What is Causing the Unbelievable Throbbing INTERMITTEN Pain in my Teeth?

In most cases this type of pain means the tooth will need root canal unsually it takes between 1-4 visits and the treatment can be done through the crown or remove the crown do the root canal and then remake the crown and reinsert. When the nerve dies in a tooth gases are created and pus with no where to escape and that is why it hurts so much. Usually cost of $900.00-$1800.00  Good Luck

 

Kevin Coughlin DMD, MBA, MAGD    CEO Baystate Dental PC

The symptoms your describing sound like an irreversible nerve irritation that may require root canal treatment. Luckily, as long as the crown has no other issues, often times an endodontist (root canal specialist) can perform a root canal through your existing crown. This way, you do not have to have a new crown made, but just will need to get the crown patched up once the root canal is completed. Ultimately, you will want to have an endodontist evaluate the tooth to see if this is the case, or if the tooth will get better on its own. Hope this helps!

Thank you for your question. First to explain, the first early pain yo had was likely more related to the crown treatment, particularly if the edges of the crown were below the gum line. This more recent pain is likely to be more serious, especially as it is more sudden. You should make an appointment with an Endodontist to get to the bottom of things and find a solution as quickly as possible.Good luck and kind regards Thomas Dey, BDS, MSc

Hi:The pain can be due to bite issue, clenching or grinding, and or cracked root.  However, with out X-rays and clinical exam it is difficult to give you accurate advice.Best,Dr. Maddahi

Michelle, thank you for your great question. I have to agree with previous dentist opinions that this tooth have the nerve, which is inflamed. There 2 possibilities for the outcome. Either inflammation will subside or problem might be irreversible. First thing I would recommend is to check your bite by a dentist to make sure there are no premature contacts with opposing teeth in ANY directions, when you move your jaw. In case there are some, adjust it, and discomfort should go away. Otherwise root canal therapy should be done.

Pain after dental work can vary widely. Most of the time, new dental work settles in within a few days to maybe a week.

Any tooth that needs a crown already has a major dental problem. It could be a large cavity, or a crack in the tooth. These teeth usually require extensive treatment to repair.

At this point it's difficult to tell if it still could be as simple as your bite is not quite right. That may explain what felt odd to begin with. Stress can cause teeth clenching and that can punish a bite imbalance, until it causes significant pain.

There is also a chance that whatever the major problem was in your tooth, that the repair work was deep or close to the nerve. Some teeth do not heal and begin to abscess. It can feel similar to what you described.

I'd call your dentist right away and have him evaluate it. At the minimum, you may need the bite adjusted. If he sees a start of an abscess, then it will require a root canal treatment.

It's impossible to say without performing a careful exam and reviewing your x-rays.  I would advise to see a dentist ASAP.  It can be as simple as adjusting the bite, possibly just some irritation under the gum or a bit more involved like possible nerve damage to the tooth.  A differential diagnosis can only be made by going to the dentist.

Regards,

Peter Mann

When the tooth is originally prepared for the crown and provisional crown is placed there can be bacterial leakage under temporary cement. That can cause inflammation inside of the tooth. According to your symptoms you have classic inflammation of the pulp and need root canal treatment. So, you should visit your dentist or an endodontist (specialist in root canals) for root canal treatment. 

Your symptoms may be resulting from inaccurate occlusion (bite) on your new crown or worse, a pulpitis requiring root canal to resolve.  Go back to your dentist and have him evaluate your pain.  If bite is the cause, the cure is easy and quick.

Good Luck!