Sometimes after installing a crown on a tooth, a person begins to feel pain: this can be observed both immediately after treatment, and after a very long time, up to several years. At the same time, many do not know what to do, and try to eliminate such a pain in the tooth under the crown at home, resorting to various folk recipes, mouth rinses, but this is far from always justified and safe, because the causes of the problem can be very different.
Just the same about the causes of toothache under the crown and what to do in such cases, we will continue and talk in more detail.
Especially for those who crave "revenge" for dentists for the deplorable result of work, it will be described in detail in which cases the owner of the crowns is to blame, and when to ask the orthopedic dentist. Also, such a point will be explained that a tooth prepared for prosthetics with a crown installed on it is the result of the joint work of three people: a dentist, a dental technician and an orthopedist. Therefore, generally speaking, each of them is responsible for the final result.
But first things first…
Why does the tooth begin to hurt under the crown
There are certain indications for the preservation of teeth using crowns. A crown is a kind of prosthesis, which allows not only to increase the strength of the filled tooth, but also, in certain cases, to act as an artificial substitute for it, instead of being absent in a structure called a “bridge” or a bridge.
It should be noted right away that the pain in the tooth under the crown and the feeling of discomfort that arose for a short time after it is fixed on the tooth are completely different things, and the causes of pain in these cases also vary greatly. Accordingly, at home, it will not always be possible to help the tooth.
However, it is obvious that normally a tooth with a crown should not hurt. Then reasonable questions arise: where does this pain actually come from, is it acceptable (permissible) and how to understand what is its cause?
There are several reasons that can cause tooth pain under the crown.
The first of these is inflammation of the pulp (“nerve”) inside the tooth. Depending on the choice of the type of crown (stamped, cermet), the approach and tactics of the orthopedic dentist (“prosthetist”), sometimes a decision is made in favor of leaving the tooth alive, that is, not removing the “nerve” from it. However, in the process of work, errors of diagnosis, treatment and processing of the tooth under the crown may occur, as a result of which sometimes there is inflammation of the pulp and pain.
Often, such pain manifests itself already at the stage of prosthetics, which allows you to make a decision about removing the pulp before installing the crown. But there are, unfortunately, cases when a tooth begins to hurt after a complete prosthesis.
It is interesting
One of the most common causes of pulp inflammation in a tooth is overheating during the “turning” of tooth enamel. Some dentists still work without water cooling at the tip of the drill, which occasionally leads to a burn of the “nerve” during the processing of hard tissues under the crown and subsequent pulp necrosis.
Ceramic-metal crown requires significant processing of enamel from all 5 surfaces of the tooth. Actually, a stump remains from him, therefore, the doctor is required to strictly comply with all working conditions: from knowledge of safety zones for preventing the approach of a rotating bur to the pulp chamber, to the use of modern tips adapted to air-water cooling of the treated area from all sides. If at least one condition is violated, the tooth overheats and subsequently begins to hurt.Often in such cases, the tooth hurts under the crown from the hot, and the pain does not pass for a long time after eliminating the source of irritation, often intensify at night.
Pulpitis in a living tooth under the crown can also occur due to caries.
However, a tooth with a removed “nerve” can also begin to hurt under the crown. As a rule, the reason for this is poor preparation of the tooth by the dentist before prosthetics.
There are many possible errors that in this case can lead to subsequent pain under the crown:
- poor-quality treatment of the channels and leaving the infection (bacteria) inside them;
- pulp not fully extracted from the channel (s);
- tool chip in the channel;
- creating a perforation (hole) in the wall of the tooth or root (for some, it seems to them that the tooth root under the crown hurts);
- not bringing or excessive removal of filling material beyond the root
and others. Sometimes, constant severe aching pains and pains can be observed only with pressure on the crown.
If at the stage of prosthetics the orthopedic dentist immediately notices the mistakes of the dentist, then even before installing the crown, he asks either to re-treat the tooth, or sometimes, depending on the situation, insists on the removal of the tooth from the dentist-surgeon, which changes the further tactics of orthopedic treatment.
It is interesting
There are situations when the dentist, due to a lack of experience, qualifications, equipment in the clinic or a complicated arrangement of channels during intracanal treatment of a tooth prepared for prosthetics, makes mistakes that are not compatible with further preservation of the tooth. Conscientious and honest doctors give the patient truthful information about cause-effect relationships, but more often they say to an unsuspecting client that the person himself has tightened his problem to such a state that there is already a “cyst” and the treatment that has begun has not yielded results.
Well, and finally, the cause of pain can simply be an incorrectly installed crown.
In some cases, this is due to an overestimation of the crown by bite: the patient feels discomfort, the teeth do not close. The tactics of an orthopedist to send the patient home to "get used" to crowns that are deliberately overpriced by bite is incorrect. The fact is that with such a crown, after a while, traumatic inflammation of the tooth root, as well as problems with the temporomandibular joint, can occur. In this case, a person cannot understand for a long time why the tooth ached under the crown, since sometimes it takes more than one month before the errors of the orthopedic dentist work up.
There are situations when a gum begins to hurt under a crown, not a tooth. A crown fixed on a tooth may excessively go under the gum with its edge, or, conversely, may not significantly reach its edge.
In the first option, a permanent trauma with a sharp edge forms local inflammation, and the inflammation is accompanied by pain, which "gives" to the tooth. As a result, it seems to the person that it is the tooth that hurts under the crown, although the cause is in the gums.
The photo below shows an example of inflammation of the gums in contact with the crowns:
In the second option (when the crown does not reach the gums), usually the pain does not occur soon. Frequent food delays between the gum and the edge of the crown can cause the same inflammation and pain in the future as in the first case, but tooth decay will most likely develop, leading to the gradual destruction of hard tissues under the crown with the appearance of a pain reaction to hot, cold, pressure and other irritants.
Folk remedies for pain under the crown
So, suppose you had a toothache under the crown and you don’t know what to do: whether to go to the doctor right away, or try to first remove the pain at home and see if the problem disappears by itself later on.
It is important to understand that even well-established crowns on the teeth can cause weak pain after prosthetics (both permanent and appearing only when pressed), but not more than 1-3 days, until the gum mucosa adapts to them. Therefore, folk remedies in this case will come in handy. However, for longer pains, as well as for very severe pains, you should make an appointment with the dentist.
There are many methods that allow you to make the pain under the crown lessen or even go away completely. And, perhaps, the most popular method for home use is rinsing, although not everyone knows what means to choose, how to brew decoctions and how to rinse your mouth.
The first place in terms of efficiency and ease of use is sage.
It is interesting
Sage has long been used by healers, considering it the best green "doctor". Even the name "sage" is translated from ancient Greek as "sun", "health". Sage leaves contain flavonoids and phytoncides. Significant amounts are organic acids, as well as vitamins P and PP. Sage has anti-inflammatory, hemostatic and antimicrobial effects, which is great for relieving toothache and pain in the gums.
