to decay, and I went to the dental clinic where the dentist recommended root canal treatment followed by a crown.
However, it has been 10 days since the crown was placed, and I still experience pain in the wisdom tooth during normal chewing.
Is this normal? Additionally, before the dentist took the impression for the dental mold, I noticed that the tooth was loose.
I asked the dentist about it, and he said it was not a problem, so he proceeded with the impression.
Now that the crown is in place, I am still in pain.

ken, 30~39 year old female. Ask Date: 2006/11/22

Dr. Yuan Ziming reply Dentistry


1.
If your teeth are loose, please check for any periodontal disease issues.

2.
It is normal to experience some discomfort when first wearing dentures.
If you feel pain while biting, please test the occlusal height; if it is slightly high, have your dentist make adjustments.

Reply Date: 2006/11/22

More Info


Experiencing persistent pain after receiving a dental crown on a lower left wisdom tooth is not uncommon, but it is important to understand the underlying reasons for this discomfort. After undergoing root canal treatment and having a crown placed, some level of discomfort can be expected as your mouth adjusts to the new dental work. However, if the pain persists for more than a few days or worsens, it may indicate an underlying issue that needs to be addressed.

Firstly, it is essential to consider the nature of the pain. If the pain is sharp, throbbing, or associated with swelling, it could suggest an infection or inflammation in the surrounding tissues. This is particularly relevant if there was already mobility in the tooth before the crown was placed. The presence of mobility could indicate periodontal disease or other structural issues that may not have been fully addressed prior to the crown placement. If the tooth was already compromised, the root canal treatment may not have fully resolved the underlying problem, leading to ongoing discomfort.

Secondly, the adjustment period after receiving a crown can vary from person to person. Some individuals may experience sensitivity to temperature changes or pressure for a few weeks as the surrounding tissues heal. However, if the pain is severe or if you notice any signs of infection, such as fever or pus, it is crucial to contact your dentist immediately. They may need to evaluate the crown's fit and the health of the underlying tooth structure.

Additionally, it is worth noting that the pain could also be related to the bite alignment. If the crown is slightly too high or misaligned, it can cause discomfort when chewing or biting down. This is something your dentist can assess and adjust if necessary. Proper occlusion is vital for comfort and function, and any discrepancies should be corrected to prevent further issues.

In summary, while some discomfort after receiving a dental crown is normal, persistent pain should not be ignored. It is advisable to return to your dentist for a thorough examination, including X-rays if necessary, to determine the cause of the pain. They can assess the crown's fit, check for any signs of infection, and evaluate the health of the surrounding teeth and gums. Early intervention can help prevent more serious complications and ensure that your dental work is functioning as intended. Remember, open communication with your dental care provider is key to addressing any concerns you may have about your oral health.

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