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Two Recently Crowned Teeth Need Root Canals?

asked 5 months ago by Mark in Jax in Jacksonville, FL
Latest answer by James Merrett, DDS
Question viewed 482 times
Tags: root canal, second opinion

I recently got two crown lengthing/crowns. I waited a month between the lengthening and crown. It's two weeks later and I'm still throbbing in pain. It's hyper sensitive to cold. Now he says I need a root canal, without even looking in my mouth. I'm suspicious that two teeth suddenly need canals and suspect the process. These new crowns are all ceramic (not metal on ceramic) and I read the cement used might be the issue. I'm leaning towards getting a second opinion.

14 answers to Two Recently Crowned Teeth Need Root Canals?

+2

Two recently crowns need root canal

It could be a list of many factors and without seeing an x-ray and doing a clinical exam, any dentist is just guessing. If its an all ceramic crown, it could be poorly bonded on. Bonding is an extremely technique sensitive procedure and any moisture or conataminant that gets under the crown could potentially cause sensitivity. If you take your finger nail and press into the crown and you get a slight zinger, its mostly a bonding problem. If thats what it is, my advice... more
+2

Pain after two recently cemented crowns

Often the teeth can experience the increased sensitivity after cementation of any crown. It can be caused by previous preparation of the tooth, leakage under the temporary crown, possible infection. But in your case it sounds more like this also can be triggered by crown lengthening as well. The zone apical to the cemento-enamel junction can be extremely sensitive and react to cold. You should definitely ask for 2nd opinion and clear the actual reasons for the throbbing pain. more
+2

This might be a simple high bite

Your symptoms indicate that the bite is too high on the new crowns. Have your doctor double check that with you sitting up in the chair, not lying back. And also bite on the marking paper and slide forward. But also realize that if a tooth is damaged enough that it needs a root canal, there has already been a great deal of stress on the nerve and the crown could just be the last straw. Dr. Sue Wendling
+2

Hypersensitive teeth

Dear Sir, It is very difficult to go through what you are going through. Sometimes these things just happen. It is very frustrating for us as dentists as we don't want our patients to suffer unnecessarily or be in pain - it's not a good practice builder as we say. I can relay a story of my own tooth. I had a crown done (No crown lengthening) and then when the permanent crown went on - pain. I had a root canal done by a root canal specialist I refer... more
+2

Pain After Two Crowns May Require Root Canals

It sounds as though that these teeth have had extensive work done in a relativley short period of time. The pain that you are describing can be an early sign that you will have one or two root canals. Thepulpal inflammation may subside, but you should see a dentist for another opinion to ease your mind. A root canal is always the last option in my office, but sometimes it is the only choice to relieve your symptoms. The odds are that most or all of your pain is... more
+2

Crown and Root Canals whats the deal?

Mark, Every time a tooth is traumatized by either decay, physical trauma, a filling placed, a crown prepared the nerve gets traumatized. It takes some time for most nerves to recover from the trauma inflicted by dental procedures, including bonding a crown. Sometime, rarely, the nerve does not fully recover and gets inflamed and this sounds like what you are experiencing. A root canal may be need on one or both those teeth. Sometimes the hypersensitivity may... more
+2

If teeth hurt after porcelain crowns are bonded

Teeth have live nerves that can get agitated when friction, drilling, decay, bacteria, and contaminants gets near it. Teeth will become sensitive and may need root canal any time you work on them. The more severe and aggressive the treatment the higher chance of root canal . You mentioned teeth STILL throb after two weeks. When did it first began? after the crown lengthening? After teeth were prepped? after cementation? Crown lengthening can cause... more
+2

Two Recently Crowned Teeth Need Root Canals?

No one is ever too excited to hear the words,"root canal". Sometimes they are necessary, even in cosmetic dentistry. You may want to ask your questions to your dentist before getting too involved with other opinions. He may be able to clarify what's going on. Make sure they know how concerned you are and how much pain you are having. Teeth can be much more sensitive after crown lengthening. If so he can give you some tips on reducing the sensitivity. If... more
+2

Recent crowns that need root canals

Without examining the teeth there is no way to properly diagnose your problem. Many things can cause the symptoms you are describing. If it is only a cold sensitive issue, there may be exposed part of the root that will need to be addressed and likely it would not need a root canal. I agree with Dr. Frey, many times bonding an all ceramic crown improperly can cause an issue. The true test is to get a second opinion from another dentist or visit a root canal specialist... more
+2

I feel your pain.......

Is it waking you up at night?? is it a pain level of 9 out of 10? if you answered yes to both of these then the possibly of a root canal is in your future. Hard to know without seeing you and having the proper diagnostic's. If its a lower level of pain I would suggest waiting for a week or two and see if the teeth settle down. There is a slight possibly that the cement or the way it was cemented is a problem yet, over time they most offen they will claim down. ... more
+2

Recently crowned teeth that need endodontics

You should definitely get a second opinion from a board certified endodontist (root canal specialist). The sensitivity could have to do with the amount of preparation (drilling) done on the teeth in making the crowns, or due to the bonding (cementing) process, or due to the current occlusion (the way the top and bottom teeth hit each other). First get the endodontist's opinion, and then have your bite evaluated.
+1

Hypersensitivity after crown placement

Teeth can be sensitive for a number of reasons. The sensitivity could be more root exposure after the crown lengthening. It could be a bonding issue, or it could be due to the Occlusion (bite). Many times when crowns are placed you are numb. When the dentist checks the bite you think you are biting correctly, however, the you may have a slight interference when biting or moving your teeth. I would have your dentist check your bite first, and then start to eliminate other possibilities. I... more
+1

I would get a second opinion before getting a root canal after crown lengthening surgery and new crowns

I would recommend getting a second opinion before you do any more treatment. Sensitivity can arise from a variety of issues. In your case in particular it can come from: the crown lengthening surgery - the gums may not have healed yet there could be excess cement that was not cleaned out completely the crowns may be "high" - you hit them first when you bite down after crown preps you may have some discomfort for a week or two Get a second... more
+1

A second opinion couldn't hurt.

I feel that a second opinion never hurts, and often puts your mind at ease. After all, this is your mouth and no one else's, so it begets you to get another opinion. You should only move forward with treatment once you are completely comfortable with the proposed treatment plan and the dentist him or herself. It is important for patients to have a two-way conversation with their dentist so they are fully informed and understand their treatment and the reasons the... more

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