I have tooth/jaw pain 10 months after root canals. Dental followup showed nothing on X-ray. Endo re-check-no issues. What now?

Question

Crowns installed summer 2010. Deployed to Iraq after with mild tooth pain. Crown developed hole in top and I had much acute pain while in Iraq. Returned and dentist didn't know what happened. Changed dentists. Sent for root canals Feb 2014. Now have chronic paIn in tooth and jaw. Dental follow up to check cause showed nothing on X-ray. Endodontist re-check showed no issues. Back to dentist. Crown bite adjusted. Dentist has no clue why still pain. And no, I don't clench. Hurts all day. Where now?

Sarah Thompson, DMD · Answer

Hello there,Based on your description of events, I strongly suspect that the issue is your bite.  I know that you mentioned that it was already adjusted once, but this does not mean that it does not need to be adjusted more.  You've already had root canals on the teeth, so the only issue in my mind, would be the bite.  Have it adjusted again.  Good luck and I hope this helps. Follow me if you have more questions.Sarah Thompson, DMDSoft Touch Dentistry

Barry Jason, DDS · Answer

It seems like you are trying to solve this problem and so are your treating dentists.  There are several facts not made clear.  Was the crown removed so that the root canal could be done, or was it done thru the crown?  What tooth is it? Considering that an xray was taken recently and the dentist viewing it see no signs to cause your symptoms...here is what I would recommend.  Consider removing the crown for a while and replacing with a temporary in very light or no occlusion.  See if the symptoms disappear..if so the crown needs to be adjusted in all phases of your chewing and closing positions. If pain still persists w/o the crown in place get copies of your xrays..seek the opinion of another endodontist...select one who can do a 3-d dent-scan image of the tooth in question.  There are possible root fractures or additional nerve canals that ordinary digital xrays can miss.  unless there is a sinus problem or it is another tooth causing this...it is most likely one of the above reasons that is causing the recurrent pain.

I have tooth/jaw pain 10 months after root canals. Dental followup showed nothing on X-ray. Endo re-check-no issues. What now?

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I have tooth/jaw pain 10 months after root canals. Dental followup showed nothing on X-ray. Endo re-check-no issues. What now?

Answers (2)

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Everything you need to know about Dental Crown

Our mission is to create a world where every investment in modern beauty is Worth It.