To prepare the infusion, it is necessary to measure one tablespoon of sage herb, pour one glass of boiling water from the kettle and insist the resulting solution for 15 minutes. After this, rinse your mouth with warm infusion at least 5 times for 30 minutes. The pain is most likely to disappear if it is caused by gum inflammation from the crown.
Oregano infusion is also sometimes very well suited to soothe a toothache under the crown, especially if it irritates the gums.
On a note
Oregano contains almost all of the same components as sage. Compounds such as: thymol and carvacrol (antiseptics), phytoncides (also inhibit growth and kill bacteria and fungi) especially affect its healing properties. Some people even think that oregano can easily replace antibiotics.
To prepare the infusion of oregano, one and a half tablespoons of grass should be poured with a glass of boiling water and set to cool. To relieve pain, rinsing should be carried out 5-7 times within an hour.
However, perhaps the most popular in use are soda rinses. The advantage of baking soda as a folk remedy is that while rinsing it with a solution, gum inflammation is reduced, and the number of viable microbes is also significantly reduced, as a result of which the pain gradually subsides.
It is not difficult to prepare a solution of soda for rinsing the mouth: it is enough to dissolve a teaspoon of soda powder in a glass of warm water. But rinsing, aimed at relieving toothache under the crown, is almost the whole art.
It is necessary to put a little warm soda solution into the mouth and place it in the mouth so that its main part is near the diseased tooth. For a few seconds, it is worth holding a portion, and then spitting it out and rinsing again the same way, until the entire prepared solution is used up. Typically, the tooth gradually ceases to hurt under the crown for several minutes after the start of rinsing.
Toothache First Aid Kit
As noted above, after placing the crown on the tooth, pain of various etiologies can occur. However, whatever its reasons, it is natural to want to get rid of discomfort as quickly as possible, so you can turn to modern painkillers, which are found in almost every home medicine cabinet.
Dentists most often prescribe the following drugs as anesthetics after dental treatment and fixation of crowns as painkillers:
- Ketanov;
- Ketorol;
- Ketorolac;
- Tempalgin;
- Nurofen
The first three of them are sold in pharmacies only by prescription.
It is interesting
Analgin is perhaps the most controversial pain medication, which, however, is found in almost every home in Russia, which cannot be said for dozens of developed countries that have long been abandoned due to the possibility of dangerous complications. Back in 1970, the World Health Organization recommended abandoning this pain medication. In Canada, the UK, Austria, Denmark, the United States, Japan, and some other countries, analgin is not sold because of the risk of developing agranulocytosis, a disease associated with a decrease in neutrophil levels in the blood, which makes the body susceptible to bacterial and fungal infections.
Antihistamines are drugs that reduce the increased sensitivity of the human body to damage and infectious processes. During inflammation, the so-called "microbial allergy" occurs, and histamine enhances it. Antihistamines, which are also often prescribed by dentists, were created to keep inflammation under control.
Pain arising under the crown is most often the result of inflammation. Histamine is a substance that provokes mechanisms leading to pain, and an antihistamine drug allows you to influence the receptors that perceive histamine.
If the tooth hurts under the crown, then as an additional therapy, course treatment with antihistamines, such as:
- Diazolin;
- Tavegil;
- Suprastin;
- Diphenhydramine;
- Claritin;
- Zirtek
And etc.
Before using any medication, a doctor’s consultation is required (and not a dentist). It must be remembered that many antihistamines and painkillers have sleeping pills or reduce concentration.
Dental treatment under the crown at the dentist: what can you expect in the clinic
Each type of crown has its own expiration date, so it is important to soberly assess the situation when the pain under the stamped ("golden") crown occurred after 10-15 years of its operation, and under the ceramic-metal crown - after 15-20 years. That is, one should not hope that for a long period of time, nothing will happen under the crown with the tooth, and it will not become sick.
Another thing is if the tooth under the crown begins to hurt immediately or soon after its installation, then it is important to understand the real reasons for this. Of course, it is difficult to determine the problem on your own at home. Therefore, it is still useful to rely on the conscience and honor of your doctor, consult with him, take pictures of your teeth, if necessary, and determine what exactly is the cause of the pain.
A professional doctor will not only find the causative factor of the pain that has arisen in the tooth under the crown, but will also outline a treatment plan if there are errors: from replacing the traumatic or overestimating crown, and ending with re-filling the canals.
An extreme option is the removal of a damaged tooth and the preparation of a plan for a new prosthesis, taking into account new data.
Case report
A 35-year-old man came to the dentist with complaints of swelling of the gums in the area of the left tooth from below, which periodically passes by itself. From the medical history: the tooth was previously treated in the canals, the ceramic-metal crown was placed about 2 years ago. Visual inspection, percussion, EDI and X-ray diagnostics showed that the tooth is located under the crown with the nerve removed, and in the region of the apex of the anterior root 3.6 of the tooth (lower left, sixth in a row) granuloma is visible, which represents a rounded dark area in the picture. The surrounding tissue near the posterior root is within normal limits.
The causes of the pain are quite obvious: in the anterior root, the filling material passed only slightly more than 50% of the canal, so we can assume that during operation there were a number of problems associated with the passage of the canal, its expansion, flushing and filling, which subsequently led to reproduction bacteria in an unsealed area.
The posterior root is sealed almost to the apex, that is, not reaching the visible radiological apex of about 1 mm. Therefore, there is no serious problem.
Tactics of treatment.To eliminate direct sources of pain in the form of root inflammation at the top, a phased treatment was carried out:
- Dissection with boron through the crown;
- Opening of the mouth of the canal in the problematic anterior root;
- Channel passage and expansion, not reaching the apex by 20-30%;
- Sealing with soft-core obturators to the required length;
- Resection (clipping) of the top of the anterior root;
- Control images after treatment and after a year;
- Replacement crowns.
Prevention of toothache under the crown
So that the tooth under the crown does not hurt, it is enough to follow the doctor's recommendations for caring for it. Crowns should be cleaned regularly and at least 2 times a day just like your teeth. It is especially important to clean the plaque from the gaps between the teeth and near the gingival margin - the place of greatest probability of accumulation of food debris.
To do this, suitable hygiene products such as: a toothbrush, dental floss (floss), and in extreme cases, a toothpick. Categorically it is impossible to gnaw seeds, mosles, hard nuts, fruit seeds, etc., with crowns, as this often leads to a broken crown and further provokes severe pain under it.
Even if there is no pain in the tooth under the installed crown, nevertheless, you should visit your doctor at least 2 times a year to control the quality of the prosthetics.
Useful video: why there is pain in the tooth under the crown and how the treatment goes in this situation
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I got crowns, a month later they started to hurt. What to do?
Visit a doctor. There is nothing to do here. Well these are teeth, home methods will not help. It’s good that the crown was put to me successfully, however, the doctor warned that gum inflammation under the crown is possible. And then you will need to take some kind of treatment solution and rinse to relieve inflammation. I prefer periodontal disease, it helps a lot and teeth with fillings do not darken from it.
My teeth hurt a lot. I don’t sleep at night, what should I do? I take pills endlessly, they really hurt, they hurt ... What should I do?
