Tooth hurts after crown?

Tooth hurts after crown? Why does a tooth hurt after a dental crown?

Tooth hurts after crown is a common search term for someone that is in pain AFTER a dental crown. There can be several reasons for this and there can also be several solutions as well. Typically people have a concern because the tooth did not hurt before the crown.

Why does a tooth hurt after crown? It didn’t hurt before the crown!

The very short version is whatever the cause of you needing a crown, a crack, decay, or break, causes some trauma to the nerve and the dentist fixing the problem causes more. The combination of the two things cause inflammation in the nerve which you experience as pain.

The pain comes from the nerve in the center of the tooth and/or the tissue around the roots of the tooth. The crown procedure is traumatic and will cause some pulpal inflammation, the pulp is the tissue in the center of the tooth that contains the nerve for the tooth.

tooth hurts after crown

The preparation of a tooth for a dental crown is traumatic to the nerve of the tooth. The reason you are getting a crown causes trauma as well. For example, a crack in a tooth will cause some low grade inflammation in the nerve of the tooth. Breaking a tooth will do the same. Cracks and decay typically grow pretty slowly so if you have decay or a crack the nerve can adapt to some extent to that but it will also cause inflammation. The photo below shows a tooth that is getting ready for a crown. You can see the decay on the left and under the decay you can see a crack. Both of these are causing nerve inflammation and my removal of the decay will cause more. That’s a 1-2-3 combo that some tooth pulp can not survive.

Image of crown done now tooth hurts

Removing decay, old filling material, cracks and just preparing the tooth for a crown happens all at once and is traumatic. This in addition to whatever was the cause for you to need a crown can push a tooth that felt fine over the edge and cause the tooth to hurt after the dental crown.

tooth hurts after dental crown

You can see how much of a tooth we remove for a crown.

There are several reasons a tooth hurts after crown.

  1. The tooth needs some time to settle down.
  2. The tooth will need a root canal.
  3. The crown is slightly too high and your chewing on it is causing pain.

These are the main reasons that a tooth hurts after a crown. The reasoning for each can depend on your situation.

Tooth hurts after crown because the tooth needs time to settle down.

If the pain is not too severe, the tooth may just need some time to calm down. We would classify this as reversible pulpitis and the pain should be gone in a few days. Each day the pain should be less. Anti-inflammatory medication like Advil (ibuprofen) can be taken and will usually eliminate the pain for a few hours.

Tooth hurts after crown because the tooth needs a root canal.

This is more severe than the case above. The pain is either more intense and or lasts longer after a stimulation like cold or chewing. We classify this as irreversible pulpitis. The pain does not go away after a few days and may even get worse. The nerve of a tooth will only take so much trauma before it gives up and starts to die, thus needing a root canal. Although your dentist will do their best to tell you before cementing the crown on if you will need a root canal, the reality is when dealing with living tissue one can never truly predict when a nerve will decide to die on you. Much of this has to do with your bodies ability to heal itself and with your anatomy.

Tooth hurts after crown because the crown needs an adjustment.

This is an easy fix. Have the dentist recheck the bite while you are not numb. Typically if this is the case after the bite adjustment you will immediately feel like you are biting together better. If the bite adjustment was the only issue the pain will disappear within a few days after the dentist adjusts it.

Tooth hurts after crown

Typical situation of a tooth hurting after a dental crown. Tooth has large filling and large decay. Tooth feels fine at crown seat and then acts up days or weeks later.

 

What if my tooth hurts after a dental crown but I have already had a root canal?

That can happen for several reasons as well.

  1. If the root canal is recent then the area needs time to heal.
  2. The root canal could be failing or unsuccessful.
  3. One of your tooth roots could have a crack in it.
  4. The crown is slightly too high and your chewing on it is causing pain.

If the root canal is recent then the area needs time to heal.

It takes 2-3 days for the inflammation around the roots of a tooth that has had a root canal done to calm down. Advil (ibuprofen) will help this pain.

The root canal can fail or never be successful and thus a tooth with a new crown will hurt.

Messing with a tooth that has a root canal can stir things up and cause an infection to flare up. Root canals are only about 90-95% successful and the rate goes down the older the root canal is. If the tooth has a new infection after a root canal then you may lose the tooth. We can retreat a root canal or we can remove the infection through another procedure known as an apicoectomy. I personally feel if a root canals is failing one must consider a dental implant, but this is a case by case issue.

One of your tooth roots could have a crack in it.

If this is the case you will lose the tooth. These cracks are hard to detect and unfortunately often receive expensive dental work before we can determine they have the crack. The tooth in my cracked tooth syndrome post was a tooth that a root canal was done on knowing that a significant crack was there. However, we can not always know this, in fact usually we do not.

The crown is slightly too high and your chewing on it is causing pain.

This is an easy fix. Have the dentist recheck the bite while you are not numb. Typically if this is the case after the bite adjustment you will immediately feel like you are biting together better. If the bite adjustment was the only issue the pain will disappear within a few days. If you are having issues with either your throat or voice, then you may want to see an ENT specialist for help.

 

Why wasn’t a root canal done before the crown was put on?

This is a reasonable question for a patient to ask. To be honest it always sounds foolish to your dentist though. It would be like asking a cardiologist why a heart transplant wasn’t done before congestive heart failure started. We can not determine when your nerve tissue is going to die. We certainly aren’t going to start telling everyone that is about to get a crown that they need a root canal as well because most people do not. To do so would be over treating you. If you end up needing a root canal after a new crown is put on it’s just bad luck, bad healing, or a combination.

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323 Responses to “Tooth hurts after crown?”

  1. Blu SoulstnNovember 22, 2017 at 8:25 pm #

    Or the dentist screwed up and over reduced the tooth which was my case when I went to get a crown replaced by a new dentist because it fell off from the cement getting old..

    • bryanabauerNovember 28, 2017 at 5:12 am #

      In your experience what percentage of teeth can withstand having a crown prep done twice? Mine is rarely will a nerve survive not only that but whatever trauma led to the crown the first and second time. What criteria are you using to judge the over-reduction? I’m not familiar with dentists that redo a crown simply because it fell off from old cement. The circumstances that a new crown is required would be if it was left out for an extended period of time and the teeth shifted, the tooth had decay under it, the crown broke or was lost, or part of the tooth broke inside the crown. Do you have any photos or x-rays of the situation?

      • JohnFebruary 22, 2018 at 12:23 pm #

        My tooth hurts every once in a while after the crown. No root canal was performed. The problem is that like for example today i did not feel any pain at all. But for some reason Istarted to feel pain but after few.minutes its gone. Then it will come later on. My crown was placed 5days ago.

        • Bauer BryanFebruary 25, 2018 at 5:01 pm #

          Still too early and if gradually getting better then probably will be fine.

  2. Tracy SchmitzNovember 30, 2017 at 1:28 am #

    had a crown put on roughly a month and half ago… was told at the time i might need a root canal, but it was up to me and that it could be done before or after the crown was put on and i told them just to put the crown on and will worry about the root canal later which the dentist seemingly had no problem with this decision… this was the 2nd dentist by the way, the 1st dentist i went to told me that they needed to pull the tooth and i would need a implant,.. this 2nd dentist said no, will save the tooth, clean it up and put a crown on it… anyway, off and on, it has been aching, sometimes throughout a day, sometimes not at all during a day, comes and goes and not really related to if i’m eating something, or if it’s hot or cold…. advil makes it goes away quickly.. the bite was checked, so that’s not the issue…anyway, i’m just wondering if i really need a root canal and how long should i wait if this crown tooth continues to ache off and on? it’s NOT any true pain yet…. i went to a 3rd dentist for a 3rd opinion and they told me i should wait another 3 to 5 months because it might take the nerves of this crown tooth to calm down and settle down that long, but that obviously after this time if the aching is still there or it gets worse and becomes painful then i should get a root canal asap… i just wonder though, if it would really take MONTHS for the slight aching to go away and this long for the nerves to heal? who and what to believe?…

    • bryanabauerDecember 1, 2017 at 4:44 am #

      No one knows for sure so you are welcome to believe whoever you want. At this point if I was in your shoes I would do the root canal. Sometimes they stop hurting because the nerve dies, not because it finally settled down. Then it sits there for years until it gets infected and blows up and then you need a root canal on an infected tooth. The success rates of root canals are much higher if done when the nerve is still alive. It sounds to me all 3 opinions you received are reasonable and have merit.

      • Tracy SchmitzDecember 1, 2017 at 4:41 pm #

        thank you sir very much for replying and taking the time to do so! I’ve decided indeed to get the root canal, i just hope the new crown can be saved. i do NOT want to get in a situation where “oops, now we need a NEW crown because the new crown we just put on is now fragile since we did the root canal thru it.. i’m NOT paying for another crown i’ll tell you that! also, i’m worried that the root canal doesn’t “take’ and then i’m back at square one having to pull the tooth, get the implant after all and pay for that AND the work i’ve already done!… lastly, while i’m still going to get the root canal, here is a question for you: should i shop around for the “cheapest” root canal or stay with the dentist who has done all the work on my teeth, who suggested the root canal and who would seemingly know the history of that particular tooth and know “what’s what” more then any other dentist? even if he might be more expensive in charging for the root canal? as it is, even a “cheaper” dentist, i’m sure will want a consultation, his own x-rays and so on and that will add up as well to the cost, so in the long run i would NOT be saving any money… what do you think sir? please get back to me (sorry for rambling!).

        • bryanabauerDecember 1, 2017 at 9:03 pm #

          Root canals are technique sensitive I would try to find someone that charges more not less. I would go to whoever did the crown cause if the crown breaks while going through it and that doc did the crown they would likely replace it for you, no one else will do that.

          • Tracy SchmitzDecember 1, 2017 at 9:56 pm #

            never thought of that.. thank you, i now know how to proceed. i really do appreciate your time and expertise… all the best! happy holidays!

            tracy

          • Tracy SchmitzDecember 9, 2017 at 4:37 pm #

            HELLO AGAIN, it’s saturday december 9th.. just for your f.y.i. i went ahead and got a root canal tuesday, december 5th, 4 days ago,and it HURT like crazy! jumping out of my chair, white knuckling off and on piercing shooting pan? i have to go back on the 19th to “finish the job”, the dentist said that 80% of the work was done and the remaining 20% would consist of taking out the temporary filling material, and “killing off” the deep deep tiny portions of nerves remaining and that it SHOULD NOT hurt that bad or at least not as bad? i wonder why it hurt at all, i mean what was the point of giving me 4 to 5 “numbing” shots? i thought this would numb ALL the nerves in this crowned tooth including the other tooths around it which the dentist said looked good and were okay? could it be the pain was caused by the tooth being infected and it’s nerves, NOT necessarily the nerves themselves or just the nerves?..i’m dreading the 19th i must admit if it consists of any more pain! he also prescribed oxycontin for the pain to take that when i feel it, and amoxicillin for infection protection.. have not tested this tooth in regards to heat or cold and i am not eating or chewing with it either… i do feel “sensation/pressure” when i press on it with my tongue.. i believe it’s the “30th or 31st” molar tooth on my lower right side of teeth.. any thoughts?

            • Bauer BryanDecember 27, 2017 at 6:53 pm #

              Sometimes teeth are so inflamed that it’s nearly impossible to get the tooth completely numb. It usually happens to teeth that have been in pain for awhile and need a root canal. It also usually only happens to people that are nervous/anxious as well. If the tooth is really “hot” (a term we use to describe a tooth that does not get numb) we remove most of the nerve and have the person return for the rest after things have calmed down. Sounds like that is what happened in your case. Sorry you had to experience all of that, it does happen.

  3. Christina LaoDecember 2, 2017 at 11:16 pm #

    I am in excruciating pain! I had a crown put on in October. It felt fine for a few weeks. Then two weeks ago it started throbbing. I saw the dentist, he took xrays and said it looked fine and that it could be swollen sinuses.
    My cheeks are bright red from the pain. I cannot eat or sleep. My gums are swollen and my tooth is throbbing.
    I need some direction please.

    • bryanabauerDecember 5, 2017 at 2:31 am #

      Go back to your dentist.

    • nikki watsonDecember 23, 2017 at 10:58 am #

      what was the outcome

  4. infamissDecember 7, 2017 at 3:24 am #

    I had a root canal done on my back molar about three years ago, the dentist just filled the hole as opposed to putting a crown on it. About two months ago I had pain in the tooth and had a crown put on. It is extremely painful and I’ve been back to the doctors three times for a bite adjustments. He also took x-rays and said there are no problems. Not sure what to do – do you think I should see another dentist. It’s very painful

    • bryanabauerDecember 10, 2017 at 9:02 pm #

      It’s unusual to not get a crown after a root canal unless it’s a front tooth. It’s also unusual for a crown to be placed on a tooth with a root canal from years ago that now hurts. Get another set of eyes on it. https://www.bauersmiles.com/2017/11/need-crown-after-root-canal.html/

      • infamissDecember 12, 2017 at 3:04 am #

        Thank you!

      • infamissDecember 14, 2017 at 2:37 am #

        Hi, I’ve attached the x-rays from pre-crown and post-crown. Can you let me know your thoughts? I really appreciate your help!

  5. MaceyDecember 22, 2017 at 2:01 am #

    Hello, i had two large fillings on both sides of tooth #10 about 7 months ago. The past month it had been hurting really bad, cold sensitive, etc. so I go to a new dentist he says it needs a crown maybe a root canal but they’ll try to save it. Yesterday the dentist did a crown on number 12, previous dentist had broken my tooth off practically to my gum line, & a filling between number 8 and 9. They went great but last night after brushing my teeth number 10 started killing me, much more sensitive than before they worked on the others. So today I go in and am ready to pay the $2200 for a crown and root canal but they made me wait 3 hours cause he was doing a wisdom root canal, that’s fine I waited. He starts working on it and says he’s not gonna do the root canal just yet, to see if he can save it without it. Well he puts a permanent crown on and 3 hours later it’s just as sensitive and painful to cold as it was before & he is going on vacation after tomorrow for 2 weeks. Do you think this will go away in a few days or is it more than likely needing the root canal? If so will they be able to do it since a permanent crown has been placed? I just don’t want to go two weeks with this pain.

    • Bauer BryanDecember 27, 2017 at 6:58 pm #

      Sounds like dentist was hoping to be able to save you some money since it sounds like you are spending a lot on your teeth right now. You’ll probably need the root canal. Even if the new crown is put on top we can do the root canal through the crown on that tooth pretty easily. Good luck!

  6. DaveDecember 30, 2017 at 4:13 am #

    Hi , I had a crown put on 8 yrs ago roughly and I went thru what I would say is my nerves dying! Pain, swelling , throbbing ,exc . Yes I went and seen the DDS and they said it was my roots dying that if it got so bad that I couldn’t tolerate it they would do a root canal! Well I didn’t get . So my question is that tooth is acting weird when I push on the side of my gum like a negative pressure and the crown is slightly loose is my tooth bad now? Rotten? From the inside out ? I felt a crunch the other day like I was chewing sand but no partials were in my mouth?could this be in between the crown and tooth?!

    • Bauer BryanDecember 31, 2017 at 4:14 pm #

      It’s possible that it stopped hurting because it died. It typically takes years after it dies to become infected and hurt again. The crown/tooth feeling loose may be the infection pushing the tooth out of the bone. Have a dentist take an xray and they will tell you.

  7. Marine WeissDecember 31, 2017 at 12:22 pm #

    Hello
    I got a crown 3 weeks ago, and I still experience some pain, it awakes me at night, but ibuprofen calm it down very quickly.
    I went 2 times to my dentist to check this pain but he didn’t see any inflammation or any problem on the X-ray.
    I progressively take less pain killers every 5 hours at the beginning vs 12 hours now.
    But if I don’t the pain is quite strong and still awakes me at night.
    I also have a tendency to grind teeth when I sleep.

