Pain after Crown/Root Canal was done 
Author Message
 Pain after Crown/Root Canal was done

Hi all,

At my last dental check up in February, my dentist said that one of my
molar roots was disappearing and that I needed a root canal. He
brought in an endodontist a couple of weeks later, and then over a
period of about 2 months, they cleaned the roots, put in the calcium
replacement, put on a temporary crown, and then the final porcelain
crown.

I've had the porcelain crown for about 3 and a half months. Initially,
it was painful, and I used painkillers. But then the pain subsided. I
was not very happy with the crown because it tends to trap in more
cooking.net">food on the sides, and so I have to be much more careful with
flossing.

Once, I had a bit of an inflammation (the gum was swollen), but it
disappeared after a few days. Now the gum looks fine, but I am in
pain, and it looks like there should be no reason at all for the pain.
I did have some hard cereal (Wheatabix) yesterday, but it seems like
any discomfort from that should have gone away.

I am very unhappy about the treatment I received. Are crowns supposed
to continue hurting for this long? Is my experience normal? I am
considering going to a different dentist to get it checked out. What
should I ask?

If this is not the right forum for this question, I apologize. Any
pointers appreciated.

Thanks

Laila

PS: I tend to grind my teeth while I sleep, and perhaps that makes
everything worse.



Tue, 17 Feb 2004 05:32:43 GMT
 Pain after Crown/Root Canal was done
    Any specific reply would be speculation.  Resorption of the roots as
you describe is not typical, and complicates the prognosis of this tooth.
The problem may be in the gum, esp. as you note you get cooking.net">food stuck in
between the tooth and the cap.  In any case, pain at this point must be
looked into.  A simple description of the pain should suffice, and any
good examining dentist should have a pretty good idea of what might be
going on.  By all means, get a second opinion if you are not satisfied.
    Good luck,
Steve

Quote:

> Hi all,

> At my last dental check up in February, my dentist said that one of my
> molar roots was disappearing and that I needed a root canal. He
> brought in an endodontist a couple of weeks later, and then over a
> period of about 2 months, they cleaned the roots, put in the calcium
> replacement, put on a temporary crown, and then the final porcelain
> crown.

> I've had the porcelain crown for about 3 and a half months. Initially,
> it was painful, and I used painkillers. But then the pain subsided. I
> was not very happy with the crown because it tends to trap in more
> cooking.net">food on the sides, and so I have to be much more careful with
> flossing.

> Once, I had a bit of an inflammation (the gum was swollen), but it
> disappeared after a few days. Now the gum looks fine, but I am in
> pain, and it looks like there should be no reason at all for the pain.
> I did have some hard cereal (Wheatabix) yesterday, but it seems like
> any discomfort from that should have gone away.

> I am very unhappy about the treatment I received. Are crowns supposed
> to continue hurting for this long? Is my experience normal? I am
> considering going to a different dentist to get it checked out. What
> should I ask?

> If this is not the right forum for this question, I apologize. Any
> pointers appreciated.

> Thanks

> Laila

> PS: I tend to grind my teeth while I sleep, and perhaps that makes
> everything worse.

--
Mark & Steven Bornfeld DDS
Brooklyn, NY
718-258-5001
http://www.dentaltwins.com


Tue, 17 Feb 2004 06:19:23 GMT
 Pain after Crown/Root Canal was done
Thanks Steve. One clarification: I have no idea if cooking.net">food gets stuck
betwen the tooth and the cap (I'm not sure how I would find that out),
but what I did notice when I floss is that cooking.net">food often gets stuck
between the tooth with the cap and the next tooth (i.e. there is a
wider gap between the crowned tooth and the next one than there
normally is).

The pain is not constant. It occurs mostly after meals and is somewhat
like throbbing pain. It feels as though I have cooking.net">food stuck there, even
after I floss. Biting down on the tooth accentuates the feeling. Does
that mean that cooking.net">food somehow gets in betwen the cap and the tooth, and
this is what causes discomfort and pain?