Pull everything to one and put the prosthesis if the teeth hurt ...
They put a bridge on my teeth. Constantly aching one tooth. Then the tooth below starts to hurt. Then the jaw starts to hurt, and then everything hurts. The tooth does not respond to either hot, cold, or pressure. It even calms down from the hot. The crown is very comfortable. What is going on?
My mom constantly has a tooth ache under the crown, what should I do?
Hello Paul! Everything is simple here: it is imperative to take a picture of the tooth (the dentist can write the tooth number for the radiologist for a consultation), then you should go to the dentist with the picture. He will analyze the image data and decide what is best to do. If there are cysts on the root or something like that in the picture, then removal of the crown and assessment of the situation will be required.
If everything has already “rotted” under the crown, tooth extraction and prosthetics will be required. If it turns out that the tooth is alive, you should also remove the crown and treat the canals, followed by the installation of a seal and a new crown. Single-channel teeth can sometimes be treated through a crown, but according to the protocol, this is not the right approach, since it is not always possible to qualitatively process both the carious cavity and the channel itself. Moreover, even the “hole” in the crown, which was later sealed up, will still affect the strength characteristics of the orthopedic structure in the future.
The overall result is as follows: for pain in the tooth under the crown, a diagnostic picture is always taken, the crown is removed and the tooth is treated (or treated) according to the situation. In rare cases, immediately after the analysis of the image, the tooth is removed with the crown (surgical care).
Yesterday put 4 crowns on the front lower living teeth. Immediately she told the doctor that her teeth hurt a lot, but he replied that the pain would still be felt for a day. Almost a day passed, the pain subsided, but biting off the food is still painful, and touching the tongue of the teeth is painful. Advise what to do?
Hello Love! Usually with constant fixation of crowns, the pain really disappears within a day. However, it happens that even if the doctor did everything right, the individual gum reaction lasts up to 2-3 days. This is especially pronounced with gingivitis and periodontitis, when the gum itself is extremely sensitive to any kind of interference with it. Unfortunately, you didn’t specify: they removed your “nerves” or not in your teeth. That would clarify a lot.
So far, based on your data, the assumption is reduced only to the reaction of the mucosa, but information about the treatment of the channels requires clarification from you. I can’t but say that the best consultation that gives a complete picture is received from your or another dentist in the chair. I wish you a speedy solution to the problem!
Good afternoon! In January 2016, he put 2 crowns on the chewing lower teeth (a crown on 2 teeth immediately). The doctor said that cleaning the canals is not necessary if they are not disturbing. A couple of days ago I began to feel pain in one of the prosthetic teeth when chewing food. It does not react to hot and cold teeth, only to chewing food. Question: if now to clean the canal of this tooth, should the installation of a new crown by the same doctor after cleaning the canals be covered by the guarantee?
Hello, Alexander! You correctly assess the situation: the appearance of pain under the crowns is not the norm. The problem is to properly diagnose the causative tooth. Sometimes the pain “gives” away from those teeth that you won’t even think about. If a tooth is found under the crown (a picture can clarify a number of points), then everything depends on the clinic's policy. The warranty documents indicate those points that fall under it. There is your signature and read what falls under it and what does not, you can, but in some cases only the contractor and the medical lawyer can understand. As far as I know, a decent clinic is responsible for all the work: from preparation under the crown to the last stage of fixation. In fact, it so happens that the warranty relates specifically to the fact of damage to the crown or its loss. That is, the possible appearance of pain under the crown is attributed to the individual characteristics of the body: the fault lies with the person himself. There are very subtle nuances that are first decided in the clinic, analyzed, etc., and then an assessment is given of the work of the institution and the conscience of the director and staff combined. I must say right away that with a legally correct document of the contract (it happens) for the services provided, it is almost always expensive and unpromising to win a case through the court.
Hello! A week ago they put cermets on my upper teeth. After a while, when I eat warm or hot food, one tooth under the crown starts to bake, and then it hurts to bite. The pain disappears after I drink it with cold water ... The nerves under the crown were removed. What should I do?
Hello! You name now the symptoms of exacerbation of chronic periodontitis. If translated into human language: some of the “dead” teeth under the crown supposedly have a deviation in the treatment. There are many options: either they forgot to process the canal in the tooth (more precisely, they didn’t find the canal), they broke the tool in the canal, removed the filling material too much or left the canal (canals) half empty, they couldn’t pass the canal along the entire length, they weren’t treated with enough medication, they didn’t treat the inflammatory hearth (if there was one at the root of a tooth), etc. The final diagnosis can only be made by a doctor, and the most difficult thing is to find the causative tooth and treat it again. Indeed, for this it will be necessary to remove the crown, since treatment with metal ceramics is difficult, to say the least.
Hello! On July 23, the lower 6 under the crown ached very much, made an X-ray, the doctor said, it’s most likely blew to drink pain medication. The pain increased for 2 days, eventually went to another doctor: by tapping, she determined that a nerve was inflamed near 7, removed the seal, put the medicine, said to come in 3 days. All these days on painkillers, pain sounded in my ear, temple. At the appointed time, she cleaned the canals, sealed them and put a seal, warned that up to a week she could ache. The pain subsided every day, but the discomfort was considerable, and she took painkillers. And now at 6 an unpleasant odor appeared under the crown, a little gum sagged and it felt like the tooth under the crown became a little mobile, and when pressed there was pain. Please tell me what you need to do? Thank you in advance for your response.
You need to go to the doctor, and not seek help on the forum. You had one problem with the Seven, and another with the Six.
Hello! Not knowing in detail your clinical situation, it is difficult to judge the tactics of a doctor. If there is a problem in the 6th tooth, then it is important to remove the crown and analyze the situation already without a crown. A large role may have a diagnostic picture of the teeth. It is important to determine the problem tooth. Unfortunately, according to the description, it is impossible to diagnose and prescribe treatment. Trust in the dentist.
In April, put two crowns on chewing teeth. In the last week I feel aching pain under them.
They started to bother the teeth under the crown, took a picture, and I can’t recover all day: almost all the channels under the crown are empty or half empty, and there is a tool in another channel ((And the crowns are on the metal tab, the doctor said that you can’t remove them, the roots can I remember that I cleaned and sealed all the channels, does it happen that they turned out to be empty? And what should I do now? ((
Hello! If there is a broken piece in the channel, then they can no longer be called empty. I think that the dentist either failed, for some reason, to push the material into the canals of the tooth, and he “stuck” near the mouths of the canals, or the tooth was not filled with radiopaque material, that is, it is difficult to evaluate it in the picture.
As for the complexity associated with the tab - the dentist assesses the risks and is partially right. Another question is that you have the opportunity to get advice on your situation from another 2-3 dentists who work in clinics, where there is equipment and tools for extracting the tab with minimal risk and re-filling the channels again.A tool must be removed from the channel: it is best to use the services of channel treatment under a microscope and with the direct participation of ultrasound equipment. This is an expensive procedure, since retreatment (saving a tooth from removal) is always a responsible and difficult process, even for a qualified doctor in the presence of the necessary technical base.