    • Bauer BryanDecember 31, 2017 at 4:15 pm #

      I’m sure the dentists has checked the bite if you’ve gone back twice so I would think you need a root canal at this point. It might still settle down but in my experience ones that hurt that badly end up needing a root canal at some point.

  8. SHASHI KUMAR KODARIJanuary 4, 2018 at 5:40 am #

    Sir, I had a root canal treatment recently, just 5 days back. And its a premolar tooth. Is it necessary for me to have a crown on it. I have known that the crowns are just to add a look on to the tooth. Does the root canal which I had will get affected if I did not have the crown on it?

    • Bauer BryanJanuary 5, 2018 at 4:06 am #

      It’s not necessary but statistically you are more likely to lose the tooth from breaking it if you do not have a crown placed. I would personally definitely get a crown on a premolar with a root canal and recommend the same to family, friends, and patients no matter what. I wrote a blog on this topic as well https://www.bauersmiles.com/2017/11/need-crown-after-root-canal.html/

  9. Paula DJanuary 4, 2018 at 10:22 pm #

    Hello,
    I’m so glad I found this! I had a temporary crown put on and it was fine…no pain etc. I got the permanent crown and it was too high and caused me so much pain! It was over the holiday, so I went a week before getting it shaved down. My gum still hurts (but not as bad) and for four days now my chin outside where the tooth is located is numb! I asked my dentist and she had no answer, like it had nothing to do with what they did. Did the crown go in to my gum too far and damage my facial nerve?

    • Bauer BryanJanuary 5, 2018 at 4:08 am #

      No that’s not possible. Not possible at all. Give it another two weeks.

      • Paula DJanuary 5, 2018 at 2:24 pm #

        Thank you! I really appreciate your quick response. I was so worried.

      • Paula DJanuary 12, 2018 at 12:30 am #

        Update! Numbness is fading and I can eat again! It’s only been 6 days since this post, so 2 weeks is right on! Thank you!!

  10. Terry StinchcombeJanuary 6, 2018 at 7:56 pm #

    I had a crown placed on a molar in October and about two weeks ago it started aching.I failed to mention to the dentist that I wear Invisalign at night.( I had my teeth straightened about 4 yrs. ago) . The temporary crown felt fine but I couldn’t fit the Invisalign over the permanent crown.I went back to the dentist with my Invisalign and he shaved off some of the plastic for a better fit, it still didn’t feel the same as pre crown, he also said they would fit me for a new Invisalign if required.Could this be the problem or do I need a root canal,thank you.

    • Bauer BryanJanuary 6, 2018 at 11:46 pm #

      Get the new retainer. Could be issue but unfortunately it’s more likely that you need a root canal.

  11. Karen W.January 6, 2018 at 9:25 pm #

    These are very helpful comments to read, Bauersmiles. I, too, had a crown put on a back lower jaw molar a few days ago and the pain has been excruciating. They’ve ground it down once, but the opposing tooth seems to have come down again so it is touching. Have never had this issue with previous crowns (I’m 66). Rinsing with a hydrogen peroxide/ACT mouthwash takes away the pain for awhile, so am wondering if this positive result indicates an infection? My dentist says he will not even address pain issues for four to six weeks because it usually takes that long for the tooth to calm down. But again, the pain is unbelievable and the kind I have never experienced before.
    You are very generous to answer questions here. Thank you so very much.

    • Bauer BryanJanuary 6, 2018 at 11:53 pm #

      If pain is that bad I would get a root canal. My guess is there’s a misunderstanding between you and your dentist. I’m guessing he wants to give it 4-6 weeks to settle down but is not refusing to address the pain. If it is excruciating pain, and you tell him this again I imagine he will want you to get the root canal. We often want to avoid it as much as the patient does but at some point you must end the suffering and get the root canal!

  12. Heidi PJanuary 7, 2018 at 6:38 am #

    I fell on my front teeth 4 years ago. I only ever felt pain in my front right tooth and just recently got a root canal 5 days ago. The tooth is no longer sensitive to cold/hot, but it is still sore (even when I press my tongue on it) compared to the surrounding teeth. I still need to go back to my dentist to receive a permanent filing. Will the soreness go away? Will I need a crown?

  13. Linda GauvinJanuary 9, 2018 at 12:26 pm #

    Went to dentist for cracked tooth a few weeks ago. Had crown put on last week. He had to use alot of Novocain because of extreme sensitivity when putting new crown on. 6 days later the new crown came off! Immediately went back to dentist. (Yesterday). He did the Novocain again (just putting the topical on before the Novocain was painful) and put the crown back on. Everything was fine until the evening. Then I thought I was going to jump out of my skin the pain was so intense. What do I do now? I will call dentist and what should I expect him to do?

    • Bauer BryanJanuary 9, 2018 at 5:26 pm #

      Tell the dentist you think it’s time for a root canal. We have to go off of how much pain you are experiencing and we can’t tell that without you telling us. Plus we often try to save people the money and time of going through the procedure to a fault.

  14. Judy KnowlesJanuary 11, 2018 at 11:50 pm #

    Hi, I had an old crown and part of tooth broke off on Christmas. My dentist said he could restore the tooth and do a root canal and new crown. Well, I had the root canal, posts, and temp crown put on yesterday. All went pretty well as far as no pain. Just started feeling a little sensitive today around gum line. Then this evening I bit on a hard cookie and horrible pain shot through. Now , it hurts when I push my tongue on it and I’m afraid to chew on it. Do I need to call him back and have it looked at it, or does it just need time to heel. It is tooth #4. I am 75 years old and have other crowns and 2 implants. I haven’t had a tooth hurt like this after it was worked on.

    • Bauer BryanJanuary 12, 2018 at 12:07 am #

      Call dentist. Might have cracked it and that would be a problem.

  15. StephenJanuary 12, 2018 at 3:29 am #

    I have a crown on my back molar and what appears to be a canker sore on my mouth floor (same side / front). I drank some moonshine I bought last weekend and the sore showed up 2 days later. Then I popped the sore and I’m not sure if it’s coincidence or not but now I have pain in my teeth when I touch that spot. Is that possible?! My crown hurt so bad I couldn’t chew on it (2 days after popping the sore). Crown went on one or two years ago.

  16. Jenny DykeJanuary 12, 2018 at 11:36 pm #

    How long can it take for pain to go away after having a root canal done ?
    I had a root canal done 9 days ago and am due to have a crown put on after a month ie in another 2and 1/2 weeks . My tooth hurts when I bite on anything and I have a constant pain behind my right eye and into my ear on the same side of my face as the root canal when I lie down at night. Is this a sinus infection as well as the tooth recovering?

    • Bauer BryanJanuary 14, 2018 at 2:35 am #

      I tell may patients 2-3 days and that is usually accurate. I doubt your dentist will want to put a crown on the tooth if it is still in pain. The tooth could be fractured, the root canal could be ineffective, it could be another tooth, it could be sinus, and maybe other things. In another week you should call the office and tell them you are still having pain.

    • RachelFebruary 6, 2018 at 6:12 pm #

      Hi I had 2 root canal done 3 years ago …and only a week ago got a crown ..he filed down my tooth and put it in …it’s two font tooth ….all was well …then 4 days later I started getting a lot of pain ..comes and goes …not unbearable but still painful ….what should I do

  17. MaryJanuary 13, 2018 at 3:17 am #

    Hi, had a small fracture on my lower right side tooth & had a temporarily crown been in pain for the past few days that comes & goes. I have to go back on Monday to put on the permanent one. My question is this pain normal even my upper right side tooth’s are bothering too , pain was not there before. Need your advice.

    • Bauer BryanJanuary 14, 2018 at 2:40 am #

      The bite on the temp crown may be off. This happens often since you are usually very numb when work is done on a lower tooth and you can’t give us or tell us if the bite is right with the temporary. The dentist may adjust the temp and see if you feel a difference in your bite. If so then that was the issue and it will be fine. If not your dentist will give their thoughts based on how bad of shape the tooth was in when the piece broke off.

  18. Nicole TJanuary 13, 2018 at 8:14 am #

    I recently have 2 root canals on 2 very damaged molars back in October. The temporary crowns I had gave me no problem at all and everything was fine. When my regular dentist was fitting me for my permanent crowns, he mentioned that the endontist did an excellent job on the root canals. So I was pretty confident that they were going to be fine. Well I have had my new crowns for a little over a month now and they just recently started giving me pain but I only really notice it when I lay down at night.
    Last week I had a couple fillings in another area. I do think it’s possible that this could be caused by my grinding. I started my adhd medication back up and I‎t increases anxiety and night time grinding.
    I’m just worried that the root canals may be failing. I know there’s a lot of factors at play, but what do you feel is the most probably cause?

    • Bauer BryanJanuary 14, 2018 at 2:43 am #

      My money would be on the bite being slightly off somewhere. If you grind more, they’ll be more sore. Go back to dentist and have them double-check. I doubt root canal is issue but could be. Unfortunately if not the bite sometimes these things take awhile before we are capable of giving you an accurate diagnosis. Good Luck!

  19. Linda GauvinJanuary 15, 2018 at 2:22 am #

    Update and question. I did have a root canal on my tooth after crown had fallen off within 6 days and then put back on. The pain the second time crown was put on was unbearable so next day had the root canal. After having root canal endodontist said pain should subside in 2 to 5 days. I’m on day number 6 and when I bite down on tooth it is painful. I feel a pressure around the tooth but that is not horrible. Biting down really hurts. The temporary is on and I’m due for the reconstruction of the crown in a few weeks with my dentist. Should I go back to endodontist? He told me not to eat on it which I have not done but occasionally I just bite down. Do you think it is still painful due to so much work being done in a 2 to 3 week period? My face is still slightly swollen. Tech said gum was purple where all the novicane shots had been applied.

  20. LeslieJanuary 16, 2018 at 1:23 am #

    I had the permanent crown put on second wk of dec since than it’s been aching off and on I had two put on but only one is causing me pain I went for a cleaning dec 19th and they took X-rays and said where they have to pack it probably reason I’m having the pain it could take up to two months to settle down but the X-rays looked good but it’s hurts worse since getting the crown put on verses before they didn’t think I needed a root canal as of right now.. also will I lose this crown if I do need one??

    • Bauer BryanJanuary 16, 2018 at 8:02 pm #

      They saw you and possibly tested by tapping or blowing cold air on it so they would know better than I. Some teeth take a little longer to settle down but it should be gradually feeling better. Staying the same or getting worse means need a root canal. Also the crown will be saved, we usually just go through it for a root canal.

  21. CharlesJanuary 16, 2018 at 7:24 am #

    I have seen some very interesting comments but can’t seem to find anything that really falls in to what I am experiencing.

    3 years ago I had a root canal through a crown that was already on a molar. A small hole was drilled in the center of my molar and the procedure was completed. I then had the hole covered over by my regular dentist.

    3 years and no problems. Then November 2017 I felt my crown crack. I returned to the dentist and he suggested a new crown. I still had no pain.

    He removed the old broken crown and fit me for a temp. Still no problem.

    New crown put in middle of December 2017. I started to feel pain when chewing while away on holiday. No real issue with hot/cold but just chewing.

    A bit of a throbbing feeling started coming from the tooth.

    I had an appt with my dentist at the start of Jan 2018. I told him about the tooth and he took an X-ray. He said there was no infection. He said it was possible the crown would not work and I might need an implant .

    I still continue to have chewing issues and throbbing from the tooth. When I push on the tooth with my tongue it feels tight.

    Why would a tooth that had a root canal and now a new crown hurt? Shouldn’t the nerve be dead? If there is no infection and I had the root canal 3 years ago with no problems why would it be bothering me now with a new crown in place?

    I guess I’m just confused as to what exactly is hurting. If the root is dead—where is the pain coming from? And if my dentist says there is no infection what would I want to do next?

    Thanks for any information you can provide. I really appreciate your time and expertise.

    • Bauer BryanJanuary 16, 2018 at 7:45 pm #

      Common question and issue. Shortly – the pain is coming from the inflammation in the ligament attaching the tooth to your bone. You will not feel hot or cold because the tooth nerve is gone but touch and chewing usually hurt. Teeth that have a lot of work like yours eventually break. Meaning what is left of your tooth (mostly just root) has likely fractured. Unfortunately it is difficult if not impossible to detect right away. Often people will get root canals and crowns before it becomes severe enough for a dentist to accurately diagnosis. The tooth hurts because the area around the tooth connecting it to the bone is inflamed and or infected. My guess would be that when you broke the crown you also broke the tooth but it was not severe enough to be clinically evident. I have a post on cracked tooth and the difficulty we have detecting them. https://www.bauersmiles.com/2012/12/cracked-tooth-syndrome.html/

  22. AnonymousJanuary 17, 2018 at 6:46 am #

    Thank you so much for your response. It finally makes sense with your explanation.

    It sounds like I will be left with no choice and have to get an implant at some point.

    Again, thank you for your help.

    • Bauer BryanJanuary 17, 2018 at 7:20 pm #

      I think it’s highly likely you are correct with where you are headed – dental implant.

  23. Amy StewartJanuary 20, 2018 at 4:49 am #

    I have a front tooth that died years ago. It became infected (again years ago) and I got a root canal (my face puffed up…it was terrifying).

    Anyway, I never got it capped but it has yellowed over time and kind of bugs me so I made an appointment. I had my teeth whitened first (which HURT) and now I am scared of having the tooth filed down and a cap put on. I dont have a rational reason for this. It just scares me and I think it is also a lot of maintenance? The whitening was so painful I never want to do it again. And I dont want to file down my original tooth… But I dont like how yellow it is…

    How much do they have to file down? Do I have to keep whitening my teeth now? How often will I have to get the crown replaced?

  24. ErikaJJanuary 20, 2018 at 8:49 am #

    So glad I found this. I had a 15+ year old crown fall off of a vital tooth a few weeks ago. No pain associated at all. When the dentist put it back on for me he noticed that there was quite a bit of decay and very little cement left. Suggested we replace the crown at some point but it’s not urgent since it isn’t bothering me. I made the appointment to be proactive. He removed a lot of decay losing a lot of tooth structure and put two pins in to help hold the crown on when that gets placed. The following day I had electric type pulses (not necessarily pain) in my tooth 1-2 times an hour and then the following day it basically stopped. Then the third day out it started feeling sore. It is now he morning of the 4 day after crown prep and it hurts enough that I’d like to take something but I’m 6 months pregnant so I’m limited sonim trying to just deal with it. New crown will be placed in 3 weeks and dentist said we can use temp “cement” for a few months to see what the tooth is going to do before we permanently cement it. What is a reasonable time frame this to stop hurting or to make the call to have the root canal? Also keeping pregnancy in mind for whatever part that plays with pain and whatnot. Thank you so much for your time.

    • Bauer BryanJanuary 22, 2018 at 6:09 pm #

      It varies with a tooth like that. I am happy as long as the tooth is continuing to improve. Your dentists plan sounds very good to me. Sounds like you are in good hands.

      • ErikaJJanuary 22, 2018 at 6:44 pm #

        Thank you very much for your reply!

