Should I Get a Permanent Crown After Root Canal Pain?

Q: Should I Get a Permanent Crown After Root Canal Pain?

Hello Ms. <br>Chiouya： The first requirement for getting braces is that the treated teeth must be fully functional and pain-free. <br>It is recommended that you continue to monitor the situation. <br>One of the factors contributing to tooth discoloration is the consumption of ant

Should I get braces?

Hello Dr.
Tsao,
After my root canal treatment, the doctor placed a temporary crown on my tooth.
When I press on the area below the tooth with my hand, it still hurts.
The doctor said that the X-ray looks very clear and it shouldn't be a nerve issue.
Given that there is still pain, can I go ahead and place a permanent crown? I'm worried that if I do, I might have to remove it later due to pain, which would incur additional costs (it's really not cheap).
If I don't get the permanent crown and just continue to observe the situation, would that be okay? What should I do?
Additionally, my teeth have a grayish color, and my dentist mentioned that it might be due to antibiotics my mother took while she was pregnant with me.
Is there a causal relationship there? Thank you for your response! I'm very confused.
Best regards,
Chiouya

chiouya, 30~39 year old female. Ask Date: 2007/09/15

Dr. Cao Guoqing reply Dentistry

Hello Ms.
Chiouya: The first requirement for getting braces is that the treated teeth must be fully functional and pain-free.
It is recommended that you continue to monitor the situation.
One of the factors contributing to tooth discoloration is the consumption of antibiotics.
This is Dr.
Tsao Guoqing from the Dental Department of Hualien Hospital, concerned about your well-being.

Reply Date: 2007/09/15

More Info

Hello Chiouya,
Thank you for your question regarding the ongoing pain after your root canal treatment and the decision about whether to proceed with a permanent crown. It's understandable to feel concerned about the pain and the potential costs involved in dental procedures.

First, let's address the pain you're experiencing after the root canal treatment. It's not uncommon for some patients to experience discomfort or pain even after a root canal has been performed. This can be due to several factors, including inflammation in the surrounding tissues, residual infection, or even the presence of a crack in the tooth that may not have been detected during the initial examination. Since your dentist has indicated that the X-rays look clear, it suggests that there may not be an active infection in the root canal itself, but pain can still occur due to other reasons.

Regarding your question about whether to place a permanent crown while still experiencing pain, it is generally advisable to resolve any discomfort before proceeding with a permanent restoration. If the pain is significant, it may be wise to wait and monitor the situation. If the pain persists, further evaluation may be necessary to determine the underlying cause. In some cases, a dentist may recommend additional treatments, such as a re-evaluation of the root canal or even a possible retreatment if there are signs of complications.

If you choose to wait and observe, ensure that you maintain good oral hygiene and follow any recommendations from your dentist. If the pain worsens or new symptoms arise, it would be prudent to return to your dentist for further assessment.

As for the discoloration of your teeth, the gray color you mentioned could indeed be linked to the use of certain antibiotics during pregnancy, particularly tetracycline. This class of antibiotics is known to cause intrinsic staining of the teeth if taken during the critical periods of tooth development. If this is the case, it is a result of the medication affecting the enamel and dentin formation in your teeth. While this discoloration is not harmful, it can be a cosmetic concern for many patients.

In summary, I recommend discussing your ongoing pain with your dentist before proceeding with a permanent crown. If the pain is manageable and your dentist feels confident that the root canal is successful, they may proceed with the crown. However, if there are any doubts or if the pain is significant, it may be best to wait. Additionally, if the discoloration of your teeth is a concern, you might want to explore cosmetic options with your dentist, such as whitening treatments or veneers, to improve the appearance of your teeth.

I hope this information helps clarify your situation. Please feel free to reach out if you have any more questions or concerns. Take care!

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