How did you solve the issue?
Hello! Advise what to do: there is a bridge on the upper jaw (cermet) for 4 years, and now it hurts a little above the tooth, closer to the nasal cavity. I rinse, but the pain does not subside. I started to drink painkillers. Thanks.
Hello! Take a picture and send it to your e-mail (or provide it as a link) if you want to understand in absentia. In any case, the fate of the tooth under one of the bridge crowns is as follows: after removing this orthopedic design and diagnosing the teeth from the picture, you will either undergo retreatment of this problem tooth or remove it if it is no longer possible to save it. Painkillers are a waste of time and chemistry in the body. Moreover, the tooth is waiting for your attention and “voices” about the exacerbation of chronic periodontitis. While nothing more than a causative tooth you will not think. Thanks for the question.
Hello! A year ago, I put a metal-ceramic bridge, one sealed, and one fang. After that, pain in the filled tooth began gradually. I can’t eat normally, it hurts very much, even whiskey hurts. I went to the dentist, does not say what it is. He said that it was because of the lower carious teeth. Tell me, please, I do not know what to do.
Hello! From your words, I have no reason not to believe your doctor. I will explain why: the fact is that pain in a carious tooth, in which the infection got into the pulp, can radiate into the treated one. That is, one tooth may hurt, and give to the next or even to the other jaw.
On the other hand, the doctor may be an interested person and hide the real situation from you. Maybe you are right, and it is in the tooth that stands under the cermet.
My advice will be the following: be sure to take pictures of the teeth under the bridge (two teeth) and consult dentists. Moreover, you can attach the pictures here, through the mail (see in the "Feedback" section). Otherwise, contact 2-3 independent dentists and get advice from them. In many clinics, consultations are free. This will give you the opportunity to get at least 2 of the same opinions and do the right treatment for the particular tooth that is bothering you.
Four years have passed since the crowns were placed on the last teeth, including the wisdom tooth. Today, the last tooth is very painful, I don’t know what to do. Tell me, please, what should I do? So I do not want to remove the crown.
Hello, 2 years ago they put me a bridge on 2 living teeth, one of which is a wisdom tooth. This wisdom tooth has been tormenting me for 4 nights already, and the pain extends to the upper teeth and the lower row of this side. As soon as I lie down, there is pain, but sitting and standing there is no pain. What should I do?
Hello! I think that I’ll have to remove the bridge and solve the problem of tooth treatment (and maybe with the removal, so far I can’t say for sure about the verdict, as the dentist decides in person). Preliminarily similar to pulpitis pain. To treat a wisdom tooth through the crown of a bridge is, firstly, technically problematic, secondly, to “hole” a crown at your own peril and risk and then patch it with a seal is an unreasonable and risky practice in dentistry.So the best option is to remove the bridge and solve the problem with the wisdom tooth, followed by prosthetics.
Good afternoon! Dear Svyatoslav Gennadievich, I have a bridge (from 2011) on the top right, from 3 to 7 (metal crowns). About a week ago, I got sick 7, under the crown. The pain intensified when chewing, chewing food only on the left side. I took 1 tablet of pentalgin twice, at night, the pain gradually disappeared. A week has passed, the tooth does not hurt at all, I chew food, as before. I understand that it is necessary to diagnose, but once again there is no desire to break the bridge. In this regard, the question is: is it possible to take an X-ray picture of a tooth through a crown without removing the bridge? Or just do nothing until the pain appears again? Thank you for your attention!
Hello! Without a doubt, a tooth needs to be treated (or treated if it has previously been treated in canals). If you leave everything as it is, then in the future you risk either growing a cyst on the root of the tooth, or getting a purulent complication on the face. As for x-rays, even a picture through the crown can help determine what happens to the canals of the tooth and how bad everything is outside the root (is there an inflammatory process). My final answer is: you can take a picture, you need to treat a tooth (or already remove it - it depends on the situation).
Hello! About 4 years ago, a bridge was put on the upper 12-11-21-22. 21 - absent. About 2 years ago, there were pains in the cold at 12-11, which after a couple of days passed by themselves. Now they also started to get sick after a long stay in a severe frost, and for a week now and without going out. It also hurts 42. There is practically no sensitivity to cold / hot food, but it feels like 12-11 under the crown seems to have swollen. Please help, tell me, what could be the reason and what to do?
Hello! There are two assumptions. Most inclined to exacerbate chronic periodontitis. This diagnosis indicates an inflammatory process at the root of the tooth, when a bacterial infection accumulates in the canal, turning its contents most often into purulent exudate. To a lesser extent, I think of pulpitis - inflammation of the “nerve” in one of two living teeth. There is a suspicion that you have already been treated with teeth in the canals, but so far I can’t confirm or deny this fact without a picture. I don’t think that both teeth are to blame, although sometimes it happens that in one tooth there is a pronounced acute process, and in the other there is a place to be chronic. To establish the exact cause, you need a picture of the tooth for diagnostic analysis (you can send me a mail site). If you have a picture, you can talk about what to do next. One thing I can say for sure: the bridge must be removed, the teeth (if possible) can be treated or primary treatment of the canals is made, and then a new bridge is made. The option of “knocking out” the old bridge with its re-installation is doubtful, risky and could have negative consequences for the future. The sooner you tackle this problem, the better. Good luck
Hello, Svyatoslav Gennadievich! He rinsed with propolis tincture, and forgot at all that something hurt))
Hello! Good, but still keep in mind that you removed the effect (pain), but the reason remained. Most likely, repeated manifestations of the inflammatory process will not take long. In rare cases, it can be “lucky”, and there will be no visible problems for many years. However, many people because of the need for maxillofacial cyst surgery (overgrown over the years) after such a long wait do not consider this luck. Most often, a repeat occurs in the next 1-2 years.The main thing is that you are warned, but otherwise - at all the will of immunity, infection and its activity.
Good morning! I want to know the opinions of independent experts. Three years ago, he put ceramic-metal crowns. 5 days ago I felt pain in one place on which the crown stands. I went to the doctor. Took a picture. Everything is fine there, the channels are completely sealed, there are no black spots. The doctor told me that it was a cold (the gums were slightly swollen). Prescribed a bunch of antibiotics. After 3 days of treatment, my gums swelled, all the pain went there, but the tooth discomfort remained. Phoned today with the administrator of the clinic. She told me to wait until dinner. In addition, she added that they will not remove crowns, but most likely, they will send me to a surgeon to remove the flux. Is it possible to consult with you, whether this situation will happen again after some time, since the crowns do not want to remove?
Hello! If, as you described, a flux arose (in professional language - periostitis), then I’ll tell you a secret: the tactics of the clinic’s doctors are not correct. I will explain how the situation today is in many budgetary institutions (hospitals, clinics). So, you have a tooth located under the crown and having an inflammatory focus on the root (in more rare cases, the problem may be with the tooth located next to the one under the crown). I’m almost sure that the channels in the tooth under the crown are not sealed as well as it seems to doctors, or there is another problem that caused an infectious process in the channels that spread beyond the apex of the roots.