  25. JennyJanuary 21, 2018 at 12:44 pm #

    My regular dentist discovered a cavity under a large filling on tooth #’s 12 & 13 after a routine cleaning and said I would need a crown (existing filling was just too big). I went to another dentist to have this done because he was half the cost. During the procedure I became unnumb (I am a natural redhead who generally requires 20% more anesthesia) as they had to go subgingival. He said he was almost done and I felt like I was being held down and tortured. His assistant took the impression and made the temp. She dropped something on the floor, rubbed her nose with the back of her gloved hand and and messed with her hair twice before putting my temp on (which I am pretty sure what she dropped in the floor). I was given Percocet 10/325 for pain from the procedure (it didn’t hurt before I went in). I went back in 10 days to get the perm. crown placed. I began having a lot of sensitivity on #13 a week later. I returned to see the doctor and his assistant adjusted the occlusion on #13 and the opposing crown below it??? Now the tooth is absolutely hurting so bad that I feel like I need to go to the ER. I have finished the pain pills, Advil barely works, been doing exercises for Trismus (which is what the office manager said I had when I called back this week again), and have also tried salt water rinsing, oragel, almond extract and nothing works. This dentist has no emergency number-what should I do? This pain is radiating across my entire face. Breathing hurts but especially when I tap/touch the lingual cusps. Could the assistant have caused damage? I live in TN and am pretty sure assistants are not supposed to approve final occlusion??? Please help-this is literally killing me. Can’t eat or sleep or even talk!

    • Bauer BryanJanuary 22, 2018 at 6:14 pm #

      Half the cost is a huge red flag. If I was you I would go back to the “expensive” doc and get another opinion and then do what he/she recommends but stay in that office. Dentistry is very much under the umbrella of you get what you pay for. I am sorry you had this happen to you but in the future be aware of cheap prices.

  26. MarianaJanuary 24, 2018 at 11:53 am #

    Hello Bauer Bryan,
    Your helpful comments to others have inspired me to ask you a question about my crown. I had it done in October, top left hand molar. The tooth was cracked and had previously had a filling. Ditto the tooth below it. My dentist capped the top tooth and re did the filling of the tooth below, that tooth looks mostly metallic now. Both teeth are still very sensitive to hot and cold. After the crown I asked my dentist how long til they stopped being sensitive and he said it was hard to put a time on it. Now I’m scared to go back to this dentist and be told to keep waiting or be given bad advice (ie he won’t admit if he didn’t do a proper job). Should I go back there and have it checked again or seek another opinion? I’d gone to him months before complaining of sensitivity in that very tooth and was told I was fine, should he not have been able to see the crack/ predict the problem earlier? I’m not sure what to do, am terrified of needles and just want to avoid more trauma, just want this fixed… thanks so much, Mariana

    • Bauer BryanJanuary 24, 2018 at 6:15 pm #

      There’s no way to tell how bad a cracked tooth is or what it is going to need ahead of time. You need to go back. It might just be the bite is high, this is very common issue. However, based on your description I would bet one of the two teeth need a root canal. I base that primarily on the fact that it seems both teeth have had a lot of work done to them. Your dentist is trying to save you from needing a root canal. The wait and see advice is very good advice and much preferable IMO to over-diagnosising and telling everyone they need a root canal as soon as they feel a little pain.

  27. MarianaJanuary 25, 2018 at 12:10 am #

    Thank you, I really appreciate you coming back to me so soon. The dental work was very painful and I’m just scared, but it’s been months and something is definitely still not ok. I will go back and see what I need to have done. Thanks again!

  28. Kayla BursonJanuary 26, 2018 at 1:27 am #

    Hi Dr. Bauer,
    I got a root canal in October on my tooth in the very back top left. After he put on a permanent crown and everything has felt fine until this week. All of a sudden it’s sensitive to heat and cold and a little sore if I push on it. This is three months later. Would something cause this random flare up even though the nerve has already been removed?
    Do I need to make an appointment with my dentist, or do you think it will go away?
    Thanks for any insight!

    • Bauer BryanJanuary 27, 2018 at 4:49 am #

      Heat and cold sounds like it could be coming from another tooth. Go back if continues and dentist will test.

      • Kayla BursonJanuary 27, 2018 at 2:07 pm #

        Thanks so much! It oddly doesn’t hurt anymore, but I have an appointment on Monday afternoon, so I guess it doesn’t hurt to have it checked.

  29. KarynJanuary 27, 2018 at 12:07 am #

    Hello,
    I had a root canal and crown on one molar and just a crown on my back adjacent molars. This took 6 hours at the dentist. I had to be numbed several times and two days have passed still have some swelling on my face and it’s painful to che on that side. Is this normal?

    • Bauer BryanJanuary 27, 2018 at 4:51 am #

      6 hours is not normal for that amount of work but your symptoms are. If all settles down and continues to get better over next few days then no worries.

      • KarynJanuary 27, 2018 at 4:57 pm #

        HI Thanks for the reply. I was a first time patient and was just going in to check some recent work i had done at another dentist…so they fit me in ..that’s why the 6 hrs.. I was thinking it was alot of trauma to my face and gums and that’s why so much pain. I can chew soft foods today but anything hard is excruciating.

  30. ShawnJanuary 27, 2018 at 1:48 am #

    Hi, I had a crown put on over a fractured tooth last Monday. Dentist cleaned out an old filling and prepped the tooth. Permanent crown installed same day. Day 1 and 2 were mildly sore/tender., woke up during night 3 with some throbbing, took Advil and was fine for 14 hours now mild throbbing again. Sound normal so far?

    • Bauer BryanJanuary 27, 2018 at 4:53 am #

      I tell patients I want to see symptoms getting better day by day not worse. have dentist check the bite that is most common issue but needing a root canal is certainly not impossible. Good luck!

  31. Angelina GoodwinJanuary 31, 2018 at 1:16 am #

    I am having a root canal done on my right upper tooth, which is connected to a bridge. There was a hole in the crown. After 3 visits, and having the nerves removed, I can still feel sharp pain when the dentist probes it at the end of the canal. The x-rays don’t show that there’s any nerves left. What could cause the pain? The dentist doesn’t want to finish the crown and the new bridge and wants me to see an endodontist, which is very expensive. I have no pain other than when the tooth is being worked on. Couldn’t we just go ahead with the crown and bridge? Thank you so much!

    • Bauer BryanJanuary 31, 2018 at 2:09 pm #

      Listen to your dentist and see the endo.

  32. AmandaJanuary 31, 2018 at 8:55 am #

    Prepped for a crown and received temp on a back molar. She said the decay didn’t reach the nerve. The previous dentist had used a liner and I remember him telling me he used medicine to calm the nerve. Waiting on crown but I have a constant pain. (3/4 out of 10 scale) 200 IB makes it go away, but I need 2 a day. Doesn’t hurt unless I eat and use it. I favor other side but still. The temp crown is shorter just so I wouldn’t hit it. It’s day 6 of temp crown and it feels the same as day 1. Any way of fixing without root canal?

    • Bauer BryanJanuary 31, 2018 at 2:07 pm #

      A tooth with that much history of trauma to the nerve makes it highly probable that it will need a root canal at some point. I often tell patients that if there is pain after a week on a tooth that is iffy a root canal is highly likely in the next couple years and it’s easier to do it now before the final crown goes on.

  33. AnonymousJanuary 31, 2018 at 1:02 pm #

    Your webpage has been very useful and informative to me after capping. Thank you so much.

  34. EvanFebruary 2, 2018 at 11:10 pm #

    I had a root canal and permanent crown on an upper molar about 2.5 weeks ago, and ever since I’ve been having bite pain (only when I chew something like bread that covers a lot of the tooth). I went back after a week and did bite tests, and never felt pain once when he was testing in small areas so he said to wait a week or two and see if it gets better. It still hurts to brush the gums that had the root canal and I still have some sensitivity to hot and cold, but not as extreme or long lasting as before the root canal. Not really sure what’s going on. Hasn’t really gotten better or worse over the 2 weeks.

    • Bauer BryanFebruary 5, 2018 at 11:31 pm #

      Wait another week like they said. If the same then go back. It should either be getting better (hopefully) or worse (meaning something is going on)

  35. NastassiaFebruary 4, 2018 at 4:26 am #

    I had a root root canal done 6 months ago and a crown placed over it . Now the tooth with the crown has become increasing sensitive to hot and cold also when I apply pressure to it it hurts . So do i need to go back to the dentist because I think I just want to take the tooth out I hate this constant issue with it . I’ve paid thousands of dollars to still be having issue .

    • Bauer BryanFebruary 5, 2018 at 11:32 pm #

      While it’s possible that the tooth that had the root canal is sensitive to hot and cold, it’s much more likely that it is a different tooth nearby. Go back and let them test the teeth.

  36. claudiaFebruary 5, 2018 at 9:20 pm #

    Hi, I had two crowns done a week ago, one on top of the other one, the next day I noticed that my creek was bruised and it was swollen also the inside of my creek was very hurt. the dentist said that it was possibility of one of them maybe need to be a root canal. I went back two days later because the upper crown felt down but I really didn’t have that much pain, by Thursday night I noticed more pain and the swollen in my creek was bigger and the bruised was more noticeable, I called the dentist office and they told me to come in for Xryas again, I saw another Dr. there and she said that she didn’t see any infection in the tooth that he worked on but a very small infection in another tooth that I never knew needed work. She gave me antibiotics and I start taking them since last Friday the pain was worse and finally the pain went down until Sunday but I am still taking Tylenol & ibuprofen now I feel that my left side on my jaw line is kind of numbed and the pain is still there not as bad. Do you think he hit my nerve???

    • Bauer BryanFebruary 5, 2018 at 11:28 pm #

      Nerve? No. But sounds like you have a lot going on so I wouldn’t be shocked if you had bruising and swelling. Plus when numb you have bit your cheek.

  37. SarahFebruary 6, 2018 at 6:26 pm #

    I had a temporary crown placed 6 days ago. The first couple days I had a little throbbing pain here and there but now it is constant and getting worse. Ibuprofen does not help but icing my cheek does help a bit at night when trying to get some sleep. My bite is fine from what I can tell, I am not hitting it high or off, my mouth closes like it did before the crown was placed. Any ideas? Should I go back to the dentist?

    • Bauer BryanFebruary 6, 2018 at 6:28 pm #

      Go back to dentist to check bite.

  38. BethFebruary 7, 2018 at 10:13 pm #

    In your experience, about what percentage of patients have issues like the ones described here after getting a crown? And what percentage have no problems? (I have a lot of faith in my dentist—not worried about his skill or motives). Just curious how likely it will be that I’ll be back there sooner than I expect.

    • Bauer BryanFebruary 7, 2018 at 10:22 pm #

      I think nearly all have something for several days. My guesstimate is 10% have longer than that. And that is 10% that we aren’t thinking might have issues. Deep decay and teeth that hurt before we do our work it’s a much higher percentage.

  39. NetmouserFebruary 8, 2018 at 1:50 pm #

    Great blog. Can you help me figure this out.

    I was fine, then a filling fell out of tooth 2. Replaced with deep filling, then corner of tooth broke. Prepared for crown. Tooth 31 reduced to make way for crown above. Temp crown cut tongue, 2 days later the dental assistant could not get temp off to smooth and aggressively rocked the tooth with pliers and failed to remove. This caused shooting pain up inside tooth and throbbing. Symptoms continued next day, dentist then reviewed and cut off temp and replaced with new temp noting ill fitting first temp too snug. On Tylenol/Advil and 3 days later tooth 2 and 3 blew up in middle of night. It seems reduced tooth 2 and 31 left tooth 3 with all pressure and I can clench hard, so tooth 3 had shooting pain and throbbing. Dentist sent me to an endodontist. Result with second opinion was to have a root canal 2, then review 3 after. After root canal, 2 weeks later the final crown was installed.

    Long story short, from the beginning with the tooth 2 prep and rocking, I have had pressure and bite pain. This has not gone away after final crown, dentist said normal.

    Question – could prep and deep drilling have weakened tooth making crown very thin and brittle, then rocking make some kind of crack that caused symptoms of bite and pressure pain? I am just trying to understand given I had had good health.

    New dentist and new endo now treating me, seems much more carefully. Dentist fit me for a tooth guard, put sedative filling in 3 which also reduced it so teeth in that row are more even in height, warned may need crown as corner is now thin. Endo did 3-d scan and focuses on possible tissue after root canal in 2. Says perio and occlusion are OK. But symptom of pressure and bite pain began from the beginning when preparing tooth for crown, not after RC. Endo put me on antibiotics as first step to review in 2 weeks. Possible RC rework and if that fails, possible extraction of tooth 2. Tooth 3 may end up with root canal if ache continues after sedative filling. Did I mention tooth 31 below 2 is cracked. Not noticed until reduced for crown in 2. 31 will be reviewed later, but it did develop bite pain (I tried chewing on that side after install of final crown. I am back to only chewing on other side).

    Whew. How did I get from “no problems” to this? I think the deep new filling in 2 and rocking started the ball rolling.

    • Bauer BryanFebruary 8, 2018 at 5:45 pm #

      Could be. When we go in to fix something there is definitely a risk of “stirring” things up. I don’t agree with your assertion that you had no problem before though. If that was the case then you never would have needed the deep filling and the tooth wouldn’t have broken requiring the crown. That is water under the bridge now. For some reason some people will have multiple issues all flare up at same time in the same area. Not sure if it’s from localized inflammation or because teeth in the same area of been undergoing the same type of abuse for about the same amount of time but it happens and it sucks for everyone involved.

      • netmouserFebruary 8, 2018 at 5:58 pm #

        Thank you. I should have said I had no known problems for years. Of course, the filling fell out for a reason.

        • Bauer BryanFebruary 8, 2018 at 6:07 pm #

          Yes. That makes sense. Bad luck and your ball start rolling analogy is pretty much right on.

  40. NetmouserFebruary 8, 2018 at 1:51 pm #

    And thank you for the time to do this blog.

  41. Nancy CarrilloFebruary 10, 2018 at 4:14 am #

    Bauer Brian – Thanks for this informative blog & your time. A new crown was placed bottom left molar approx. 2 1/2 yrs. ago. Same crown cracked 2 yrs later last July & final replacement crown placed early Sept. 2017. New dentist had no explanation but I paid out of pocket full price since ins. only covers new crown every 5 yrs. Went from PPO plan to HMO plan Oct 2017 & began having pain in new crown in early Dec. HMO dentist referred me to HMO endodontist for root canal mid-Dec. due to pain. Endodontist’s opinion was tooth was fractured & left it to me to decide root canal vs. save money for implant. I wanted to try to save tooth so went for root canal which was done thru new crown & am having permanent filling put in next week. Meantime, 25% of tooth #4 on opposite side of upper mouth broke off last week. No pain, dentist filed down sharp edges but mentioned it “looked” like a crown. It’s not a crown, it’s a tooth which will now need a crown. Shouldn’t the HMO dentist know a real tooth from a crowned tooth? I’m concerned about HMO dental plan & quality of care plus I am wondering if the chemo I went thru( Cisplatin/Taxol high dose) for cancer in 2008 could be contributing to weakening of my teeth? Haven’t had dental disease in years & now they say I have cavities on front of teeth, need debridement, etc. is concerning. Should I just go with HMO or pay out of pocket for PPO consult or actual ongoing care? Thanks in advance.

