Pain After Getting Fixed Dentures: Causes and Solutions - Dentistry

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Pain after getting fixed dentures can be a frustrating and concerning issue. The discomfort you're experiencing could stem from several potential causes, and understanding these can help guide you toward a solution.

1. Incomplete Root Canal Treatment: If the tooth that was prepared for the fixed denture had a root canal treatment prior to the placement of the denture, it’s possible that the nerve was not completely removed. This can lead to lingering pain, especially when pressure is applied, such as when biting or chewing. If the nerve tissue remains, it can become inflamed or infected, causing pain that may feel like it’s coming from the area of the fixed denture.

2. Trauma to Adjacent Teeth: During the process of preparing the tooth for a fixed denture, there is a risk of inadvertently damaging adjacent teeth. If the dentist had to apply significant force or if the tooth was particularly fragile, it’s possible that the neighboring teeth could have sustained some trauma, leading to pain when biting down.

3. Improper Fit of the Denture: Fixed dentures must fit precisely to avoid discomfort. If the denture is too high or not aligned properly with your bite, it can cause pain when you chew. This misalignment can put undue pressure on the underlying teeth and gums, leading to discomfort.

4. Gum Irritation or Infection: After the placement of fixed dentures, the surrounding gums may become irritated or inflamed, especially if the denture is not fitting well. This irritation can lead to pain, particularly when pressure is applied. Additionally, if there is an underlying infection in the gums or the bone supporting the tooth, this could also result in pain.

5. Underlying Dental Issues: If there were pre-existing dental issues, such as cracks or fractures in the tooth that was prepared for the denture, these could be exacerbated by the placement of the fixed denture. Sometimes, the stress of biting can reveal or worsen these issues, leading to pain.


Solutions:
1. Consult Your Dentist: The first step is to return to your dentist for a thorough evaluation. They can take X-rays to check for any signs of infection, incomplete root canal treatment, or damage to adjacent teeth.
2. Adjustments: If the issue is related to the fit of the denture, your dentist may need to make adjustments. This could involve reshaping the denture or adjusting the bite to ensure that it aligns properly with your natural teeth.

3. Further Treatment: If it turns out that the nerve was not completely removed, further treatment may be necessary. This could involve retreating the root canal or possibly extracting the tooth if it is deemed non-restorable.

4. Pain Management: In the meantime, over-the-counter pain relief medications can help manage discomfort. However, this should not replace professional evaluation and treatment.

5. Follow-Up Care: Regular follow-up appointments are crucial to monitor the situation. If pain persists, your dentist may refer you to a specialist, such as an endodontist, for further evaluation.

In summary, the pain you're experiencing after getting fixed dentures could be due to a variety of factors, including incomplete root canal treatment, trauma to adjacent teeth, improper fit of the denture, gum irritation, or underlying dental issues. It’s essential to consult your dentist to identify the exact cause and determine the appropriate course of action. Proper diagnosis and timely intervention can help alleviate your pain and ensure the longevity and comfort of your fixed dentures.