Why do doctors not want to remove the crown, carry out anti-inflammatory treatment and achieve a positive result in the long term? More often than not, in budgetary dentistry there is simply no necessary equipment for this, and also there are no necessary tools and time (15-20 minutes are allocated per patient according to the norms, and this work takes at least 1-1.5 hours). Perhaps there is no desire, since the doctors in such institutions are overloaded with work and excess papers. I’m almost sure that several factors make themselves felt in this clinic immediately, because of which it is much easier to “release pus” by removing the flux and preserve the chronic process until the next exacerbation. Dentists often hope that a fistulous passage will appear on the gum, through which pus will evacuate for many years, when you catch a cold, freeze your legs, get stress, overload your tooth with hard food, etc.
The most interesting thing is that, on the whole, you correctly understand that the infection in the causative tooth, near which the flux appeared, will not go anywhere by itself. Yes, dentists are not from a good life (almost sure) offer to remove only the symptoms, but do you agree to go on their proposed path? I recommend going to a private clinic, where there are far more chances to find a specialist and decent equipment for treating even a complex tooth. Crowns will have to be removed, of course, if the causative tooth is under one of them. Good luck
Good afternoon, dear doctor! 2 months ago, a crown (solid) was placed on my 4 front upper teeth. Both deuces were dead and with an old light composite. They installed titanium sturdy pins. And both odnerka were lively and white. There was a small caries on the inside of one of them. They installed the usual pins in the dentist (the shaitan got me to put crowns on all 4 teeth. Since the orthopedist supported my desire, because all the teeth will be equally beautiful and of the same color).
When they showed me the result when trying on, their teeth turned yellow! Not only that, they sent him home to get used to, and of all 4 teeth, there is only one tooth closing to the lower teeth. When biting, all the others swing with a rocker and are sucked away from the gums. Pain appeared periodically in this closing tooth. And in the last days is constant.And there was a fetid smell and a white coating. Every day I remove and clean inside the ceramics and the stumps of the teeth themselves.
Turned odnerki broke off on the second day after installation on temporary cement. And so it went for a month, until the whole structure was removed.
I am pregnant, at the 6th month. Can i do x-ray? Do I have to replace the color on the crown if I immediately expressed my displeasure at the fitting? And why did pus-like plaque appear on odnerka? Thank you so much.
Hello! As for smell and plaque, mobile crowns and bridges inevitably become a storehouse for particles of food and bacteria from the oral cavity, which creates an unpleasant odor. In general, you have described many points that speak of obvious errors on the part of the doctor: 1. Incorrect selection of the color of ceramics; 2. Quick uncementation of the prosthesis (albeit on temporary cement); 3. Incorrectly modeled contacts on the front teeth (this, most likely, contributed to the fact that the “turned odnerka broke off”).
As long as you can, demand quality work. Or return back the money spent for such a “job” and get a prosthesis from another orthopedic dentist (if there are so many joints at the initial stage of prosthetics, then it probably makes sense to change the doctor).
Regarding x-rays - “film” radiography should not be performed at the stage of pregnancy (6 months). Maybe there are no big risks, but radiologists will not take on such responsibility. In the later stages, visiography is possible - an x-ray of the tooth using computer sensors. It will still have to be negotiated individually, since even those doctors who deal with this do not always make compromises, knowing the behavior of women who, if something happens, can blame this authority for any sins for no good reason.
The color must be replaced at the request of the client, as they must take into account your opinion for your money. I think that here you can also agree with the doctor and come to a certain agreement.
Hello! I put the crown 2 weeks ago, and now a tooth has fallen under it. After the examination, the doctor suggested removing the tooth, referring to the fact that it was not very good initially. Tell me, does it make sense to try to remake the crown?
Hello! Unfortunately, I don’t know what exactly are the reasons your doctor is guided in their decisions. Here you need an examination and, most likely, a picture of the tooth root. Only after this, you can give the go-ahead: to remove or not this tooth. It is strange that the doctor, obviously a “controversial” tooth, could not evaluate on time, even before installing the crown. It is best to go through an examination with another orthopedic dentist: check the tooth for mobility, with percussion, palpation of the gums near the root and from the picture (most likely, required). It is better to have two or three consultations, and draw conclusions on them. The tooth is examined comprehensively, and the conclusions should be based on something more substantial than the simple wording “bad tooth”.
Good afternoon! Zirconium crowns were placed on the entire upper jaw. Bottom right three crowns on chewing teeth. Raised a bite. Two weeks later, two balls on the lymph nodes began to appear on the right, and a swelling near the ear from the cheek. With teeth, in principle, everything is fine, it does not hurt to bite. He was treated with ciprofloxacin, the lymph nodes returned to normal. But after half a month, balls and swelling again appeared in the ear. I went to the orthopedist again - said that everything was fine. There is no pus anywhere; saliva is clean. What could it be? Maybe the bite is overpriced? And yet, one living tooth, on which a similar crown was installed, began to respond to the cold, was very ill during turning, although the orthopedist said that the crown would cover it and there would be no reaction.
Hello! Normally, crowns should not respond to cold. If there are adjacent living teeth nearby, then it is worth paying attention to them: maybe there is a caries or a non-carious defect (abrasion, erosion, etc.). When stating the fact that the reaction is associated with the tooth on which the crown is installed, you will have to remove it according to the rules and redo everything, since this is not worth your further torment. Moreover, the question begs: where does a whole tooth covered pass an irritant?
As for the lymph nodes, it’s more complicated here. If the antibacterial drug helped, then there most likely was an infection. However, there are times when it is not connected with the teeth. If, nevertheless, this problem comes from the teeth, it will be difficult to find out the provocateur: a panoramic picture partially gives answers to questions, or CT scans of the teeth (full diagnosis). In addition, an overestimation of the bite is stress for the joint, and, in principle, the inflammatory process in the TMJ could go on against the background of microtrauma. So there are so far more questions than answers, and diagnostics are required. I understand that this question is the main one for you, but for now I can only say that it is worth looking for a living tooth with destruction, or removing the crown and redoing the work if it turns out that the problem tooth is under the crown.
Hello, Svyatoslav Gennadievich! They put a ceramic crown on my upper molar about 4 years ago. All this time the tooth did not bother. For several days now, aching pain under the tooth, which is transmitted to neighboring teeth and to the head. They made an x-ray, one dentist advised to retreat the tooth or remove it, and another dentist suggested cleaning the pockets of this and neighboring teeth. Although inflammation is not detected in the picture, the nerve is removed, and gum inflammation is not visible during examination. Please advise what I should do, since I really do not want to remove the crown. And where should I take you an x-ray for better diagnosis? Thank you in advance!
Hello! Yes, it’s hard to say anything without a snapshot. Please send a snapshot to the site’s mail specified in the “Feedback” section (the link to this section is at the very bottom of the page). So far, I can only assume that the risk of an infectious inflammatory process is extremely high.