    • Bauer BryanFebruary 10, 2018 at 11:41 pm #

      The economics for a dentist supplying HMO care makes it nearly impossible to provide great care. PPO can even be challenging. FFS is the most likely to result in excellent care but it costs even more. These are generalizations but are likely to be true, as the old adage goes “you get what you pay for.” https://www.bauersmiles.com/do-you-take-my-dental-insurance/

  42. DianeFebruary 11, 2018 at 5:00 pm #

    I’m 70. I had tooth , jaw and ear pain. I went to the dentist. He asked if I grind my teeth at night. Also mentioned TMJ. He did X-rays found one tooth with a crack and some decay but on the opposite side I’d my mouth. It never had pain. The right side where I had hot liquid sensation he tapped teeth and did air with no discomfort to me. He removed old filling and placed a crown on the tooth even though I had no pain. He did suggest I go to an endo to be tested for a possible root canal. He placed a temporary crown on the tooth to see if the pain settled down. It did settle down so he permanently affixed the crown. After this I continued to have tooth, jaw and ear pain. It took almost 2 months for pain to be gone. Also during The interim if this I had gone in twice for bite adjustments.
    Now I have an old gold crown from a very back molar come off. There was no pain or discomfort until he put the numbing medication non the gum. The medication went into the tooth and I had lots of pain. He proceeded to replace the crown. I could not use the same gold crown because there were two tiny decay spots on top and one the lower side of the tooth. The crown evidently had been leaking for a long time. He replaced the old one with a Ceric crown. So in continuing it’s been one week and I have been having a lot pain similar to the pain I had on the other side that is now better. Seems like this will Nobel’s another 60 days before it feels better! What are your thoughts on Ceric crowns. I now have 5 of them. I blame my teeth situation on a poor diet and lack of hygiene care when I was very young. I’ve never had root canals done. I’ve recently read that one should have the tooth removed as root canals most often are not done properly and that decay from root canals can lead to other problems in the body. One women who have had root canals have breast cancer on the same side as the root canal.Opinion?

  43. DianeFebruary 11, 2018 at 5:16 pm #

    Also, I am with a Medicare HMO for my dental. I pay the contracted amount which is about half of what the dentist normal fee is. It’s still very expensive. I have had 3 inlays and one onlay done with Ceric. It has cost me over $3000.00. Every time I go in to the dentist I see a new dentist! If I have one I really like he is gone after a short period of time. I complained that I want the same dentist each time I go in. They assigned me to the part owner so he won’t be gone the next time I go in. Are these other dentist fresh out of dental school and getting their training through this facility? Hen I found out that the co owner was treating me I told him how I felt. He said they are working on it. He has been there 4 years and said he is not going anywhere. They are all very nice people but they really push other products on me. Like a 4 hr. Fluoride treatment for $20 that I do at home. I said there is fluoride in tooth paste! No thanks. Also deep cleaning $800 which includes laser treatment . I have a couple #5 . I declined. I read that if you have#5 that those are the only teeth that need deep clean. Opinion?

    • Bauer BryanFebruary 12, 2018 at 3:11 pm #

      HMO offices will continue to have new dentists because no one wants to work there. To make any money they must push services on you that are not covered, inlays, deep cleanings you don’t need, and extra services. HMO practice model is bad for everyone.

  44. DianeFebruary 11, 2018 at 5:17 pm #

    What is FFS?

    • Bauer BryanFebruary 12, 2018 at 3:09 pm #

      Fee for service. A dental office that is not in network with insurance companies. A PPO plan allows you to see anyone and will still pay and HMO will not, that is the difference between those two. PPO plans allow you to see a FFS doctor but have a max they will pay that is often close to the fees at the FFS office. However, some cheaper PPO plans act more like an HMO plan where they pay such low levels if you go out of network you are forced to go to their docs.

  45. Jamie BFebruary 14, 2018 at 12:08 pm #

    Hi. I was wondering if you could comment on my situation. I had a crown and root canal done on tooth #30 (back right molar) last April, 2017. My dentist said eventually I would need a crown on tooth #31. I avoided doing so for about 6 months and did the procedure last Friday, 2/9. I noticed throbbing pain on tooth #30. I thought it must have been from tooth #31, but when my tongue touches tooth #30, I get a sensation and pretty confident the pain is in that tooth not further back. Now the throbbing and pain has intensified. Im going back to the endodontist who did the root canal. Is it possible #30 has bigger issues and #31 exacerbated it or does #31 need a root canal also? I have such sensitive teeth, especially my back molars. The opposite molar on left side has crown and root canal and depending on how I chew something hard, I get a shocking pain sensation. Im becoming less hopeful after every dental procedure. Thanks.

    • Bauer BryanFebruary 14, 2018 at 2:02 pm #

      My money would be on #31 but if #31 has inflammation and is hurting it will make #30 hurt too.

    • DianeFebruary 14, 2018 at 3:19 pm #

      I’ve never had root canal work. I do have lots of crowns on my molars. Actually all of them. I have found that it takes a long time ,especially the very back molars , to heel. The more trauma a tooth endures the longer the healing time. Sometimes it can take several months before complete healing. A root canal would be the very last resort and even then I might consider having the tooth pulled. Root canal are not safe and lead to future health problems if all the bacteria has not been removed. Something I just recently tried is CBD directly on the tooth and gum. The pain is gone!

    • netmouserFebruary 14, 2018 at 4:35 pm #

      Jamie, my case above is similar. But top row, tooth 2 had a root canal almost 2 months ago now, and has had bite pressure pain from the beginning when prepped for the crown, still has that. Tooth 3 had some of that and two weeks ago developed a constant strong ache, like last November when I woke from a serious clenching event. My dentist gave tooth 3 a sedative filling in hopes to calm it down and avoid a root canal in this second tooth. This also leveled the teeth in that row so tooth 3 no longer gets all the pressure irritating it from clenching, etc.

      When first to an endodontist, and also second opinion, I was told to not try to guess which tooth had the problem. Something about nerves are shared. A tooth in a different part of the mouth can hurt but not be the problem tooth, but referred pain.

      The new endodontist put me on an antibiotic for 7 days and I see him in a week for follow-up.

      The aching pain in tooth 3 seems tamed, a rare light ache here and there. Hopefully a “whew”, dodged that bullet. Never heard before of a sedative filling. Maybe if done previously for tooth 2, that may have prevented the root canal, angry it was not tried or suggested.

      For tooth 2, endodontist says may be some remaining tissue after root canal and may recommend a rework (another root canal with less rate of success and big cost). Since from beginning when prepped for crown, I’m betting on some hair line fracture from rough handling back then not showing on the 3D xray. Others say molars take long to heal so it may be a “wait and see”.

      I hate this. Meantime I’m chewing months now on the other lesser used side and some now light disturbance here and there. I’d hate for both sides to have issues and move on to all needing crowns with risk of root canals.

  46. Steve JangFebruary 15, 2018 at 1:26 am #

    Hello, I got a crown done in the upper right side, since that work was done, I have feeling pain/sensitivity in the teeth (or gum) below where the crown as well as around the crown, have been to the dentist 2 times for “adjustments”, however the sensitivity remains, am wondering maybe the crown isn’t of the right size and/or the problem is bigger than a simply “adjustment”..

    • Bauer BryanFebruary 15, 2018 at 3:35 am #

      Maybe get another dentist to check it out. Sometimes the problem has to get worse before we can accurately tell exactly what it is that is wrong.

  47. SimFebruary 17, 2018 at 5:51 am #

    Hi, I had tooth extraction (second tooth from the very back on the bottom left). That has been healing fine but the very back tooth next to the extraction was also causing me pain. My dentist said I needed a root canal and crown on that tooth. They began the root canal and put a temporary crown on and told me not to eat on that side and it was feeling better. I went back 2-3 weeks later (this past Monday, Jan.12th) and they completed the root canal and put on the permanent crown. I was told that I could now eat on that side with the permanent crown. I am now going on 5 days post but when I eat on that side, I have significant pain. I saw from your previous posts that the pain should only last a couple days. I don’t have pain unless I try to eat on that side. If I tap on that tooth with the crown it is sensitive and does hurt. I’m avoiding eating on that side due to the pain. Does this happen often and just need some extra time for healing? I thought that when they do the root canal it basically “kills” the tooth and I shouldn’t have any more pain? I left a message at the dentist’s office and was told to wait and see if it subsides. Thank you for any advise.

    • Bauer BryanFebruary 17, 2018 at 6:05 am #

      What they said is right. The tooth won’t feel anything but when you bite on the tooth, the tooth is attached to your bone through ligaments and they will still be inflamed and thus hurt if you push on them.

  48. SimFebruary 17, 2018 at 3:18 pm #

    Thank you. Any idea how long I can expect this to hurt before I can eat on that side or how long I should wait to go back to the dentist if it doesn’t go away?

    • Bauer BryanFebruary 17, 2018 at 6:02 pm #

      As long as you continue to see improvement then all is good. That is the key continued improvement means it’s slowly healing.

  49. SimFebruary 17, 2018 at 8:13 pm #

    Ok, thank you very much.

  50. netmouserFebruary 18, 2018 at 10:37 pm #

    Dr., can the issue be sensitivity to the cement? I see articles on this on the internet. I have a number of allergies. Is the right dental expert to analyze this a prosthodontist? Now two dentists, when I bring this pain up said to see the endodontist. But I think I need a “crown” specialist.

    My bite/pressure pain began with the original prep for the crown and install of the temp crown (cement). I never felt cold/heat pain when eating. Since pain did not get better – and I had some burning, throbbing then – over a month later I had a root canal and then final crown. Another month, and no change in this bite/pressure pain.

    The top of the crown has felt all this time some mild discomfort from my tooth brush, the sides of crown give a very slight ache when pushed by tongue. This feels within the crown above the gum line. Biting and pressure remains more intense and I can’t chew. I’m back at the endodontist this week after trying antibiotics, but this made no difference. None of several doctors said I had an infection. He says the only reason I’d now feel pain is the nerve tissue was “possibly” not all removed. He says perio and occulsion are OK. I don’t think it is an incomplete root canal as this began long before the root canal. I am left wondering about cement sensitivity and if that is possible, I don’t want a second root canal or extraction which may not be needed. How do I evaluate this further with the right expert?

  51. DianeFebruary 18, 2018 at 11:50 pm #

    The dentist can not tell anything for sure. It has been two weeks since my crown. I know it’s not the tooth. There is no tooth sensitivity. I started some neck exercises and took some cannibus to relax. It’s been 24 hours and no pain. I think the nerves get disrupted from shots and then severe jaw and muscle strain from holding the mouth open so wide. I also used warm moist heat on the jaw which also helped. Think about all the trauma as the tooth is being worked on. I had the same experience for a month and a half in Dec. on the other side of my mouth but not as severe.

  52. B. HartmanFebruary 20, 2018 at 4:34 am #

    I got one of my upper back teeth prepared for a crown 2 weeks ago and it’s still throbbing and heat/cold sensitive. I have to take Motrin twice daily to make it through the day. Is this normal? I will not get my permanent until March 1.

    • Bauer BryanFebruary 20, 2018 at 4:38 am #

      I would bet money you will need a root canal, but you could still get lucky. If you are seeing gradual improvement then you might be ok. If not then root canal will likely be needed.

  53. Beth CampbellMarch 1, 2018 at 9:15 am #

    Hi there.. I had a crown placed on one of my molars on top about 6 yrs or so ago.. the reason why is because the tooth cracked. My dentist had trouble finding the crack, x-rays revealed nothing, and him knocking on my teeth with his instruments didn’t hurt..after about 30 mins of x rays and tapping, he did a bite test and after having me bite down multiple times I finally felt the pain I had been feeling.. He said it was possibly a crack, but he wouldn’t know for sure until the crack either got bigger, or I had the tooth ground down for a prep for a crown. at that time it could have been found that I would need a root canal, he wouldn’t know for sure until after the prep.. I decided to try and save the tooth and consented to a crown. there was indeed a crack that he found during the prep of the tooth. the tip of the drill hit the crack and caused the cracked portion to bounce off the drill, if that makes sense… He then X-rayed again and said that luckily the pulp and nerve were untouched, nothing more then a crown was needed.. I’ve had no problems since that day. Until last week. I started getting jaw pain so I went to my dentist. he X-rayed the teeth on the left side (where the crown was) and said all the teeth looked healthy, I had slight swelling and redness around the crowned tooth at that time. He said it was possible it could be a sinus infection, something I’m known for , and prescribed antibiotics and pain medication.. The pain hasn’t lessened, and I’ve never had a sinus infection present that way, and I’ve had more then my fair share of them too. Now the tooth where the crown is hurts, and pulses, when I go near it with my dental floss or my electric toothbrush the pain is pretty intense. and the gums are tender above the crown.. My question is, could it be that the original crack wasn’t fully gone and continued to spread after the crown was placed? could it take 6 yrs before nerve damage can happen.. I’m a big dental hygiene advocate, my dentist is always amazed that I never have plaque on my teeth, I’m the easiest patient when it comes to the cleaning, they never have to o much.. I floss daily, I brush with sinsidine (sp) tooth paste due to sensitivity in my teeth. brush daily and use mouthwash.
    I simply cannot afford a root canal, and after having a molar on the right side crack off and was told it wouldn’t have survived a rootcanal anyway, I’m not too keen on trying a root canal with a tooth that already has a history of cracking. any advise you can give me would be great of what is going on? could it be a crack in the root? decay under the crown even though I took excellent care of it?

    • Bauer BryanMarch 1, 2018 at 8:10 pm #

      You don’t need to have a crack for the tooth to die. Eventually all cells die and in teeth they can give up at any time. So the trauma from 6 years ago can be enough to kill the nerve and it just took this long. If you can’t afford the root canal then I would wait a little longer to see if passes and if not or if gets really bad get the tooth extracted.

      • Beth CampbellMarch 3, 2018 at 2:44 am #

        thank you for the quick reply.. I wanted to know too, why this happened? I have taken excellent care of the crowned tooth. I’ve had bi-yearly cleanings, I floss daily, I brush well, I use mouthwash and still the tooth under the crown is dying? I thought that as long as you took care of it, that the crown would protect the tooth from decay

        • Bauer BryanMarch 4, 2018 at 5:09 pm #

          Do you have decay? Many teeth that have crowns end up needing a root canal do not even have new decay the nerve just dies. Crowns don’t prevent the tooth from further decay. Any area of tooth exposed or even those areas slightly under the gumline can still get decay. In fact those ares are MORE prone to decay because where the crown meets the tooth is never a perfect seal so there is always bacteria hanging out there, thus more likely to get decay there. There is nothing you can do to prevent the nerve from dieing. You can take steps to decrease the likelihood of decay like proper care and proper diet and fluoride but there is no guarantees in live.

          • BethMarch 5, 2018 at 8:37 am #

            There is no obvious signs of decay that dentist can see either on X-ray or visual exam

            • Bauer BryanMarch 5, 2018 at 2:46 pm #

              Then it likely just died. That is common and no way for you to prevent.

              • BethMarch 7, 2018 at 3:37 am #

                Thank you. They are checking for possible root fractures. But it was sadly, dead. I had it extracted and let me say that having a tooth pulled with a crown isn’t pleasant at all. I’ve had teeth extracted before and while not my favorite thing to do nothing was as hard to handle as having that one with crown pulled

              • BethMarch 10, 2018 at 2:16 am #

                I had the tooth pulled Monday. Pain is gone but still worried about possible dry socket. I’ve followed all my dentist instructions to the letter The clot formed great and has been getting steadily white film on it. Today it looks less black and more white. Does that mean I’m getting dry socket? Is that bone showing? I have a picture but have no clue how to upload it here

    • netmouserMarch 1, 2018 at 11:54 pm #

      Beth, my dentist tried a sedative temporary filling to calm nerves, reduce pain and avoid a root canal. I had escalating tooth pain that became permanent over the weekend. My issue seemed primarily strong clenching. After he replaced my filling with the sedative filling, there was immediate help. It is now 3 weeks after and I am still so much better. The filling was also packed between this tooth and the tooth next to it, helping the second tooth that had had a root canal and had bite pain. I am now closer to eating normally. At the visit to the eododontist – he said to tell the dentist to leave the sedative filling in a while. So the dentist is doing just that and in 3 more weeks I am scheduled to have a permanent filling. I just hope the calmed nerves stay calm after that.

