Pain after permanent crown, no pain with temporaries. Should I remove the new permanent crown or get a RCT?

After having the temp for over a month with no pain and finally after matching the color they placed the permanent crown. The pain has been pretty bad for a month and now they say I should just get a root canal. I went to the endodontist and he said I don not need a root canal after running some tests...I am not sure what to do, should i get the crown taken off? Why would I have no pain with the temps and pain with the permanent. Not sure what to do at this point.

Doctor Answers 1

Pain after crown.

Anytime you work on a patients tooth ,  there is always a chance that the tooth may need a root canal.   Removing  the crown will not change the fact you need a rootcanal.    It' is not ideal to have to patch a new crown with a filling but it is routinely done on a daily basis.    Without having tested the tooths vitality prior to placing the crown,   There is no way of knowing how your tooths symptoms will change after crown placement.  If a person needs a crown we always tell them they have a higher probability of needing a rootcanal in the future.    If your tooth only hurts to bite, than possibly you just need your bite adjusted and your symptoms may improve . But if it is spontaneous pain or cold pain that lingers you have do get the root canal done.  

Pain after crown.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Anytime you work on a patients tooth ,  there is always a chance that the tooth may need a root canal.   Removing  the crown will not change the fact you need a rootcanal.    It' is not ideal to have to patch a new crown with a filling but it is routinely done on a daily basis.    Without having tested the tooths vitality prior to placing the crown,   There is no way of knowing how your tooths symptoms will change after crown placement.  If a person needs a crown we always tell them they have a higher probability of needing a rootcanal in the future.    If your tooth only hurts to bite, than possibly you just need your bite adjusted and your symptoms may improve . But if it is spontaneous pain or cold pain that lingers you have do get the root canal done.  

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.