I had a temporary crown. Went in yesterday & had permanent crown placed. Why is my bottom tooth under the crown hurting? (Photo)

Question

Permanent crown placed on yesterday.Went to work afterwards,everything was ok with the pain until numbness went away.When I bite I feel my crown & I'm in pain.But the pain feels like its coming from my bottom tooth,crown was placed on top tooth.Not sure if the crown is too tight causing the pain. My crown was also filed down too much by the dentist assistant or chipped from her dropping it on the floor.Now I'm afraid the porcelain is going to continue to chip. Please help,what should I do?

Steven Davidowitz, DDS · Answer

At times, especially when numbed for the seating of the crown, the bite may feel good at first but once the numbness wears off and the bite goes back to normal the porcelain of the crown may prematurely hit the counter (opposite) tooth.  If the crowned tooth is the one in the photo with some silver showing then it is possible your dentist saw the "high spot" and adjusted away the porcelain.  If that is the case then the lower enamel may need to be adjusted to allow for an adequate bite.  Otherwise the crown would need to be redone and some more shaping of the residual tooth chewing surface may need to be adjusted to allow for room for the proper thickness of porcelain allowing proper aesthetics and strength for the porcelain.either way you should return to your dentist soon as a chronic "high bite" can cause damage to the lower tooth the crown tooth and the TMJ area.

Zev Kaufman, DDS · Answer

Dear ma6one:Sorry to hear of your pain. However, you must go back to your dentist. It is unacceptable for a new crown to be ground down to the metal. That means that when the records were taken for the crown they were off.Do not accept this work as final. It should be removed and a new, new, properly made crown should be fabricated.The pain you are experiencing is probably due to the bite being off. The Best thing is to go back and talk to your dentist in a nice manner.  Just like any service business, a dentist is interested in keeping a good reputation with his patients. Best of luck,

Barry Jason, DDS · Answer

You must be in a State that allows expanded duty assistants to adjust crowns.  But whether or not , your dentist is still responsible for the outcome.  Speak to your dentist immediately regarding your problem.  Have an exam and let the dentist decide if the bite is correct, needs further adjustment or due to the chip...it should be re-done.

Sue Wendling, DMD (retired) · Answer

Your crown is too "high". Unfortunately a little more needs to be removed which will remove a little more porcelain but then the pain on the opposing tooth will go away.

I had a temporary crown. Went in yesterday & had permanent crown placed. Why is my bottom tooth under the crown hurting? (Photo)

Answers (4)

Answer: Pain after a crown

Answer: Pain after a crown

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I had a temporary crown. Went in yesterday & had permanent crown placed. Why is my bottom tooth under the crown hurting? (Photo)

Answers (4)

Answer: Pain after a crown

Answer: Pain after a crown

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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.