  54. Beth CampbellMarch 3, 2018 at 2:40 am #

    the pain is lessening, thanks to 2000 MG of Amoxicillin Antibiotics for the past 5 days, but still tender when I brush (on the gum line above the tooth) and the tooth it self is still sensitive when my tooth brush hits it or any pressure is applied when I chew.. What’s really driving me nuts is that since it is crowned, there is NOTHING that they can see on X-ray with any certainty.. The crown just covers up everything. My dentist says that it’s very common to not be able to see any damage on a tooth that’s been crowned through x-ray, and that he’s been fooled more times then none with patients who’s x-rays on the crown tooth looked fine, but was packed with so much infection when he would extract or root canal the tooth. It just drives me batty that he won’t know for sure what’s going on with the tooth until he either pulls it or drills it. and then once he starts on either path I have to either follow through, or add the extraction price tag on top of the price tag of a root canal.. I’ve already spent $600 on this tooth as is.. It would tick me off to no end to spend even more and then have to have the tooth yanked anyway

  55. DianeMarch 4, 2018 at 6:25 pm #

    No disrespect sir but what’s the point in the root canal work if most often they fail. I know people that have had many root canals done. I’d rather think it would be better to pull the tooth than go through all the expense of root canals and failed caps here the decay can grow any way. Diet is a huge part of having healthy teeth as well as good hygiene. Stay away from sugar and processed foods people. You can actually reverse an inflamed nerve root by proper diet. I’ve had tons of dental work done and now I am taking a different approach to taking care of my teeth. I’m also looking for a holistic dentist who might be more conservative in treatment. I’m on week #4 with post cap on a molar pain. I began putting a B12 sublingual tablet between the gum and tooth that hurts The pain goes away!

    • Bauer BryanMarch 4, 2018 at 7:46 pm #

      The success rate of root canals is very well established at around 90% for 10 years so I’m afraid you are mis-informed. However, one is certainly free to just pull the tooth and either go without or get a dental implant that has around a 90-95% 10 year success rate.

  56. DianeMarch 4, 2018 at 6:31 pm #

    In addition to my previous comments lots of people grind their teeth. I have this problem so now I use a night guard. I’ve had Ceric crowns put on molars and then the tooth below it has a problem. My understanding is that Ceric crowns hit with much more force than a gold or other metal. Crown. Ivey had one Ceric crown filed down 3 times.

    • Bauer BryanMarch 4, 2018 at 7:48 pm #

      No. Cerec crowns are usually lithium disilcate and wear rates are similar.

  57. Blake BorougerdiMarch 6, 2018 at 6:29 am #

    My molar needed a crown and when they put the crown on it was way more sensitive to liquid and chewing than when i had the temp one on. But i originally came in because i thought lil piece of filling broke and i could feel slight sensitivity in the tooth. When i went in they drilled and put the temp crown on. He never gave me xrays. Then i just got the perm crown put on. im thinking he could of missed an infection maybe? Its been 4 days since i got the crown put on. Should i wait to see if it gets better? Its really sensitive to hot and cold.

    • Bauer BryanMarch 6, 2018 at 6:45 pm #

      A tooth that is slightly sensitive before the crown is much more likely to become an RCT after the crown. You need more time and as long as getting better every day then that is good.

    • BethMarch 7, 2018 at 3:33 am #

      When I had my crown it was sensitive to cold with temp crown only. But temp crown is very thin metal. Once the perm crown was placed and my bite adjusted, I felt nothing up until it died. I will say having a tooth pulled that has a crown on it is not the least bit pleasant.

  58. Bijan TeheryMarch 7, 2018 at 6:53 pm #

    Good day,
    In December I started having pain in one of my molars. My Dentist placed mediction on it for few weeks, but the pain didn’t go away. we agreed to do a root canal. he started the root canal. he told me that there were 4 roots. while doing the root canal, part of my toot cracked (while chewing food). Basically half the tooth was gone. My dentist said that we will be able to save the tooth(the remaining part). he finished the root canal. then placed a base (Don’t exactly know what it was called) where the cracked part was. then he finally placed a crown on the tooth. the tooth still hurts. Should I wait for the crown to set in, or there is something else wrong with the job he has donw?
    I would appreciate your response.

    • Bauer BryanMarch 7, 2018 at 7:55 pm #

      Cracks are tough to deal with because they are unpredictable. I have had teeth I thought would never be able to be saved that have lasted for 10+ years and counting and I have others that I didn’t think would be an issue at all that then later needed an extraction. What I often do on iffy teeth is prepare it for a crown and permanently bond on a temporary tooth. Then leave it for a year or so. I charge a small fee for this, usually around $150, and if it works I put that money towards the final crown. If it doesn’t then the person didn’t spend all the money of the final crown on it.

  59. Bijan TeheryMarch 7, 2018 at 8:32 pm #

    Thanks for such a quick response.
    Would the process of doing a root canal cause the teeth to crack or break?
    my dentist did the root canal in 3 sessions. after the first two sessions, my tooth cracked while I was eating a cookie.
    Also now that the process is done, and the final crown has been placed, do you think the crack is the main cause of the pain, or the root canal wasn’t done properly?
    should I wait few days for the crown/teeth to settle in or see my dentist again?
    And again, thanks for your quick response.

    • Bauer BryanMarch 7, 2018 at 9:58 pm #

      My money would be on the crack. It is unfortunate but it happens. And the worst part about it is it usually happens right after someone has just gone through the time and expense of a root canal. I’ve had patients get root canals and then crowns and then have the crack become worse a few months later and hurts again. That’s even worse for everyone involved.

  60. Bijan TeheryMarch 7, 2018 at 11:12 pm #

    Thanks very much for your response.

  61. AngelaMarch 8, 2018 at 6:19 am #

    Through X-rays a crack was identified and told I needed a crown. I got a 2nd opinion who concurred, so I had the crown done. #30 molar. I’ve had ongoing pain and had 2 adjustments with my dentist. Pain was so bad in the beginning that it would wake me up and keep me up at night. It settled into more of just an irritation, except when I eat – that is still a sharp shooting pain. Now 3 months later I still cannot eat on that side of my mouth. New X-rays show a gap in the crown (like maybe some of the cement washed out) and a tap test on the tooth proved more than unpleasant. Dentist said that there is no infection, but I have a high reaching pulp, and it’s likely irritated and starting to die, recommends root canal and a replacement crown. This information from my dentist sounds right. Looking for validation that 3 months is long enough to wait for it to settle down? This should be my course of action at this point?

    • Bauer BryanMarch 12, 2018 at 5:38 am #

      Dentist is right. Listen to them.

  62. AmandaMarch 8, 2018 at 6:21 pm #

    My previous dentist retired and I had to find a new one. Went to the new one and he did a crown on a tooth that had a large filling and some new decay. I was shocked to have his assistant fit the temporary (she had a tremendous amount of difficulty doing this and even with nitrous it was excruiatingly painful). My previous dentist did all the work with the assistance of his dental assistant. Now I am experiencing sharp pain when I drink anything cold. Is this normal? I never had this with previous crowns. I do not return for the permanent crown for a few weeks.

    • Bauer BryanMarch 10, 2018 at 11:33 pm #

      It’s normal in many states to have the assistant make the temp. It is in Illinois and my assistants make most of the temps. It is not unusual for teeth to become sensitive in the situation you are describing. It is not unusual for teeth like that to end up needing a root canal after we prepare it. You need to wait awhile before you know for sure but a root canal is a definite possibility based on your description.

  63. Jaime YoungMarch 8, 2018 at 9:51 pm #

    I had a crown placed about 8 months ago. I do not have pain, I have sensitivity. I do not chew on that side of my mouth. If it isn’t painful, should I wait it out and see if the sensitivity subsides?

    • Bauer BryanMarch 10, 2018 at 11:34 pm #

      You can but I wouldn’t. After that long you need someone to look at it.

      • Jaime YoungMarch 11, 2018 at 12:42 am #

        thank you so much for the reply! I will have it looked at again.

  64. BethMarch 11, 2018 at 1:44 am #

    Had a tooth extracted Monday simple extraction when am I out of the woods for developing dry socket

    • Bauer BryanMarch 12, 2018 at 5:32 am #

      3 days after

  65. GeorgeMarch 11, 2018 at 7:20 am #

    Last July, I had gum lengthening, root canal, a post and ceramic crown put on. The Crown fell off two weeks later and tooth hurt. After the frown was off for a month, the tooth felt fine as it was. However, the endodonist did a redo of the root canal to insure I wouldn’t have pain? Following the re-do of the root canal, a new carbon fiber post was put in and then the Dentist ground down the tooth for the second crown. It seem the Debtis ground off a lot of what was left of the tooth. She then put on the new ceramic crown. Now, seven months later, if I floss or water pick between the new crown, it feels like I hitting raw nerv and the pain is bad. The gun seems to swell and the root area hurt for two or three days. I treat it with peroxide until the pain quotes down. My belief is the dentist took off too much tooth and the ceramic crown is sitting into the gum tissue and when I floss or waterpick, it causes the tissue to hurt bad. I normally have no pain if Zi nite down in the crown. But once I floss and waterpick it hurts like crazy. Thoughts?

    • Bauer BryanMarch 12, 2018 at 5:52 am #

      Sounds like they were trying everything to save this tooth and maybe in retrospect should have just thrown in the towel and given up on it. My guess would be tooth is fractured, the contact between the crown and other teeth is open (meaning floss doesn’t snap through but falls through), or you need even more aggressive crown lengthening.

  66. MaggieMarch 12, 2018 at 2:54 am #

    I had a root canal done about 5 years ago. Due to certain life events I was unable to have a crown put on. Two weeks ago I was able to have a temporary crown put in. It was perfect, no pain, no issues whatsoever. Then about 2 weeks after that I had a permamant crown put in. While removing the temporary crown my post “fell out”., i was advised this happens sometimes. The dentist put in a new post and said that the crown “still fit”. There were no xrays done to confirm there was no other damage from the post falling out. The next day i was in some pain, which came and went. At night the pain was really bad, there is a lot of pressure an my gum looks inflamed/purpleish on the inside of my mouth. It has now been 4 days and the pain is still there, eapecially at night. I also notice that when I floss there is a bump of where the crown ends and the root begins, almost as if the crown is too narrow. Is the crown not fitted correctly? The pain is more like a burning/pressure feeling.

    • Bauer BryanMarch 12, 2018 at 5:53 am #

      Go have someone else look at it. Usually an x-ray is taken to confirm fit.

  67. netmouserMarch 12, 2018 at 1:02 pm #

    If after a crown is placed, and the the only pain that continues after several months is bite pressure pain, and you can’t eat on that side, is that alone a reason for a root canal? Assuming the dentist and second opinion have no other options.

    • Bauer BryanMarch 12, 2018 at 5:14 pm #

      Yes but the tooth may have a crack that nothing can help and unfortunately there may not be any good way to tell you that with 100% confidence.

  68. ArtMarch 15, 2018 at 3:16 am #

    Question: it’s been six days after my crown. i’m experiencing pain 2-3 out of 1-10. What steps will the dentist take to determine my problem ? will an X-ray show nerve damage or will he have to remove crown and check ?

    • Bauer BryanMarch 15, 2018 at 4:27 pm #

      That’s fairly normal. X-rays won’t give any information for a long time.

      • teresaMarch 15, 2018 at 5:33 pm #

        Thanks for providing advice in this manner. It is really helpful.
        Would you mind clarifying (re your response to Art) what part is normal –experiencing the pain after six days or removing the crown?
        I ask because my dentist put a crown in two weeks ago and I still feel some pain when I chew hard foods (I can manage soft foods). I also feel sensitivity to cold beverages and foods. Is two weeks too long a period for this discomfort to be persisting? Or should I wait longer to see if it diminishes ?

        • Bauer BryanMarch 15, 2018 at 10:34 pm #

          Normal for a low level of pain. It should be slowly getting better over time. If seeing improvement over time then no worries

      • ArtMarch 26, 2018 at 5:26 pm #

        Went to dentist. She scheduled me for a deep cleaning to see if that resolves crown pain. I’m doubtful though. Hurts when I floss crown or even use water pick low power. When I press side of crown I have pain. Pain comes and goes during the day. Should I just go back and complain some more and not wait for deep cleaning. Your thoughts ?

        • Bauer BryanMarch 28, 2018 at 10:19 pm #

          Might be worth trying the deep cleaning. Hard to say for sure though but a deep cleaning is a more conservative method.

  69. Esther Onderi OnkobaMarch 19, 2018 at 3:39 am #

    It’s been 4 days since I had my root canal and I’m still in pain. Is this normal?

    • Bauer BryanMarch 19, 2018 at 3:08 pm #

      Not abnormal. Should start to get better everyday.

  70. Dan The ManMarch 19, 2018 at 4:28 am #

    Hello,
    Seems like you are actively responding to questions. Appreciate you taking the time to do so. Very informative.
    My scenario was I am a severe grinder, far back molar got sensitive when I ate anything. Dr said I needed a crown. Had crown installed. The temporary crown phase was very comfortable. When permanent crown was installed I was very sensitive to cold, decided to give it a couple of weeks for my gums, nerves, etc to calm down and sensitivity and discomfort did subside. Now all of a sudden out of nowhere my crown started hurting, nothing excruciating but definite pain. Is this normal??

    • Bauer BryanMarch 19, 2018 at 3:13 pm #

      Sounds like heading to a root canal. Grinders often break or crack teeth. By the time they get sensitive putting a crown on it is not always successful. You need a crown so it is always the first step as it is more conservative.

  71. Sharon McmurdoMarch 19, 2018 at 2:08 pm #

    Hello. A large chip fell off the side of my molar 8 weeks ago and i started experiencing dull throbbing pain, taking tylonel 4 to 5 times a day. Xrays looked fine, dentist put temporary crown and finally new crown which didn’t fit. So is about to replace it this week. I stiĺl take 4 to 5 Tylenol per day for the dull pain from the tooth that extends up to the ear. So, I worry that when she finishes the crown work , the pain will still be there because it originated when I I initially chipped the tooth. Do you think I might need a root canal? Even though my gums look fine and exrays show nothing. Is this a nerve problem?

    • Bauer BryanMarch 19, 2018 at 3:15 pm #

      Root canals are needed based on clinical symptoms as much as any on the xray. Continues pain means you need a root canal. Some settle down but if it hurting for weeks at a time then you almost certainly need a root canal in addition to the crown. Ask your dentist, they will usually run some tests like putting something cold on the tooth.

  72. OmaidaMarch 20, 2018 at 7:47 am #

    Hello, I recently broke an old filling on a back molar about a month ago. The dentist fixed it and put a temporary crown. I went back with pain, a different dentist sealed the bottom because it wasn’t covered properly. I wasn’t sure if it was that tooth or the one next to it. She blew air on it and it hurt really bad. She sealed it and I was fine. Had my permenant crown put on having the same issues again. Dentist says it’s just over sensitive and needs time to settle down. It’s been a month and It still hurts to even brush it. Anything touching the bottom. The two teeth forward from it are also very sensitive, there is a small space between the crown and my gums and if I touch it with my nail it hurts, and so do the other two. Cold makes them all throb, may my crown be too short? And causing sensitivity to the others? And why are my other teeth so sensitive now? I’m taking ibuprofen and also being awaken my pain. Teeth do not hurt when biting down, just cold or brushing. Confused.

    • Bauer BryanMarch 20, 2018 at 4:22 pm #

      Maybe get an opinion from someone not at that office. And try someone that is out of network, they are more expensive but many times you get what you pay for. Since you just need an opinion won’t be too expensive.

