Pain on tooth when biting after having permanent crown put on

Question

They had a hard time getting the temporary crown off. It felt as if they were pulling my tooth out and this created pain. He had to deaden my mouth to put in the permanent crown. This was 3 days ago and the tooth hurts when I bite down on it. Only when I bite. Could they have messed up the nerve or couldn't tooth possibly just be sore?

Kathy Frazar, DDS, FAGD · Answer

It sounds like you may need an adjustment on the crown to eliminate a high spot. When a patient is numb, it is hard to tell if the bite is too high. The doctor did not mean to hurt you removing the temporary. We try to try your permanent crown on without anesthic if possible. This is a way we can determine if the bit e is feeling good. Call the the dentists office and them them you are having pain with biting down. They can evaluate to see of the crown is too high.

Desiree Yazdan, DDS · Answer

It seems as though your occlusion (bite) is high.  If a crown is placed and the bite is not right, every time you bite down it can cause pain in that tooth.  The best thing to do would be to go back to your dentist and have your bite adjusted.  If you choose to not go back, the tooth may end up with irreversible pulpitis, in which you will need a root canal, or the crown can break.  In addition, it isn't unusual to have anesthetic for crown placement.  When a tooth is prepared for a crown, the enamel is removed and the underlying dentin is more sensitive.  This can cause sensitivity if exposed.

David M. Schertzer, DDS · Answer

The tooth requiring anesthetic for your comfort is not unusual, we will usually attempt without because we can get more accurate patient feedback without numbness.  Most likely the occlusion (bite) is high on the crown and requires adjustment.  If this is the case, typically the tooth will feel normal within a few days but up to a week or two.  This can cause inflammation of the ligaments around your tooth that won't get better until the bite is corrected.  Even very minor high spots can cause this.The other concern would be if they were really applying heavy force to get the temporary crown out, could the ligaments been damaged during that process?  While this is unlikely, if this was the cause only time will heal it, with the help of anti-inflammatory medications such as Motrin or Advil.  I would go back to your dentist for eval and most likely an adjustment.

Pain on tooth when biting after having permanent crown put on

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