How should this be handled?
Hello, Doctor.
I have a molar on the lower left side that has been treated with a crown and bridge due to tooth loss about 6-7 years ago.
Recently, I've been experiencing pain in the teeth that serve as supports on both sides (the tooth in front of the wisdom tooth).
I would like to know how to address this issue.
I live in Xizhi; could you recommend a dentist?
dropdred, 20~29 year old female. Ask Date: 2007/09/16
Dr. Zeng Guanghui reply Dentistry
Hello, Miss: Thank you for your inquiry.
I would like to address your question and provide the following suggestions: The pain associated with a dental bridge made 6 to 7 years ago may be due to inadequate cleaning, leading to plaque accumulation in the small gaps between the prosthetic crown and the abutment teeth, which can cause gingivitis or even periodontal disease.
More severely, long-term plaque or food debris buildup within the prosthetic crown can damage the original supporting teeth and lead to gingivitis.
If you are experiencing pain, it is advisable to seek treatment from a dentist as soon as possible.
Reply Date: 2007/09/16
More Info
To address tooth pain after crown and bridge treatment, it's essential to first understand the potential causes of the discomfort. Given that you had a crown and bridge placed approximately 6-7 years ago, there are several factors that could contribute to the pain you're experiencing in the supporting teeth adjacent to the bridge.
1. Plaque Accumulation: One common reason for pain in teeth supporting a bridge is inadequate oral hygiene, leading to plaque buildup. This can cause gum inflammation (gingivitis) or even periodontal disease, which can result in pain and discomfort. It's crucial to maintain proper oral hygiene by brushing twice a day and flossing daily, especially around the bridge and crowns.
2. Crown or Bridge Integrity: Over time, crowns and bridges can wear down or become damaged. If there are cracks or if the crown has become loose, this could lead to sensitivity or pain, especially when chewing. A dental examination can help determine if the crown or bridge needs repair or replacement.
3. Underlying Tooth Issues: The supporting teeth may have underlying issues such as decay or root canal complications that were not addressed during the initial treatment. If the tooth structure beneath the crown is compromised, it could lead to pain. A dentist can perform X-rays to check for any underlying problems.
4. Occlusal Issues: Sometimes, the way your teeth come together (occlusion) can cause discomfort. If the bridge is too high or if there is an imbalance in your bite, it can lead to pain when chewing. A dentist can adjust the occlusion to alleviate this discomfort.
5. Gum Disease: If the gums around the bridge are inflamed or infected, this can cause pain. Regular dental check-ups are essential for monitoring gum health, especially after extensive dental work.
6. Sinus Issues: In some cases, sinus infections can cause referred pain to the upper teeth, which might be mistaken for dental pain. If your pain is located in the upper jaw, it might be worth considering this possibility.
Given your situation, it is advisable to seek a dental evaluation as soon as possible. A dentist can perform a thorough examination, including X-rays, to identify the root cause of your pain. They may recommend treatments such as professional cleaning, adjustments to the crown or bridge, or further restorative work if necessary.
As for finding a dentist in the Xizhi area, I recommend looking for a dental clinic that specializes in restorative dentistry or has a good reputation for handling complex cases involving crowns and bridges. You can check online reviews, ask for recommendations from friends or family, or consult local dental associations for referrals.
In summary, addressing tooth pain after crown and bridge treatment involves a comprehensive evaluation to identify the underlying cause. Maintaining good oral hygiene, regular dental visits, and prompt attention to any discomfort are key to ensuring the longevity of your dental work and overall oral health.
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