  73. CassieFranklinMarch 21, 2018 at 4:49 pm #

    A tooth with crown has bite – pressure pain. Only symptom. Root canal made no change. No infection. Later a dentist said possible sinus issue, thin separation and area could be bruised.

    At the beginning, the tooth had been sharply rocked when dental assistant tried removing temp crown (dentist cut it off). I heard crunching and felt pain. 3D x-ray shows nothing specific and I understand it would not show hairline crack. 3 months later, chewing is now more a discomfort than sharp pain with only firmer food chewed on other side.

    Is sinus bruising likely, is that common, how might this play out?

    • Bauer BryanMarch 22, 2018 at 3:39 am #

      Sounds like crack to me. Very tough to diagnosis until crack is bad.Cracked tooth

  74. ClaireMarch 23, 2018 at 9:09 pm #

    Hi, glad I found this site! I hope you can alleviate my worries!
    I had severe pain under a 10 year old root canal and crown that turned out to be an infection (diagnosed via X-ray). My dentist destroyed the old crown, re-did the root canal and put in a new post and build up. To that point all pain had subsided. Today, I had the new crown fitted and it felt great, for about an hour. Now I have pain along the jaw top and bottom (the treated tooth is a top left molar). Could it be that because I didn’t have a temp crown for 2 weeks (just a gap) that the pressure is aggravating something? He adjusted the bite and it definitely doesn’t feel too high at all.

    • Bauer BryanMarch 26, 2018 at 2:13 pm #

      How does it feel now? If starting to settle down then no worries, if getting worse may be an issue.

  75. Clare BoothMarch 24, 2018 at 1:46 am #

    I had a crown yesterday over a tooth already heavily filled. Was told nerve damage could occur but root canal not possible. Teeth hurt a bit whilst waiting for the crown but put on anyway in hope it would settle. I’m now in agony. Solution is to remove the tooth. I can’t cope with the current pain. Is it likely to improve or should I go tomorrow and have it taken out???? Help.

    • Bauer BryanMarch 26, 2018 at 2:12 pm #

      Get another opinion.

  76. Bryan BlountMarch 24, 2018 at 10:21 pm #

    Hello. I was having some jaw pain olso I was afraid I was going to be losing another tooth. I called my dentist so he had me come in to take a look. It is my left top back molar and he said he could save it. I was already planned for a crown on that tooth so he went ahead and did it. He gave me no indication I would need a route canal. It’s been almost 2 weeks and I’m still having some discomfort. Not really sensitive to heat or cold and the gums aren’t sensitive. Just kind of a dull pain in the tooth. It doesn’t really hurt to chew, but I know the tooth is uneven and my bite is a tad off. I’m curious if I will need a route canal after all or if this is normal for the discomfort. It was a large cavity and the crown appointment was pretty uncomfortable.

    • Bauer BryanMarch 26, 2018 at 2:11 pm #

      Sorry that is really not enough info to tell you much. It sounds like you are in a gray zone where you may end up needing one but no one will be able to give you a definite answer yet.

  77. Kayla SmithMarch 25, 2018 at 6:40 am #

    I had a root canal done 2 months ago today. I felt fine afterwards. The Endodontists explained I could possibly need crown lengthening. My dentist stated he had not heard good success rates about crown lengething and thought I would be able to get by without it. My dentist placed the temporary crown 6 days after my root canal. I had some soreness, but it was well managed with ibuprofen. However, I had my permanent crown put on 2 weeks ago and the pain is getting worse. My gums are extremely sensitive to even gently brush and the tooth just aches and sends sharp pains (what feels like all the way down to my jaw bone). I still cannot eat anything on that side. The tooth isn’t hitting as I can clearly see light through the other side when I use my flashlight. I have tried to endure the pain but I am beginning to become concerned that it’s getting worse not better. I would greatly appreciate your advice on this as I do not want to be a bother to my dentist if this is normal. If you could also shed some light on what the crown lengthening procedure is and if you recommend it I would greatly appreciate it. Thank you in advance for your time.

    • Bauer BryanMarch 26, 2018 at 2:07 pm #

      I’m not sure what you are doing with a flashlight but that is a waste of time. Go back to your dentist. Sometimes teeth shift slightly after a new crown and a space opens in between and food gets in and hurts. You can test this with Glide floss. It should snap through, if it doesn’t then that is your issue. I’ve personally rarely found the need to do crown lengthening so I’m sure I would agree with your dentist.

  78. netmouserMarch 26, 2018 at 3:07 pm #

    What is a crown lengthening? When is it needed? Is is just extending or changing the shape of a crown with composite filling or something?

  79. Daniel MartinezMarch 28, 2018 at 12:47 am #

    Hello, I recently had a root canal done 2 weeks ago on a horizontal cracked molar. The dentist said I had two options either I have a root canal to try and save the tooth OR extraction. I right away went for an extraction, but he convincined me to get a root canal to try and save the tooth. I went ahead with the root canal and had a crown put in less than a week ago. The right side of my jaw is very sensitive to presume (I’m thinking it’s the crack) when biting down on foods. Just yesterday, my right side of my face it warm and my ear aches. When the dentists performed the root canal he said there was a small infection and treated it with antibiotics. When I went back to see the dentists for the crown, he opened up the tooth again and confined there were no signs of infection and he airigated the tooth. Should I allow more time for it to heal??? I just don’t want an infection to form.

    • Bauer BryanMarch 28, 2018 at 9:50 pm #

      Double check bite is right

  80. ElenaMarch 28, 2018 at 5:51 pm #

    Doctor, I need one more advice. Second opinion confirmed that I have a crack in my tooth because it hurts when I bite at appropriate angle. X-ray did not show any inflamed roots. During second opinion endodontist asked to bite plastic thing to determine where pain is coming from. The next day I felt this tooth on and off.

    Right now it settled down more or less. Should I proceed with doctors’ advice and install a crown? Or should I just do root canal up front to avoid drilling through crown in future? Or this is a wrong way to pursue – to do root canal beforehand? What would you do?? Thank you very much in advance!

    • Bauer BryanMarch 28, 2018 at 9:54 pm #

      Get the crown and leave it in a temporary for longer (couple months maybe) then if you feel ANYTHING do the root canal.

      • ElenaJune 8, 2018 at 8:17 pm #

        Doctor, I did exactly as you advised! Put on temporary crown – strong pain – did root canal (this is #14 tooth). Was hanging out with temporary crown until root canal healed – then put on permanent crown. Everything was all right for about another 2-3 weeks. And now I feel pain again when I push on it! Showed up to my dentist. He checked and polished tooth but said that I need to get back to root canal doctor.

        I scheduled for Monday. What to expect?! I am devastated. I spent $1500 for root canal and $1300 for the crown. Plus consultations. Plus sufferings. Does this mean that I need to expect tooth extraction and implant? ((

  81. ZaraMarch 29, 2018 at 12:11 pm #

    Sir, I have got gum line decay in all my chewing tooth on both the sides. I got it filled but fillings are getting removed. My dentist has suggested to do root canal along with crowns for all the decayed tooths. Sir, I am little worried that whether crowns can be safe throughout life. Or still the tooths will start decaying under the crowns also.

    • Bauer BryanMarch 29, 2018 at 2:22 pm #

      Get a second opinion.

  82. ZaraMarch 29, 2018 at 3:17 pm #

    Sorry sir, I could not understand. Can u please explain me

    • Bauer BryanMarch 29, 2018 at 3:30 pm #

      Go visit another dentist and see what they think. The issues you describe need to be seen in person and something doesn’t sound quite right.

  83. ElenaApril 3, 2018 at 6:13 pm #

    Doctor, I have one more question! 2 months ago (!) I did root canal. The sharp pain is gone. But when I am tapping on the tooth with tooth brush or doctor with instrument I feel pretty sensitive steady not too sharp pain. Doctor who did root canal said that ligaments are hurting and have more patience, wait.

    Second opinion root canal doctor said that socket is painful, wait. My dentist put in permanent filling but we are waiting with putting on a crown. How long to wait? If the situation does not improve, what endodontist can possibly do? Xray shows perfectly done root canal? I am lost. Thank you very much!

    • Bauer BryanApril 3, 2018 at 6:52 pm #

      Did anyone do a 3D xray yet? Some teeth have anatomy that can never be fully cleaned and thus they are never perfect. I would get 3D xray and then if nothing weird shows up then decide to either get a crown knowing that it’s possible it will have issues or just give up on tooth and keep until breaks and get an implant.

  84. RileyApril 4, 2018 at 11:28 am #

    I got a crown on January 10th. The reason for the crown was an old childhood filling had cracked, but it didn’t make sense to replace the filling as it was about 70% of the tooth. Since getting the crown I have had cold sensitivity. I never had any sensitivity on that tooth before, even though the filling was cracked. I have two other crowns and this type of sensitivity has never happened before. The dentist ‘s office said to wait a bit but it’s now April and it’s still sensitive to cold. What’s strange is it’s not all the time. Sometimes I can eat something cold and it’s fine. Other times it’s bad. The other day I was breathing in cold hair outside through my mouth as I had a stuffy nose. The cold air on the crown hurt worse than eating something cold. Is it likely it needs a root canal?

    • Bauer BryanApril 5, 2018 at 3:06 am #

      Chances are you need one but you could probably get by without for a long time, you would have to deal with the pain though so unless money is tight just do the root canal and be done with it.

      • RileyApril 5, 2018 at 3:46 am #

        Thank you!
        Just to clarify, when you say I could get by for a long time. Wouldn’t it make things worse if I wait? I certainly don’t have money to blow right now so waiting would be ideal, but I dont want to wait and make things even worse.

        • Bauer BryanApril 5, 2018 at 3:58 am #

          Maybe. That is the chance you take. So right now the tissue inside the tooth is inflamed and you feel it as pain when something hot or cold touches it. One of two things will happen (how quickly is anyone’s guess). The tissue inside will calcify and eventually there will be so little tissue left you won’t feel anything. As long as that tissue stays alive you are all good. however, if it calcifies and you need a root canal later in life it will be harder to complete. The second thing that can happen is the tissue can die and the pain will go away, for awhile. Once it dies it will eventually get infected and the success rate of a root canal drops. There is no right answer because no one knows for sure if the tissue will live or die or how quickly.

          • netmouserApril 5, 2018 at 12:15 pm #

            Really appreciate your answers on this blog. Good to hear explained how something might play out, to help decisions. People need a second informed opinion like this, maybe more! Also appreciate having risks explained, and that sometimes one can not be sure of an outcome. And there are choices, some might be better than others.

          • RileyApril 5, 2018 at 2:39 pm #

            Thank you again for taking time to explain. It’s very helpful to get a free second opinion instead of jumping from dentist to dentist just to get some answers. Much appreciated.

  85. AllenApril 4, 2018 at 7:22 pm #

    Hello
    I got 2 crowns done 5 days ago, one of them is sensitive too hot and cold and hurts when I tap on the tooth with my finger however, prior to the dentist putting on the crown he blew air on the tooth and it didn’t hurt.

    • Bauer BryanApril 5, 2018 at 3:03 am #

      Why are you tapping it with your finger? Just stop that. The temperature sensitivity could be bite related so go back and see dentist if not getting better.

  86. ZachApril 5, 2018 at 2:22 pm #

    Hello, have a question. I had a root canal done a couple of years ago on tooth #3 and I just now got a temporary crown put on it last week (I know I shouldn’t have waited, but I had a lot of work done at the time and there was too much to tackle at once.) The tooth was doing absolutely fine and pain free up until I had the temp put on. It wa sore for the first day after but then started intermittently throbbing. The pain continued for a couple days to the point that I couldn’t sleep and I went back to the dentist. I was told it’s possible that some cement had gotten under the tooth and caused and inflammatory reaction in the gums. The area was cleaned out and the temp was reapplied. After that the tooth was fine for the first day and again the throbbing started intermittently. It has been this way for a couple days now. The tooth is very cold sensitive, but does not hurt right away with cold. It takes about 20 seconds to hurt and then throbs for a couple of minutes. At this point I’m guessing it’s going to need a root canal retreat and I have an upcoming appointment, but I would greatly appreciate any comments or advice.

    • Bauer BryanApril 5, 2018 at 4:13 pm #

      Cold sensitivity is not a likely symptom of a tooth that had a root canal. Here are a few things I would be thinking if you were in my chair. I would test all the teeth in the area for cold sensitivity. Working on one tooth has the unfortunate effect of sometimes make a nearby tooth that is borderline all of a sudden flare up. So first would be to rule out that the pain is in fact #3. Next, and this is by far the most likely issue, is it something to do with the temporary; bite too high, temporary cement bothering gums, bad fitting temp bothering gums, contact between temp and teeth open and food getting stuck in between and irritating the gums. Finally on to the tooth – did it fracture – maybe but unlikely. Did they get all the anatomy in the first root canal? Tooth #3 almost always has 4 canals and most dentists have been trained only 3 exist (I was in school). The fourth one is tiny and hard to clean but is the #1 reason for failure. You can see what 4 canals of a root canal look like here If only 3 were filled the fourth could possibly be feeling cold and be what is causing your problem, but I doubt it. My guess would be what they guessed and cement or something from temp crown.

  87. AmandaApril 6, 2018 at 7:39 am #

    Hi,
    I have a question as well. My back two bottom molars on the left side each have crowns on them, as one cracked last year due to a previous deep filling and the other one also had an extensive and deep filling my dentist said would likely soon weaken and potentially crack. He said I should go ahead and get the crown done with the presently cracked one. One of them had a root canal on it, but not the other, as it wasn’t causing me pain or any other issue. During the filing down of one of the teeth for the crown, the furthest back caused me extreme pain. I went through two rounds many shots a piece to try and get it numbed and I heard him saying that he hoped my root wasn’t fractured because it wouldn’t be good. Eventually after many shots directly onto the gum where it met the tooth, it was numb enough to continue and suffer through it, but still mildly painful. He said he thinks it was just a “hot tooth.” Now it is a year later and I have both of my crowns, and each are causing me different amounts of pain. The one closest to the back with the numbing troubles only really hurts when I press on it on the particular spot I was having trouble with still feeling pain in during the filing down of my tooth, and while a semi sharp pain that goes far down and doesn’t linger, it never really bothers me because I don’t feel it when I chew or otherwise, just if I specifically press on it with my finger on that spot. However, the tooth in front of it has now begun to hurt as well. Around the gum side closest to my cheek is achey, and the tooth itself aches off and on with varying intensity as well. It is also very sensitive to cold and sugary things, such as chocolate or icing. But, I also have noticed the bite on this side of my mouth is higher than the other, or my teeth meet on this side first, and my other side barely meets at all when I shut them. I also grind my teeth sometimes at night. My question is, do you believe the current pain could simply be my high bite and I should get it adjusted, as it’s taken about a year to get like this? Or do you think I should see someone about the potential of a cracked or fractured root for my back one? It’s stayed on my mind after hearing my dentist say it, and worries me a lot as I do not want it to worsen to an abscess, as that is what initially happened after a deep filling and caused excruciating pain leading to the root canal then to the crown. Any advice you would give, I’d be grateful. Thank you.

    • Bauer BryanApril 6, 2018 at 7:14 pm #

      I think the other tooth may need a root canal. If one tooth gets sensitive like that it makes the others around it hurt. That is the most likely issue. Go back to your dentist and they can run a test and possibly tell for sure.