Also, occasionally, when I press on the gum it feels very tender and
even painful.

I was told that resorption of a root can happen as a result of trauma
or stress...

Laila


Quote:
> Any specific reply would be speculation.  Resorption of the roots as
> you describe is not typical, and complicates the prognosis of this tooth.
> The problem may be in the gum, esp. as you note you get cooking.net">food stuck in
> between the tooth and the cap.  In any case, pain at this point must be
> looked into.  A simple description of the pain should suffice, and any
> good examining dentist should have a pretty good idea of what might be
> going on.  By all means, get a second opinion if you are not satisfied.
>     Good luck,
> Steve


> > Hi all,

> > At my last dental check up in February, my dentist said that one of my
> > molar roots was disappearing and that I needed a root canal. He
> > brought in an endodontist a couple of weeks later, and then over a
> > period of about 2 months, they cleaned the roots, put in the calcium
> > replacement, put on a temporary crown, and then the final porcelain
> > crown.

> > I've had the porcelain crown for about 3 and a half months. Initially,
> > it was painful, and I used painkillers. But then the pain subsided. I
> > was not very happy with the crown because it tends to trap in more
> > cooking.net">food on the sides, and so I have to be much more careful with
> > flossing.

> > Once, I had a bit of an inflammation (the gum was swollen), but it
> > disappeared after a few days. Now the gum looks fine, but I am in
> > pain, and it looks like there should be no reason at all for the pain.
> > I did have some hard cereal (Wheatabix) yesterday, but it seems like
> > any discomfort from that should have gone away.

> > I am very unhappy about the treatment I received. Are crowns supposed
> > to continue hurting for this long? Is my experience normal? I am
> > considering going to a different dentist to get it checked out. What
> > should I ask?

> > If this is not the right forum for this question, I apologize. Any
> > pointers appreciated.

> > Thanks

> > Laila

> > PS: I tend to grind my teeth while I sleep, and perhaps that makes
> > everything worse.



Tue, 17 Feb 2004 09:57:20 GMT
 Pain after Crown/Root Canal was done
    From your description, it is likely the cooking.net">food is getting caught between the crown and the adjacent tooth.
If floss passes between these two teeth with little or no resistance, you have inadequate contact between
these teeth, and it is likely this at least contributes to the problem.  Problems related to resorption of
the root sound to me less likely to be related to the problem you're having.
    Root resorption is frequently caused by trauma (more usually in a front tooth), but can also be seen in
chronic pulpitis (long term inflammation of the nerve of the tooth)

Steve

Quote:

> Thanks Steve. One clarification: I have no idea if cooking.net">food gets stuck
> betwen the tooth and the cap (I'm not sure how I would find that out),
> but what I did notice when I floss is that cooking.net">food often gets stuck
> between the tooth with the cap and the next tooth (i.e. there is a
> wider gap between the crowned tooth and the next one than there
> normally is).

> The pain is not constant. It occurs mostly after meals and is somewhat
> like throbbing pain. It feels as though I have cooking.net">food stuck there, even
> after I floss. Biting down on the tooth accentuates the feeling. Does
> that mean that cooking.net">food somehow gets in betwen the cap and the tooth, and
> this is what causes discomfort and pain?

> Also, occasionally, when I press on the gum it feels very tender and
> even painful.

> I was told that resorption of a root can happen as a result of trauma
> or stress...

> Laila


> > Any specific reply would be speculation.  Resorption of the roots as
> > you describe is not typical, and complicates the prognosis of this tooth.
> > The problem may be in the gum, esp. as you note you get cooking.net">food stuck in
> > between the tooth and the cap.  In any case, pain at this point must be
> > looked into.  A simple description of the pain should suffice, and any
> > good examining dentist should have a pretty good idea of what might be
> > going on.  By all means, get a second opinion if you are not satisfied.
> >     Good luck,
> > Steve


> > > Hi all,

> > > At my last dental check up in February, my dentist said that one of my
> > > molar roots was disappearing and that I needed a root canal. He
> > > brought in an endodontist a couple of weeks later, and then over a
> > > period of about 2 months, they cleaned the roots, put in the calcium
> > > replacement, put on a temporary crown, and then the final porcelain
> > > crown.