Dear Svyatoslav Gennadievich! On my right side there are metal bridges with cast crowns: the upper one is on 14 and 17, the lower one is on 44-45 and 48, and the 8th teeth (18 and 48 under the crown) are both alive. Recently, the right side was very ill, did not sleep all night, but did not understand which tooth. The nature of the pain is similar to pulpitis. The next day I took a picture, after that the toothache disappeared. Pictures sent by email. Is it possible to determine what was the source of pain from the picture? Or do you need to remove the bridge for diagnosis?
Pictures taken. I agree with your suspicions. If the pains were sharp and nocturnal, but there was no swelling of the gums (cheeks), then first of all there is a search for a pulpitis (“living”) tooth. Sensation that this is the lower tooth under the crown. But there is not enough data: whether there was an irradiation of pain and where, on irritants, when biting on teeth, etc.
Pictures only help in addition to the basic diagnosis in the oral cavity. After collecting the anamnesis, I would check the condition of the teeth: 1. Do the crowns fit snugly, do they reach the gums, especially on a “living” tooth; 2. Check for the cold: pour a stream of water and, possibly, get a painful reaction that would allow you to say: this is the same pain; 3. Tap on the crown and next: checking for a periodontal reaction.
That is, from the picture it is not always possible to determine what is the source of pain. This is especially true for “live” teeth, in which everything is calm at the root. It is only periodontal dead teeth that may have areas of rarefaction of bone tissue in the pictures - dark spots.And in this case, everything indicates pulpitis, from the pictures I do not see traces of inflammation on the tops of the roots. Filling of dead teeth is not ideal for you, of course, but this is not a reason to start suspecting dead teeth, taking into account your description.
It is almost always necessary to remove the bridge if it turns out that the causative tooth is under the crown. Especially if the bridge is imperfect after many years. It is unacceptable to treat pulpitis through the crown, although such a vicious practice exists. If it is difficult for a doctor to understand which tooth is the cause of the pain, then it is up to him to decide on the risk of removing a good bridge. This is very rare, but it happens, although you can always find a Malomsky compromise: in the worst case, look at the behavior of the tooth and come on the same day when it “shoots” again. This is better than trying at random. An EDI diagnosis is good for checking the upper wisdom tooth, and you cannot check a living tooth under a crown without removing it.
Hello, a year ago, I put the bridge immediately on the entire lower jaw. I have problems with gums since birth. Now the whole gum has become very inflamed - she began to take antibiotics. And now a tooth ached. Can toothache occur due to gum disease? Do not remove the entire bridge?
Hello! A bridge is not made over the entire jaw: either you have several bridges, or you call a bridge a denture. My answer depends on this. I will say in general terms: acute pain almost always arises precisely from the tooth, within which the inflammatory process began. With gum inflammation on the background of periodontitis, there may be aching pain + gum bleeding, suppuration, etc. If you yourself have prescribed antibiotics, this is a dead end treatment option, and more often also a dangerous one.
Toothache may well arise due to gum inflammation, or rather, severe periodontitis often leads to pulpitis and periodontitis of the tooth, since the microbial flora easily penetrates the gingival margin towards the apical root opening. It is best to check the tooth and the surrounding tissue, that is, consult your dentist for help. But as to whether to remove the bridge or not - it is up to the doctor after a thorough examination. Personally, my opinion is: in such cases it is more advisable to remove the bridge than to "hole" the crown.
Hello. Tell me please. A tooth hurts from above, gives to the temple. Such pain almost every two to three weeks. She showed the dentist exactly where it hurts. She said that we already treated this tooth, cleaned the canals, we need to do an x-ray. The X-ray showed that there were no dark areas, but the doctor decided to open it anyway, cleaned it all over again, and sealed it. After a week and a half, the pain repeated. A toothache in the same place, itching somehow, and again giving to the temple. On examination, she tapped all the other teeth, there was no reaction. What is it? Pain does not allow a normal life. Help me please!
Hello! I would look for a lower tooth, as pain in the temple very often indicates a problem in the teeth on the lower jaw. If the upper teeth are checked, the more you should look for the lower tooth on the opposite side. Most likely, large indigenous, in extreme cases - small. If the causative tooth is not detected even from the images, then there is the option of EDI - electrical diagnostics. It is not in all clinics, but it’s worth looking, because without it it can be difficult to find a pulpitis tooth. There is a suspicion that it is precisely an unidentified “living” tooth that bothers you, and not previously treated in the channels. After checking the teeth with EDI in the normal state of the pulp of all teeth, it is worth checking the channels of the treated teeth, percussion, etc. After carefully checking the teeth and not identifying the problem, there will remain an option with neuritis or neuralgia, which I personally doubt in view of your symptoms.
Hello, I installed the front upper 6 crowns a week ago, the nerve was removed on one fang, but now after hot or cold it starts to hurt, as if the nerve was open. But the pain goes away, what could it be? Tell me please.
Hello! Teeth even with poorly treated canals stop responding to the cold. This means that you feel a “live” tooth. Most likely, next to the "dead" fang. As for the hot - if we are talking about the appearance of pain from both cold and hot, then closer to 100%, that my assumption is true. The pain passes quickly, since it is probably about caries or about the increased sensitivity of worn enamel - this should be carefully analyzed and the source of the problem directly in the dentist’s chair.
Hello! I don’t have two front teeth, two turned healthy teeth next to me, and cermet was placed. In general, four molten teeth. Week all pains under the crowns, what to do? All this costs six years.
Hello! Before removing the crowns, you need to take pictures: and look at them, how much everything is “scary”, determine the causative tooth (more often) or teeth (rarely). After identifying the focus of infection from the picture, the doctor will evaluate the cause and outline a treatment plan. If the tooth can no longer be saved, then it will be necessary to remove it and a new prosthetics on the remaining teeth.
Sometimes it also happens that a toothache gives to treated teeth (for example, those that are under the crowns). Anyway, the pictures and a thorough examination of all the teeth in the doctor’s chair will help to find the culprit and not make mistakes in the diagnosis.
Good afternoon! I have a bridge, the upper jaw on the left. 7 and 4 - supports, the bridge is 4 years old. Recently, I have been feeling mild pain in the region of the 7th tooth (I would even say, as if it itches heavily under the crown), it seems that it does not respond to cold and hot. Also, when pressed, the gum hurts in the area of artificial teeth (6, 5). I took a picture (ortho), there is no inflammation, the channels are all treated well. What could it be?
Hello! I would recommend taking an aim picture of the 7th tooth in order to assess in more detail the condition of the periodontium and the level of filling of the canals, as well as by carefully examining the condition of the prosthesis by examining the mouth. If he has shrinkage in the direction of the gum or pressure on it, then the pain can be just from pressure sores on the gum. Most often, when a bridge fails, teeth react. In general, you need to check the 7th tooth, the intermediate part of the bridge, its possible mobility and the gum around the teeth - and this is only the minimum.
The fact is that you could be caught simply by an incompetent dentist. It is much simpler to say that “everything seems to be normal, there is no reason for pain” than to check the situation comprehensively. Try seeking in-person consultation with another doctor - perhaps this will help clarify the true cause of the problem.