  88. LisaApril 7, 2018 at 12:20 pm #

    I had a temporary crown put on 5 days ago. The dentist told me I would be a sore because he had to go so close to the gum line. The pain has still persisted. Sometimes it will subside with Advil and Oragel but at other times it hurts so bad it can wake me out of a sleep. It especially hurts after talking for a great deal which is what my job entails. Should I go back to see the dentist or could this just be part of the healing process? I am unsure if its just taking me a little more than a few days or if I should be concerned

    • Bauer BryanApril 8, 2018 at 3:49 am #

      If getting better everyday probably ok. If not getting better go back on Mon or Tu

  89. Kristen MitaApril 9, 2018 at 3:52 pm #

    I have had 2 crowns put on on teeth 1 and 17. After having pain in each I was sent to a specialist, because I have long, small, curved roots. Unfortunately I am still having pain and bleeding at the gum space in between those teeth and their neighbors, where there is more space than there was previously. My dentist has adjusted the bite and the xrays look fine, so he has been at a loss to explain why. Any insight is appreciated.

    • Kristen MitaApril 9, 2018 at 3:53 pm #

      Clarification, Last crown has been on for 9 months.

    • Bauer BryanApril 9, 2018 at 10:51 pm #

      Are you sure that the contacts between the teeth is still tight? By that I mean does the floss have to snap through? It is not uncommon for a space to open up in between the last two teeth when the last one gets a crown. Food gets wedged in and it hurts.

      • Kristen MitaApril 10, 2018 at 12:15 am #

        There isn’t really contact between the teeth, no.

  90. bradApril 9, 2018 at 8:33 pm #

    Great forum and thanks in advance for your answer. I had a 10yo crown with no pain and it popped off one evening while flossing. After seeing my dentist and having him inspect the area, he said it was clean and all i would have to do is have it re-cemented. after 7 days, the pain was excruciating and getting worse each day. i went back to the dentist and he suggested an adjustment bc he thought it might be sitting high. After grounding down the tooth in spots that were high, my bite is feeling better, but the pain remains. Could a small crown out of alignment cause pain so deep it feels like my tooth is about to pop and my jaw hurts? or is a root canal in my near future?

    • Bauer BryanApril 9, 2018 at 11:17 pm #

      How long was the crown out for? If less than a week the bite should be exactly the same. I would be concerned the crown was never a good fit to begin with and or it was not put back on properly. It doesn’t hurt to get a second opinion when something odd like that happens. Sometimes there is no good answer though and yes a crown being high can make a tooth really hurt.

  91. Mariana GutiérrezApril 10, 2018 at 1:18 am #

    Hi!
    I had a root canal retreatment on the second upper molar, everything was fine, no pain everything was good

    Last tuesday they put me a porcelain crown, this saturday I feel like pressure and I bite and it appears a little discomfort… ¿that is common? I mean why does it started to cause some discomfort until saturday? I thought that if there was any kind of pain or discomfort would be like immediately… Today I went to the dentist and she told me that maybe it was high so she worked on my molar. This type of “pain” ¿what is? Again the retreatment is done incorrectly? I have an infection? my mouth needs to heel? Or is just like the normal process when you put a crown ?

    I´m really worried, I dont want an implant I want my natural teeth.

    thanks!!

    • Bauer BryanApril 10, 2018 at 8:42 pm #

      Your dentist is almost certainly right that the bite is slightly high. It is fairly common to have that occur and the symptoms match yours.

      • Mariana GutiérrezApril 11, 2018 at 11:59 pm #

        Thanks!!
        One more question: Because of the retreatment my second molar is very small I think that is because they have to file the tooth more than usual because of the retreatment.

        the back part of the retreated tooth is so small that is very near to the gum where my 3rd molar used to be …I hope I´m explaining well
        Is that a future problem? for example the food can be trapped between that space ? because sometimes I notice that it smells bad, but after brushing my mouth the smell dissappear

  92. bradApril 10, 2018 at 6:41 pm #

    Thanks for the quick response. The crown was never off for more than 5 minutes at a time – only to brush the area clean. It was a bottom molar, and the fit was snug to begin with so i placed it back into position after it popped off and it was comfortable. i saw the dentist 2 days later. My thinking was very similar to what you said, there was no pain before the crown popped off, so it should have been a simple re-cement job…. but it’s now excruciating pain to the point that i’m popping advils like they’re potato chips (not really, but you know what i mean). I’m seeing an endodontist tomorrow for a second opinion. I just don’t want a large root canal bill for something that can be avoided. Thanks.

  93. AnxiousApril 11, 2018 at 3:52 am #

    Hey Dr. , thanks for taking the time to answer these questions. I got a temporary crown placed and it’s been 8 days. I went back yesterday due to intermittent throbbing pain (didn’t wake me up at night but constant and irritating/giving me headaches, also this is the upper left molar) and the doctor reported the bite was off/too high? And he fixed it for me. Today at work, the pain begin to throb again & it was quickly relieved with Advil. I called my dentist & he said if it was really that bad I should go to his Endodontist. He also called in a steroid for me for the pain. I have yet to take it.

    I was wanting another opinion because a consultation with the endodontist was costing me a lot more money. I went to another general dentist (previous one I feel like I can trust) who looked at all my x rays, took a couple more of her own at no charge, and did some kind of cold q-tip testing to check for the root canal. She told me my results were WNL. i did not have much pain with the tapping/pressing down at all and the pain with whatever cold topical she put on my tooth went away very quickly/only felt it in one area which she reported resulted in my WNL results.

    My plan now is to go back next week and put on the permanent crown with temporary cement. That way, if i need the root canal after all/If the pain gets worse, they can easily remove it, perform the root canal, and place it back without drilling through the new crown.

    My question to you is, does this sound like a typical RCT to you? I am fearful that it is indeed needing RCT despite the WNL results. I took 400 mg of Advil around 12:30 pm. And didn’t need more until around 9ish pm tonight. Don’t know what to think. Thank you again for taking the time to read this post.

    • Bauer BryanApril 11, 2018 at 4:03 am #

      Sounds like you have the right plan and all the dentists you spoke with are right on.

  94. AnxiousApril 11, 2018 at 3:57 am #

    Also, I grind my teeth. I have not been wearing my night guard due to the adjustment needed. I think the guard is fitting too tightly & The pressure bothers me. The dentist said he can adjust my guard after the crown comes in if need be. Thanks again

    • Bauer BryanApril 11, 2018 at 4:03 am #

      Yes that may be it. We often have to adjust the night guard after a new crown

      • AnxiousApril 11, 2018 at 4:48 am #

        Thank you for the quick reply. You are very generous to dedicate your time to answer us all. Take care.

  95. AnxiousApril 11, 2018 at 11:38 pm #

    I reached out earlier but forgot to add this part, I will condense the story quickly

    I have had intermittent throbbing pain of my upper left molar since placement of my temporary crown a week ago which has been easily controlled with OTC meds. I went back to the dentist who says it looks fine on xray, shaved it down some, and told me I would need a potential root canal if my symptoms get worse. I went to another dentist for a 2nd opinion and she did the percussion test, pressed down on it, and also did the endo ice test. Everything was within normal limits, I did not experience much pain, however, I am just now realizing I took 2 advils 5 hours prior to the visit. Could this have skewed my results? I didn’t need any meds today until around 5:30 pm when the throbbing began again. I took two aleve and the pain disappeared after around 10-15 mins. Thank you for your insight!

  96. LindaApril 12, 2018 at 12:12 am #

    I had a tooth reduced to make way for a crown. This tooth and the one above it are smaller now. They both seem to have a flat top. The side of my tongue is right where the teeth meet, and the tongue edge gets a little pinched when chewing sometimes.

    Should the filling be reshaped to stop the pinch?

    • Bauer BryanApril 13, 2018 at 3:57 am #

      You have a filling or a crown? Go back to your dentist and tell them this as it should not happen.

  97. AimeApril 13, 2018 at 9:49 pm #

    I went last Friday to my dentist I got a root canal.and I went in yesterday so they can put the crown.is it normal that it hurts when I eat on that side .

    • Bauer BryanApril 18, 2018 at 4:27 am #

      Yes

  98. Maritza SanchezApril 16, 2018 at 9:31 am #

    In 2007 I had a root canal and a crown put in my upper left side. On easter sunda

  99. Maritza SanchezApril 16, 2018 at 9:36 am #

    On easter my crown broke off. I went to my dentist he put in a new post and I need a new crown. Ive been having pain on the gums where the new crown will be in. I coherently have a temporary. Is this normal? Ive been taking aleve and a cream that they gave me. Thank you.

    • Bauer BryanApril 18, 2018 at 4:35 am #

      Maybe. Sometimes the gums don’t like temporary crowns much and are irritated by them.

  100. BethApril 17, 2018 at 2:48 am #

    I had temporary crowns put on my front 2 teeth today. The dentist said she wasn’t going to glue them because they were on tight and did not move when she pulled on them. Is that normal? Also I was wondering if a throbbing pain is normal for first day?

    • Bauer BryanApril 18, 2018 at 4:32 am #

      Could be normal. Impossible for me to say. Sorry can’t be of much help on this one.

  101. CharlesApril 17, 2018 at 7:16 pm #

    Went to the a dentist to get my teeth check and they told me I needed a crown, root canal, and wisdom teeth pulled. Went to a new dentist and then did a cold test on the tooth and ensured me i didnt need a root canal. While they were drilling they found the cavity was a bit bigger than expect and filled the tooth up. The filling would reduce over a month or so and they said i needed a crown. Got the crown but I have always had a slight pain. It probably been 2 months now. When i when back to the dentist I told them it was how i was down, i thought, so ask if maybe it could be adjusted. My dentist just quit and had a new one and asked if he could trim a little of the other teeth down, i said sure not thinking to much into it and that was probably a mistake. Just got my wisdom teeth taken out over a week ago, and enjoying that i can finally eat on the other side of my mouth. The issue now is that the crown is hurting a bit more than before, which as caused me to mess with it. Gets bothered moving it around, and before I could eat nuts on it with little discomfort and now the pain is even greater. Its almost like the pain has never truely went away. So not sure if I need the crown reduced or if I may need a root canal. I will be asking the surgeon what he thinks next week but just want some advice.

    • Bauer BryanApril 18, 2018 at 4:34 am #

      Find a place where the dentists don’t come and go all the time. That is a recipe for disaster but is how most corporate owned practices work.

  102. Omar AlShammariApril 18, 2018 at 6:18 am #

    Greetings Sir,
    I had been going to my dentist at least once every two weeks for the past 3-4 months now because we were switching all my silver fillings to white fillings and fixing the cracks i had in my back teeth… I have to say I didn’t take care of my teeth well so, I deserve this. Till we hit the second to last tooth on the bottom left where she said there’s cavity and she need’s to replace the filling and remove it… and then she digs in too deep and tells me that the cavity is too deep and she needs to put on a crown, so I agree.
    We put the temporary tooth.. It was so painful where I couldn’t drink any cold water or eat on that side thinking it’ll pass away.. she puts the perm crown on and the problem still existed… so she took the tooth off and redid the crown thinking there might have been a bubble of air or something trapped in there.. so we put the temp on and it was still painful but just bearable. when she put the perm on (for the second time) it was still painful and the pain has increased to the point where i can only drink warm (on the hot side) of water or can only bite there very very slowly, do you think this is a referred pain or is it a sign i need a root canal? this is my 4th crown (the first three was unfortunately a case of fraud, the dentist never actually out perms on and all three crowns feel off, imagine the pain)

    The dentist I am at right now is really nice and she genuinely seems like she cares for her patients (including I) and told me that visibly she can’t see anything wrong.

    • Bauer BryanApril 18, 2018 at 11:52 pm #

      That’s a lot of remaking of crowns!

      • Omar AlShammariApril 23, 2018 at 10:47 pm #

        She sent me to a specialist telling me I can either live with it or get a root canal, biting I can only do soft foods and I can’t keep cold beverages in my mouth for long, I’m taking pain killers every 8 hours.

        what do you think?

        • Bauer BryanApril 29, 2018 at 4:01 pm #

          Get root canal.

  103. NamanApril 18, 2018 at 1:46 pm #

    Sir i got root canal and crown on my both mandibular anterior about 6 years ago . Since few days i have slight pain in them .could it be infection ??

    • Bauer BryanApril 18, 2018 at 11:49 pm #

      Yes it could. Or what’s left of the tooth could be broken. Get a dentist to look at it.

      • NamanApril 22, 2018 at 12:17 pm #

        Its infection ,my dentist recommended bone grafting
        What should I do???
        He said u need bone grafting
        I asked him will i get an implant 😖?
        He said no
        So what is it basically
        I cant find anything on internet 😅

    • NamanApril 26, 2018 at 1:36 pm #

      My dentist also prescribed ciprofloxacin +timidazole for 5 days

  104. LindaApril 19, 2018 at 5:05 pm #

    I have had strong bite / pressure pain on a tooth starting right away after a temp crown was placed. And was replaced. If that goes on for a month and is consistent, is that reason enough for a root canal on a molar, without temp sensitivity? Everyone says no infection.

    • Bauer BryanApril 22, 2018 at 2:33 am #

      Yes.

  105. RachelApril 22, 2018 at 8:36 pm #

    Hi Dr. Bryan, your post is very helpful. Thank you! I had a crown on the lower molar less than 2 years ago and it broke recently. So I went back to the same dental place (not the same dentists) to replace it with a new crown. I felt no pain or nothing after they placed the temporary crown on. But one day after they took off the temp crown and put on the permanent crown, I start to feel intensive pain on that teeth to the point that I had hard time falling asleep. It gets worse when I drink or eat warm stuff. I used to feel sensitivity on that teeth when I have cold drink. I guess it’s likely due to the crack on my old crown that eventually cause the crown to break. So I went back yesterday and they did the biting test and it was fine. They also told me there’s no sign of inflammation but it’s likely due to nerve damage. So they referred me to get a root canal. But I don’t understand why it was all fine until they put the permanent crown on? Does it mean that the procedure of putting the primary crown on damage the nerve? Or it’s already damaged before they took off the broken crown. If so, then why they didn’t suggest me to do a root canal before put the new crown on?

    • Bauer BryanApril 29, 2018 at 3:51 pm #

      Let me guess, you went to chain corporate dental office and they make the crowns in the office while you wait. You will likely need a root canal now. If they milled the crown while you waited and they drill through it, then it likely won’t last long. Find a dental office where the dentist’s name is on the door, it may seem to cost more per procedure but your overall cost will often be less. For instance you are less likely to have a crown that breaks that quickly and less likely to them need a root canal.

  106. LisaApril 23, 2018 at 2:49 pm #

    I recently went in to have an old (25 year old) crown replaced since I’m older now and my gums have receded leaving a gap between the top of the tooth and old crown. The dentist had to drill the old crown off, first vertically in the front and then vertically through the back until the crown popped off. However, once the crown was removed, she said that my nerve was exposed, no decay, just exposed nerve (tooth #10). I personally think she drilled too much and into the tooth causing the nerve to be exposed. She performed a root canal on the tooth, that day just cleaned it out and put cotton in it and temp crown. I went back in 2 weeks and she set the post and filler and a new temp crown but took the mold to have the new crown made. A few days before my next appointment which was 2 weeks from the last, I felt a pressure sensation above the tooth that she worked on. She got me in and took an xray and there looked to be a darker spot showing at the root barely visible. She put me on antibiotics (2nd round, 1st at the time of the initial root canal) and ibruprofen 800 and put my new crown on with temp cement. The pressure sensation only got worse, and now I had a lump on the top of my gums (way up there where the gums meet the inside of my lip) without a pimple. The dentist got me back in and took another xray and now theres a clear dark spot above the end of the root. She decided to open up the root canal. Getting numbed up directly into that lump was excruciating! I don’t think she got all the fill and a piece of metal from the rotary tool she was using broke off. After another xray she felt that she was able to puncture thru the fill and removed the metal piece. However, I have no relief. The lump is still the same, the pressure is still there and I don’t feel like anything has drained. I did not have any decay on this tooth. Why is this not getting any better? All because I wanted a new crown so I wouldn’t get a cavity in that space from my gums receding. Anyhow, the dentist left the canal open and gave me a syringe to flush it out all the time after I eat. I am going back to her today so she can take more xrays and see what else can be done. I can’t lose this tooth! It’s in the front of my mouth! Unfortunately my new dental insurance that just takes affect today does not cover anything major for 6 months. I don’t know what to do!! It’s not painful but the swelling is annoying and it itches almost as if I have a popcorn kernel stuck in my gums.