> > > I've had the porcelain crown for about 3 and a half months. Initially,
> > > it was painful, and I used painkillers. But then the pain subsided. I
> > > was not very happy with the crown because it tends to trap in more
> > > cooking.net">food on the sides, and so I have to be much more careful with
> > > flossing.

> > > Once, I had a bit of an inflammation (the gum was swollen), but it
> > > disappeared after a few days. Now the gum looks fine, but I am in
> > > pain, and it looks like there should be no reason at all for the pain.
> > > I did have some hard cereal (Wheatabix) yesterday, but it seems like
> > > any discomfort from that should have gone away.

> > > I am very unhappy about the treatment I received. Are crowns supposed
> > > to continue hurting for this long? Is my experience normal? I am
> > > considering going to a different dentist to get it checked out. What
> > > should I ask?

> > > If this is not the right forum for this question, I apologize. Any
> > > pointers appreciated.

> > > Thanks

> > > Laila

> > > PS: I tend to grind my teeth while I sleep, and perhaps that makes
> > > everything worse.



Tue, 17 Feb 2004 10:02:42 GMT
 Pain after Crown/Root Canal was done

Quote:

> Hi all,

> At my last dental check up in February, my dentist said that one of my
> molar roots was disappearing and that I needed a root canal.

Molar root is disappearing.  Well, let's see.  Was it external resorption?
Or was it internal resorption?  Was it secondary to abscess?  Or was it
secondary to orthodontic treatment?  Was it caries?  Was it an abfraction or
honest-to-God toothbrush abrasion?  (Though you've described things in some
detail, can you see how "in the dark" one can still be?)

Laila, you're a layperson, and even though the above and below is a pretty
detailed description of what's going on, it would be pure guesswork for any
one of many dentists who frequent this group to answer your questions.

You said you're in pain.  Ask your dentist to explain why you're in pain and
what he can do about it.  Tell him that your crown traps cooking.net">food and that
you're disappointed.  Tell him that your gum swelled up once.  Tell him that
you grind your teeth at night.

You have to realize that there are so many variables present that without
examining you, no one here can help you other than to advise you to be frank
with your current dentist and seek a second opinion if your questions are
not answered to your satisfaction.

Let me give you a couple of tidbits:

* Teeth are not supposed to hurt, but they obviously do sometimes for any
number of reasons.

* Crowned teeth are not supposed to hurt, but they can and do sometimes for
dozens of different reasons.

* Endodontically treated teeth are not supposed to hurt, but sometimes they
do for a myriad of different reasons.

* Teeth, crowned or not, are not supposed to trap food, but they sometimes
do for one of several distinct or related reasons.

* Some people who grind their teeth in their sleep experience symptoms, and
some experience no syptoms.

Ask questions of the ones treating you -- be bold -- they're *your* teeth.

Quote:
> He brought in an endodontist a couple of weeks later, and then over a
> period of about 2 months, they cleaned the roots, put in the calcium
> replacement, put on a temporary crown, and then the final porcelain
> crown.

> I've had the porcelain crown for about 3 and a half months. Initially,
> it was painful, and I used painkillers. But then the pain subsided. I
> was not very happy with the crown because it tends to trap in more
> cooking.net">food on the sides, and so I have to be much more careful with
> flossing.

> Once, I had a bit of an inflammation (the gum was swollen), but it
> disappeared after a few days. Now the gum looks fine, but I am in
> pain, and it looks like there should be no reason at all for the pain.
> I did have some hard cereal (Wheatabix) yesterday, but it seems like
> any discomfort from that should have gone away.

> I am very unhappy about the treatment I received. Are crowns supposed
> to continue hurting for this long? Is my experience normal? I am
> considering going to a different dentist to get it checked out. What
> should I ask?