A tooth fell under a crown, it hurts to press. Within a couple of days, a fever was added, pain in the ear, in the throat, under the eye, headache, twitching of the jaw. The period of action of painkillers is shorter.
They made an x-ray, the root has a large inflammation, a cyst. At the very top under the tab is a sparse dark area. Recorded for deletion. The tooth is dead, the canals were redone in front of the crown, but they couldn’t get through to the end, they didn’t take the material from the old fillings (like resorcinol). Even then, they discouraged me from the crown, offered to remove, but I put it at my own peril and risk. Passed with a crown for 4 years. And now it's so bad to remove the tooth. I asked about the resection - they said that with such a strong inflammation one can’t do it anymore. There is no strength to endure either.
Is there really no way out?
Hello! According to your description and given the emergency condition, it is better not to pull and remove such a tooth (with a large cyst). There is no sense in putting up with it at all, and if in doubt for some reason, it is better to turn to other clinics for 1-2 full-time consultations in order to more fully assess the situation. If there the doctors say that they urgently need to be removed, then you should not hesitate. Sometimes it is better to remove a tooth with a large inflammatory process than to try to treat it for a long time and without success with a negative outcome and health risk. Thanks for the question.
Hello! 2.5 weeks ago, they put cermet on almost all of the upper teeth. On the right, 2 and 3 teeth were missing, and they made a bridge of 4 crowns. To the left, before the prosthetics, I was treated with a 6 tooth ... I filled the canals and immediately put a crown! I went to the doctor with pain in this tooth. They didn’t take a picture and said that everything was fine. The doctor cleaned the glue and said that the reason was this. But I already have all my teeth hurt under the crowns and react to cold, hot ... I live on painkillers! What do I need to demand from doctors? The clinic, judging by the reviews, is decent.
Hello! Only “live” teeth can respond to cold, and acute teeth are unlikely to provoke many teeth at once. It is necessary to search, in my opinion, for a tooth not treated in the canals, having pictures on hand. I can’t say right now what kind of tooth it is: under the crown or the one that was left without a crown and has a hidden carious process.
Do not pull and live on painkillers: it is important to find the cause in a timely manner, treat the tooth in the canals and thereby save for many years. If the picture shows that the crown was placed on an undeveloped tooth, and it just hurts, then you will have to remove the bridge and do all the work in this area again.
As for the reviews about the clinic, the doctors are different, and each person’s hands are set differently.
You ask what to demand from doctors: it is necessary to find a causative tooth, since it looks like pulpitis. If doctors can not cope, then you need to contact another clinic, where they can help in solving the problem. The search for a causative tooth is often not so simple, it requires time, good equipment (the same panoramic images on a visiograph, EDI) and a high level of training of a doctor.
Hello again) I was at the clinic again. Two jaws already hurt, and even below where there are no teeth. They took pictures of each tooth. All is well. The doctor said that he suspects that the facial joint hurts. Made a temporary burl, and I sleep with her a couple of nights! And, sort of, there is relief. If so, then I need to make me a permanent mouth guard and often still wear it. And in the near future to tackle the lower jaw. What can you say about this? Thanks in advance!
Hello! If there is obvious relief, especially in such a difficult clinical case as yours, then you can’t say anything else here: use the remedy suggested by the doctor. It is possible that the problem is really related to the TMJ, and the burl brings relief, as it relieves the diseased joint.
In the event that the problem still persists, the search for the cause should continue with the doctor.
Good afternoon! 4 days ago they put a plastic crown on a 6 restored tooth, I still feel discomfort when pressed, I feel this crown constantly ... Will these discomfort last long?
Hello! It is necessary to consult a dentist to check the crowns for oversized bites. The fact is that the crowns that were fixed (fixed prosthetics) usually adapt within 1-2 days, that is, they become like “relatives” in the shortest possible time. This is the case if there are no technical violations.Most often, the problem happens precisely in the bite, a little less often - in the treated tooth itself. For example, after the removal of the “nerve”, the tooth corny continues to respond when biting. With certain errors or inaccuracies in the treatment of canals, the tooth can continue to feel when biting even more than a month. That is why it is important to understand exactly in the doctor’s chair, what is the true reason. It is possible that a tooth picture is needed to determine the quality of endodontic treatment. The timing of discomfort is difficult to determine in absentia: it all depends on the cause. If we are talking about excessive bite, then the problem is solved in one day.
Hello, the problem is this ... I put a crown on the right side 20 months ago (the lower part, the penultimate tooth), from which they did not tell me, or maybe I do not remember. The cost was 17,000 (I did not have the checks, unfortunately). But I think that the doctor should know his work and I hope that I am included in the electronic journal. We did not conclude a contract with them, the doctor told me in words that there is a guarantee for these procedures, I don’t remember the term. Under my crown, everything turned black under the gingival contour - it turned blue and swollen, it is simply impossible to chew, and this area itself is unbearably painful. Should a doctor consult for free, and in general, what does it look like? Will I have to remove the crown?
Hello! Judging by the description, it can be either a problem directly with the tooth (exacerbation of chronic periodontitis), or with the fit of the crown on the border of the gingival attachment.
As for the guarantee - this case is almost 100% can be called a guarantee. Another question is that the clinic could protect itself from the possibility of compensation in case of complications. However, a good clinic will never deny the fault of the dentist or, in extreme cases, will find a compromise option so that everyone is happy. Not a single doctor is safe from mistakes at the preparation and prosthetics stage, but how much the clinic is ready for cooperation is a question. In order to clarify the situation, it is important to contact the clinic for advice. Most likely, it will be free.
The crown is definitely worth removing: at least for the retreatment of the tooth, at least for remodeling the crown.
Hello, I have such a problem. They put a bridge on the wisdom tooth, 7, 6 and 5 crown. After some time, the gum swollen and, of course, the cheek inside the mouth. Nothing hurts. I did an x-ray - the crown on the wisdom tooth, the impression of a pocket, doesn’t get much. I'm afraid to remove crowns. Is it possible to somehow remove the tumor, or nothing can be done? Thanks.
Hello. About 6 years ago, they installed me crowns on the upper 5 and 6. And on 7 the bridge was fitted with a console. And everything was perfect. 6 years this bridge did not bother me. But once in a private clinic and making a general x-ray of the entire jaw, I received a recommendation from the doctor to remove this bridge and install implants in its place. On the whole root 5 and 6, obvious inflammation (nerves removed). Today there was pain in the cheek and swelling on the gums. They refuse to retrain, but I do not want implants. Are there any less traumatic treatment options? Thanks.
Hello! Recently (2 days ago) put in crowns for 3 teeth. One of them has become sensitive and even specifically I can’t eat. He does not like cold. Is it because of the enamel? Can enamel be restored?
Hello! In this situation, it is important to carefully understand. The fact is that the cause of the problem is not necessarily those teeth that are under the crowns. It often happens that some of the teeth, not covered with a crown, has a hidden carious process, or corny - sensitive enamel against the background of excessive cleansing (bleaching) of the cervical zone. You need to know exactly in what condition the teeth “went” under the crowns: the “nerve” was removed, or not.If everything is depulped - 100% is worth looking for a causal tooth not under the crowns.
