Jaw and tooth pain started after filling and crown prep, what can I do? (Photo)

Question

Dentist removed cavities & did filling (circled in green) then trimmed the tooth for crown and placed temp. Next day it started to hurt on jaw joint below the ear but the tooth hurts only at one spot (highlighted in red) when touched. With ibuprofen 400 pain goes away but reappears after 10-12 hours. Dentist did x-ray again and said roots are fine and don't see any issues. He applied something for sensitivity and placed temp crown back. Pain still continues after ibuprofen wears off. Pls help.

Thomas Dey, BDS, MSc · Answer

Jaw pain is possible for many people after having a back tooth crowned or prepared for a crown. Sometimes it is as simple as how long you have had to keep your jaw open for.  
However the crown can be high and this is the most likely cause of sentivity in one spot. Also, if the temporary is leaking in that area, that will also cause the to be sensitive in that area. When the final crown is fitted it will seal much better and this problem may well disappear. 
You may still however need a root canal, simply because the tooth is slowly dying, either through a process that had already started or simply because some teeth find the preparation of a too traumatic and this causes them to die. 
Good luck with the completion of your treatment.  
Thomas Dey, BDS, MSc

Yasaman S. Roland, DDS · Answer

There is a high possibility that the bite maybe too high. The most conservative thing you can do is have that checked. If too high, you can adjust it and the pain should stop.

Kourosh Maddahi, DDS · Answer

Hi:If the nerve is ok, I would suspect some bite issue in different movements and or clenching or grinding issue.Best,Dr. Maddahi

Leonard Tau, DMD · Answer

Sorry to hear that you are having issues after you had your dental work completed.  Anytime a tooth is prepared for a crown there does remain the possibility you could have some discomfort.  Does the pain wake you up at night, is it sensitive to cold.  You mentioned that it hurts only when you touch one part of the tooth.  If the pain continues you may need to have a root canal done.

Thomas Nechupadam, BDS, MDS - Account Suspended · Answer

The symptoms that you have listed are very likely to be a fine exposure of pulp. This needs a root canal therapy of the tooth. Xrays may not show fine exposure of pulp.

Jaw and tooth pain started after filling and crown prep, what can I do? (Photo)

Answers (5)

Answer: Pain after crown preparation

Answer: Pain after crown preparation

Answer: Looks like there is a fine exposure of pulp

Answer: Looks like there is a fine exposure of pulp

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Jaw and tooth pain started after filling and crown prep, what can I do? (Photo)

Answers (5)

Answer: Pain after crown preparation

Answer: Pain after crown preparation

Answer: Looks like there is a fine exposure of pulp

Answer: Looks like there is a fine exposure of pulp

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Recommended reading

Everything you need to know about Dental Crown

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