RCT re treatment on #19. Still having feeling even after crown prep.

Question

Re-treat on #19 got a prep done for this tooth, temp on it right now. When I close down I STILL feel pain , not sharp , not sensitive to hot/cold just a weird feeling. Dentist said x-rays look good no infection he looked with magnifying loupes during an said he did not see any fractures was not suspicious of one. why is it still be hurting with the nerve and infection gone and no signs of any fracture ? I do not want to loose this tooth ,should I give it time to settle. I'm so upset over this.

Kourosh Maddahi, DDS · Answer

Hi:There are two possible reasons for the continued sensitivity if there is no fracture in the tooth:1.  Pain due to trauma of the root canal treatment to the surrounding bone around the root.  This may take up to 2 weeks to fully go away.  2.  Bite on the temporary crown is not correct.Best,Dr. Maddahi

Christian Yaste, DDS · Answer

Emmashae,The two most common diagnosis with your symptoms are that the tooth root is cracked or the temporary crown may be hitting the tooth on the top prematurely.   A bite issue can be easily diagnosed and adjusted by your dentist.   A vertical tooth fracture although not that common is very possibly causing your problem.  An accute vertical fracture is virtually impossible to see on an xray or clinically.  So it doesnt surprise me that your current dentist cannot see it.  The best way to diagnose it is to tap the tooth from the side and not from the chewing surface.  If the tooth is sensitive when you push on it from the side, it may be vertically fractured.  If that is the case, the only way to get rid of the pain you are describing is to have the tooth removed.  Fortunately, in most cases the number 19 area is easy to replace with a dental implant.  I am sorry for your frustration.  Hoping you find a solution soon.I have included a link to some more information on tooth fractures.Warm Regards,

Supriya Verma, DMD, FAGD · Answer

Dear emmashae,Thank you for posting your question.  I understand your frustration with your recent Root canal treatment.  The information I am about to share with you is a general assessment as I only have limited information.  Sometimes a tooth that has had Root canal treatment and still hurts could be indicative of an underlying Bite Imbalance.  The Bite Imbalance would need to be corrected prior to placing a permanent restoration. A Pankey trained dentist can help you correct the bite Imbalance.  You can look for one in your area.  Hope this helps!  Good Luck!

RCT re treatment on #19. Still having feeling even after crown prep.

Answers (3)

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.

RCT re treatment on #19. Still having feeling even after crown prep.

Answers (3)

Browse related questions

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.