> If this is not the right forum for this question, I apologize. Any
> pointers appreciated.

> Thanks

> Laila

> PS: I tend to grind my teeth while I sleep, and perhaps that makes
> everything worse.



Tue, 17 Feb 2004 11:15:43 GMT
 Pain after Crown/Root Canal was done
Thank you both for answering my questions.

The molar was perfectly healthy: no caries, no pain, no abcess,
nothing. I went in for a regular check up, and one of the X-rays
showed that one of the roots was disappearing. I did not experience
any trauma prior to the check up, but I had been under quite a lot of
stress. My dentist knew about the grinding, by the way.

Carlo: it is precisely because I am a "layperson" when it comes to
dentistry that I came to this newsgroup. I wasn't seeking advice about
medication or even an official medical opinion, I just wanted to know
what kinds of questions I should be asking at my next check up. And
now I feel better prepared.

L.

Quote:


> > Hi all,

> > At my last dental check up in February, my dentist said that one of my
> > molar roots was disappearing and that I needed a root canal.

> Molar root is disappearing.  Well, let's see.  Was it external resorption?
> Or was it internal resorption?  Was it secondary to abscess?  Or was it
> secondary to orthodontic treatment?  Was it caries?  Was it an abfraction or
> honest-to-God toothbrush abrasion?  (Though you've described things in some
> detail, can you see how "in the dark" one can still be?)

> Laila, you're a layperson, and even though the above and below is a pretty
> detailed description of what's going on, it would be pure guesswork for any
> one of many dentists who frequent this group to answer your questions.

> You said you're in pain.  Ask your dentist to explain why you're in pain and
> what he can do about it.  Tell him that your crown traps cooking.net">food and that
> you're disappointed.  Tell him that your gum swelled up once.  Tell him that
> you grind your teeth at night.

> You have to realize that there are so many variables present that without
> examining you, no one here can help you other than to advise you to be frank
> with your current dentist and seek a second opinion if your questions are
> not answered to your satisfaction.

> Let me give you a couple of tidbits:

> * Teeth are not supposed to hurt, but they obviously do sometimes for any
> number of reasons.

> * Crowned teeth are not supposed to hurt, but they can and do sometimes for
> dozens of different reasons.

> * Endodontically treated teeth are not supposed to hurt, but sometimes they
> do for a myriad of different reasons.

> * Teeth, crowned or not, are not supposed to trap food, but they sometimes
> do for one of several distinct or related reasons.

> * Some people who grind their teeth in their sleep experience symptoms, and
> some experience no syptoms.

> Ask questions of the ones treating you -- be bold -- they're *your* teeth.

> > He brought in an endodontist a couple of weeks later, and then over a
> > period of about 2 months, they cleaned the roots, put in the calcium
> > replacement, put on a temporary crown, and then the final porcelain
> > crown.

> > I've had the porcelain crown for about 3 and a half months. Initially,
> > it was painful, and I used painkillers. But then the pain subsided. I
> > was not very happy with the crown because it tends to trap in more
> > cooking.net">food on the sides, and so I have to be much more careful with
> > flossing.

> > Once, I had a bit of an inflammation (the gum was swollen), but it
> > disappeared after a few days. Now the gum looks fine, but I am in
> > pain, and it looks like there should be no reason at all for the pain.
> > I did have some hard cereal (Wheatabix) yesterday, but it seems like
> > any discomfort from that should have gone away.

> > I am very unhappy about the treatment I received. Are crowns supposed
> > to continue hurting for this long? Is my experience normal? I am
> > considering going to a different dentist to get it checked out. What
> > should I ask?

> > If this is not the right forum for this question, I apologize. Any
> > pointers appreciated.

> > Thanks

> > Laila

> > PS: I tend to grind my teeth while I sleep, and perhaps that makes
> > everything worse.



Fri, 20 Feb 2004 12:26:38 GMT
 
 [ 6 post ] 

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