It is important that tooth enamel should not “peek” from under the crown. This would be a direct violation of prosthetics. Therefore, not everything is so simple here, that is, according to your case, it is worthwhile to understand in more detail: from inspection to images. Therefore, before deciding whether to restore the enamel, you should find out which particular tooth leads to the problem and whether there has been a technical violation in the work of the orthopedic dentist.
Hello! A month ago, they put a crown on my front four teeth. There was no pain, but could not bite for a month at all. 3 days ago I tried to bite them - and so, 3 days in a row such a pain that it is impossible to touch. I called the doctor, prescribed a drink nemisil, siprobel, flucoral! This flucoral (read the instructions) in general from something else, it’s scary to read about such sores! Please tell me, these medicines that were prescribed will help or not ?! Of the four teeth, 1 was filled, the second was filled and increased, the third live and the fourth was removed. Thanks in advance!
Hello! I consider the appointment of Flucoral (an antifungal agent) unnecessary. In principle, the appropriateness of prescribing other drugs is also questionable amid the fact that there are signs of either poorly treated teeth (in the canals) or a technical violation during work with a “living” tooth. If periodontitis has arisen, then such pains are quite understandable, but I still tend to errors in filling the canals, since pain when biting a tooth immediately after treatment is the most obvious marker of this problem.
Most often (especially for anterior teeth that are simple in terms of endodontics), we are talking about removing the filling material beyond the apex of the root. To say finally, you need to look at the pictures of teeth with crowns. If everything is as I suppose, then you may have to retreat your teeth, as pains may not go away even after six months (it happens differently). You need to start solving the problem with a competent diagnosis, and taking medications in your situation is more a distracting measure than a real treatment.
Hello. Turning to your site, I received an answer to my question. Thanks a lot. Separately, I would like to thank Svyatoslav Gennadyevich for his indifference, competence and detailed answers to all our "painful" questions - only this should be a real doctor. And we already forgot about it!
Consumor aliis inserviendo
Hello! I put cermet on my front teeth and a metal crown on the side, and a tooth aches under this crown. I went to the dentist - took a picture, said that there was a pocket. He treated, that is, removed the nerve, filled it, but the tooth still aches. The dentist told me that he sees no reason. But when examining the tooth, I see that the ledge is not covered by the gum and the crown did not go under the gum, but 4 months have already passed. And discomfort on cermets. Sensation as if teeth were bursting, then burning, then aching. I appointed a lysobact - it seems, it became easier, the feeling of bursting did not become, but there is discomfort.
Did they put me the metal crown right? Please advise.
Good afternoon. With a temperature drop (warm-cold), I felt discomfort in the gum near the 6th (crown, poorly treated canals, the rest of the needle in the canal - the crown is 5 years old, the needle is in the canal for 15 years). Since I flew abroad, I could not go to the dentist. Over 3 days the pain (aches) intensified, the entire left side of the face, all the facial nerves were sick. I drank it, antibiotics didn’t help, but I sleep well at night! I did an x-ray - that's okay.Treated sinusitis (IM antibiotics, 7 days), did not help. They gave a referral to a neurologist, treated the joint, drank sedatives, and did not help.
I’m tormented for a month, I drank everything that is possible, but the left side aches (it seems that the tooth is under the crown), and there is no pain when the teeth are tapped. Question: what should be my actions? No strength to suffer further! Thanks.
Hello Irina! Indeed, the symptoms you describe occur in neurological diseases. In this situation, I would advise you to do the following. First, visit a neurologist and do an MRI of the cervical spine. Secondly, contact an orthopedic dentist for a detailed examination, computed tomography of the left side of the jaw and assessment of the condition of adjacent teeth. Perhaps it will become clear that it is necessary to remove the crown.
Hello, I have very severe pain under the crowns. The whole jaw seems to hurt, the pills do not help. The bridge has been standing for 12 years, probably it's time to change. Until today, everything was fine, the first time such a pain (even climb the wall). It is cermet. Say what could it be? And after what time do crowns change, what is their service life? Thanks.
Hello, Lyudmila! Soreness under the crown can occur for a variety of reasons, and a thorough diagnosis is indispensable here. For example, gums may become inflamed. Or the tooth collapsed due to the carious process so much that the infection penetrated the pulp chamber. Either there was inflammation at the root of the tooth.
Be that as it may, you should immediately see a doctor for an examination to make a diagnosis. It is possible that you will have to remove the tooth.
As for the service life of ceramic-metal crowns - on average it is from 7 to 15 years.
Yeah! And how many of us are still suffering from the incompetence and mental ugliness of dentists, when you clearly see and feel the problem, and they tell you that everything is fine, drink some pills, get used to it, etc. God, of course, is their judge! But I want for my money high-quality and conscientious performance of work!
Hello! Three days ago, a bridge-like crown was placed (three teeth at once). One tooth out of 3 was filled (the nerve was removed). The teeth do not hurt, but I can’t bite the food - I feel pain when biting, chewing food on the other side. Wait a couple more days (will pass by itself), or sound the alarm?
Hello, Natalia! After canal treatment and tooth filling, painful sensations can indeed be observed, especially when pressing (biting) the tooth. Normally, they usually pass on their own within a week, and every day the pain becomes less and less. However, if the pain does not decrease, consult a doctor. For a complete picture in such situations, it is useful to take a picture (sighting) of each of the teeth under the bridge and see if there are any changes at the apex of the root, which could indicate an inflammatory process.
The upper lip is strongly swollen and the upper jaw is very sore. The crown flied from the upper tooth. Is there any first aid? And then the whole night wait for a appointment with the dentist.
Hello. The most likely cause of edema is inflammation in the tooth. Usually in such cases, painkillers and rinses are recommended as a first aid measure (in the absence of the opportunity to urgently see a dentist): 1 teaspoon of soda in a glass of water at room temperature. Such a solution is kept in the mouth for at least 30-60 seconds. You can not warm the problem place outside (through the cheek), and also do not eat hot dishes and drinks. And as soon as possible - urgently contact a doctor for an examination to remove the inflammatory process.
Hello! 2 days the teeth hurt on the left side of the lower jaw under the ceramic-metal bridge. Saw nimesil, ciprolet and painkillers, rinsed with solutions of soda, salt. The bridge costs 7 years. Before that I didn’t bother.Pain when biting, gives to the left ear, swelling under the lower jaw, there is an itching of the gum in the lower jaw in the center. The pain is unbearable. I took a picture - there is a dark spot in the root of the tooth. Is it really necessary to remove the bridge? Today is 3 day, a little easier. Maybe something else to drink?
Hello! If there is an inflamed tooth under the bridge, in the vast majority of cases you need to remove, treat the tooth and make a new design, otherwise you put yourself at high risk of serious complications. I recommend that you contact your doctor as soon as possible to resolve the situation.