    • Bauer BryanApril 29, 2018 at 3:58 pm #

      Sounds like things did not go well and you need another in person opinion. Having a file separate during a root canal can happen but it is very unusual for it to happen on #10. Go see someone else for a consult.

  107. Jim YiengerApril 23, 2018 at 8:34 pm #

    Wow, free advice? Awesome. Broke off a piece of molar over a year ago, no pain. Tooth was fine other than missing section. I went proactively to dentist to evaluate for crown to save it before it broke more or began trending to root canal.

    He did the crown (at $1650) stating that he should be able to do it, but after two days it began to hurt. I managing with ibuprofen but the pain returns. Am I screwed? 🙂

    • Bauer BryanApril 29, 2018 at 4:01 pm #

      Strong possibility. Not fixing a broken tooth for over a year is a long time. They break because of decay or a crack which continues to get worse until we intervene.

  108. IssaApril 24, 2018 at 9:57 pm #

    Got my permanent crown in last week with temp cement. (Just in case i end up needing a root canal) i have absolutely no pain with my crown on unless i chew food on that side. I went to my dentist today and she adjusted my bite and told me to check back in a week. Is this normal? What could it be?

    • Bauer BryanApril 29, 2018 at 4:03 pm #

      Yes normal. Probably very borderline for need of root canal. It may go away on it’s own but how much do you want to go through to find out? A root canal will get rid of that pain almost always.

  109. JeanApril 28, 2018 at 1:35 pm #

    Hello Dr. Bauer. Thank you for offering guidance here on your page. My situation is I had a root canal and crown in 2010 by my regular dentist. In 2012 it failed. I was out of town at the time and ended up in the ER on a Saturday night with terrible pain and a swollen face from the infection. By Tuesday, an endodontist treated it. Now, this week, I’ve woken up a couple of mornings with pain at that tooth. Mainly biting down on that tooth would hurt, so I wonder if now I’m grinding my teeth and it’s irritating that area? The pain would subside shortly after waking, but I still would occasionally feel something was off. If I bite slowly, I feel the crown is the first tooth to hit. This morning the pain was throbbing but ibuprofen took it away, however still a bit tender when I bite down on that tooth. It’s Saturday, so I’m having to wait until Monday to make an appointment (wish i had called earlier this week!). My question is is it possible that the pain could just be the crown shifting or possible grinding? I’m desperate to not have another root canal treatment, but understand it is likely.

    • Bauer BryanApril 29, 2018 at 4:18 pm #

      You will probably be losing that tooth. Mostly likely is fractured tooth root.

  110. amy ngoApril 28, 2018 at 11:16 pm #

    Hi Doctor! my teeth #14 and #15 had large metal filing about 30 yrs ago and I’m eating just fine then went to Dentist for check up and she told me that the tooth had a little crack and the crown would save my teeth so I listen to her and had the teeth crown; now it’s more than three months and I still feel hurt when eating or drinking hot water only hot. is it normal since I don’t have this problem before. Thank you

    • Bauer BryanApril 29, 2018 at 4:19 pm #

      It’s normal for a tooth that needs a root canal. It means we should have done the crown years ago. But since we can never predict exactly when with these cracks we are often conservative with our recommendations.

  111. Richard SheiszApril 29, 2018 at 3:28 pm #

    I cracked a tooth and the tooth became very sensitive to hot and cold. The dentist decidedI I needed a crown and did not feel I would need a root canal. He gave me a temporary crown which felt great. About 10 days ago he gave me the new crown and adjusted the bite. For some reason the tooth is now again sensitive to hot and cold. What would cause the temporary crown to work so well but the permanent to have issues? Pressure is not a problem only hot and cold sensitivity.

    • Bauer BryanApril 29, 2018 at 4:21 pm #

      That’s a great question and really bothers dentists too! Even the trauma of removing a temp and cementing a permanent crown can sometimes be enough to push a borderline tooth over the edge.

  112. Ksns7May 4, 2018 at 2:23 am #

    I had to get a crown on one of my bottom molar teeth a couple days ago and ever since four or five of my teeth next to the crown hurts for some reason. It hurt so severely that I can’t sleep at night. The crowned tooth isn’t in much pain but the teeth next to it hurts alot. Is this common?

    • Bauer BryanMay 5, 2018 at 4:05 pm #

      No. Could be referred pain. Most likely gone in few more days.

  113. Samantha RoseMay 4, 2018 at 5:38 am #

    I had a crown put on about 3 days ago and the pain is so bad. It hurts even when I’m not doing anything how long will this last or is something wrong

    • Bauer BryanMay 5, 2018 at 4:05 pm #

      Go back to dentist.

  114. Henri ZreikMay 5, 2018 at 1:09 am #

    Dr, I had two bridges done at the same time. One on the upper right, the other on the lower left. I felt that when the permanent ones went in that my bite was lowered. Want back to the Dr and he tried to convince me otherwise. I got him to replace the lower left one. Fit is very good but the last is sensitive to biting and to water injects when I do them. I am afraid maybe the glue came off it. No root canals were done on any.

    • Bauer BryanMay 5, 2018 at 4:07 pm #

      The glue didn’t come off. Doing that many will change your bite and you will need some time to adapt. Water sensitivity is a sign of a tooth needing a root canal. With two bridges you would be lucky not to have any of them need a root canal.

  115. AnizzaMay 5, 2018 at 6:22 pm #

    I have a question and I would greatly appreciate your advice. I had a permanent crown placed on Monday; it’s Saturday and I still have throbing pain. I have taken Ibuprofen for couple of days, but the pain comes back. How long after the crown is placed will pain go away? Also, I’d like to share that the first dentist stated that there might be a possibility for the root canal, but won’t be determined until the crown prep is performed. Second dentist (who performed the work) did not see the need for root canal. During the preparation we had hard time getting the correct bite. When the permanent crown was made, it had to be modified a few times (I even had to go back second day) for it to feel “normal”. I feel the bite is ok now, but I am not sure what’s causing so much pain. Is the area just sensitive due to procedure (after temporary crown was taken off at the office my gums bled; I was told the area was bruised ) and I need to wait for it to heal? Is the bite still off (how can I tell if not obvious)? Or will I need to have a root canal?

    • Bauer BryanMay 6, 2018 at 3:15 pm #

      Sounds like their is still a bite issue. I would check that again. Problem is teeth that go through crown procedure are already at risk of a root canal and having trouble getting bite right can send one over the edge. Good luck!

      • LindaMay 6, 2018 at 4:32 pm #

        If I may add my experience. Tooth was prepared for a crown, and got temp crown. For whatever reason, the tooth immediately developed bite pressure pain (no better with the replacement temp crown). That continued for a month. Endo said it was a reason for a root canal, 2nd opinion agreed, RC was done. That did not stop bite pressure pain. I received a sedative filling on the tooth next to it as it was now a high tooth and got a persistent pain from a clenching event. The filling touched both teeth. With either time and/or the sedative filling the pain in both teeth reduced. Within a couple of days I was much better, in a week I was carefully eating on both sides.

        What I think I’d look for going forward if the problem were to repeat, is look for a sedative filling (it had been given by a second dentist with the goal to avoid a second RC), or as above, ask for a temp cement on final crown and see if time make the pain go away over some reasonable time period. Hopefully avoid an RC. Maybe that depends on how painful things get?

  116. Henri ZreikMay 6, 2018 at 12:42 am #

    Thanks Dr. Are you a fan of same day tooth extract and implant on the same day. By the way I opted for the bridges cause I had two teeth extracted; one upper right the other lower left. The surrounding teeth had fillings buy were fine. Should have went for the implants instead:( Also the other bridge that wasn’t replaced shows a gap on the interior side between the crown and the gum. Shouldn’t the crown get inside or rather under the gum???
    Thank U sooo much.

    • Bauer BryanMay 6, 2018 at 3:12 pm #

      Yes I am a fan of that but it’s not always a possibility. It’s very difficult to get perfect results like these if you don’t put implant in same day as extraction because you can better manage the tissue. That gap is not abnormal. Water under the bridge now but here are my criteria for bridge v implant.

  117. Henri ZreikMay 6, 2018 at 10:42 pm #

    Thank U so much Dr.

  118. Edward BartonMay 8, 2018 at 3:27 am #

    Hi Dr Bryan! I got a crown on my first molar (lower tooth) about 4 weeks ago now. After about 2 weeks I went back to dentist because it was still hurting when I chewed food on that side of mouth, also when I flossed between that crown. Two weeks later, it still hurts when I chew on that side and hurts when I floss between that crown and now even around the tooth next to it (second premolar). It doesn’t hurt at all when I bite down on teeth or move them side to side or even just at rest. Only when I chew food on that side or floss between teeth. What should I do?

    • Bauer BryanMay 8, 2018 at 4:46 am #

      Get glide floss and see if it snaps through or just falls through. It should be tight enough to the other teeth that it takes some effort to snap it through. Sounds like it may not be in which case a small filling may need to be added to the other tooth to tighten the gap. It’s not uncommon for this to occur. If not that then I don’t have a good answer for you.

  119. KelsieMay 12, 2018 at 4:16 pm #

    My dentist convinced me to get a bridge from my wisdom tooth to tooth 30. Right now I just have a temp on, permanent one should be done beginning of june. Anyway I have had to go back multiple times to get new temps made due to them breaking or coming off, my dentist says I produce alot ot saiva so that’s why they arent staying on. This most recent temp was put on tuesday. Tuesday night after the numbing wore off i was in pain immediately but the temp was staying on at least. Its moving around a bit now but not coming off. I called on thursday to tell him I was in pain tooth 30 specifically , so he called in amoxicillin referred me to an endodontist for a root canal. I dont think I need a root canal since this temp is the first one that has caused me pain, bite has not been checked. I am going to call back monday morning and ask for it to be checked. Should I continue taking the antibiotics?

    • Bauer BryanMay 13, 2018 at 3:55 pm #

      All of these are reasons why implants are often the better choice. Was there a reason you opted for a bridge over an implant? Unless you have infection then the antibiotic is being given mostly as a placebo effect. Having problems with a temporary can cause a borderline tooth to end up needing a root canal but I think you are right about the temp being the issue in this circumstance.

  120. Kathy CiupakMay 14, 2018 at 1:20 pm #

    I was fitted for a permanent crown one week ago. My left lower molar (2nd from back) had cracked and the procedure was done from start to finish in less than 3 hours–no temporary crown ,you leave with permanent…
    I have two gold crowns done by different dentists, different states; never a problem.
    Severe pain from the get go with this one. Day two started taking 600mg. Ibuprofen every 8 hours. Severe pain continued into day 3 with mastoid process swelling and swelling continuing down neck. Extreme tenderness and heat in this area. Can barely turn my head.
    Called dentist office on Thursday, reminded them I was going on vacation next day. I was experiencing swelling, pain, in mastoid process and going down into my neck– should I come in or go to urgent care? They called me back said it was normal just keep taking ibuprofen and piggyback with tylenol.
    Fast foward, in Florida extreme swelling on left side of neck, mastoid and now going into left side of face. I went to a nurse practioner, was told I have an infection from procedure and was given 500mg amoxacillin every 8 hours plus continue 24 hour pain relief.
    48 hours later am still in pain; mastoid and neck still extremely swollen. At what point does one go to the emergency room?
    Oh, and food? Forget about it… I’ve been living off of protien shakes since the procedure because I’m in too much pain to chew.
    Thank you for this site

    • Bauer BryanMay 14, 2018 at 1:38 pm #

      That’s not normal. I would go see a dentist asap. Then go to wherever they direct you, be that ER or another dental specialist. It main be a pain to deal with on vacation but you need to do something today.

  121. CassieMay 22, 2018 at 2:52 pm #

    If you have a bite adjustment, dentists say your teeth will shift over 3 weeks. Do the teeth themselves move, or is it that the jaw and muscles move to find the adjusted bite? I know braces take a while to move teeth.

    • Bauer BryanMay 23, 2018 at 4:58 pm #

      A little bit of both. When we redo a whole jaw the teeth move but the joint and muscles adapt. If only one tooth the tooth usually moves but in certain cases, especially the last tooth in the mouth then the joint and muscles also adapt.

  122. JonathanMay 24, 2018 at 11:51 am #

    Hello,
    I wanted to try my luck here, so here goes:
    I got a root canal extraction about 8-10 months ago and got a crown on my back molar. Initially, I had some discomfort from the crown not fitting properly. Did not have the financial or transportation freedom to take care of it, I had read that it’s possible for food to get stuck in there in such instances, so I avoided eating on that side of my mouth. With flossing and brushing, and avoiding eating on that side at all, it went away. Got to the point where I could chew comfortably on the crowned molar.
    3 days ago, I had some sticky candy, next day my crowned tooth hurt upon contact with my upper teeth like the first time. I did my best to avoid eating on that side, but I seemed to have gotten bad at it, or it’s possible I might clench down on my teeth at night (which I doubt since this pain just began after all this time) or maybe I didn’t floss as thoroughly, as the sensitivity is still there when I press and I keep getting this throbbing, inflammation sensation. I compared it to the other side of my mouth on that area, and it doesn’t look inflamed, but it feels like it is. If I look down for too long, or when I lay down for bed, the pain discomfort increases.
    Yesterday, I decided to floss deeper into the crowned tooth and got myself an antiseptic mouthwash (an item I had not been using until now), took some ibuprofen for the discomfort/inflammation feeling, and hoped for the best. Today I woke up with the same discomfort, not sure if maybe a little stronger, but the sensitivity of my tooth when I press down on it has gone down by a lot.
    What is going on?

    • Bauer BryanMay 24, 2018 at 2:41 pm #

      Go see the dentist who did the work.

  123. Megan QueenJune 1, 2018 at 2:47 pm #

    Hello-
    For four years I was having occasional pain in one of my lower molars when biting certain foods. I had the tooth checked multiple times but the dentist couldn’t visualize a problem. Fast forward, I moved and got a new dentist. She said I probably had a crack and recommended a crown, which I had placed about six weeks ago. The bite was slightly off and I was experiencing the same pain as before when biting, so I went back to her so she could file down the crown. In the process, she went through the porcelain to the metal. She told me this was rare but could happen and that I would need the whole crown replaced on the house because cosmetically this was unacceptable. Trouble is, even with my bite corrected, I am still having the exact same pain I had while biting BEFORE the crown but now it is WORSE and more frequent. I don’t have any pain or sensitivity other than when I bite. Once the bite is release, the pain goes away and according to x-rays, my root looks fine. Before I go back for the second crown, what would be your recommendation?

    • Bauer BryanJune 1, 2018 at 3:35 pm #

      You likely do/did have small crack. New crown is not likely to get rid of pain and I think you’ll end up with a root canal. The question is how much suffering do you want to go through first. Get the new crown, but be aware of likley future need for root canal. ALos that is very nice offer from dentist to do so no charge to you. It’s a known complication and not all dentists would redo for free. Sounds like you are in good hands.

      • netmouserJune 1, 2018 at 3:52 pm #

        Given he may need a root canal, do you recommend using temporary cement for a few months to have a better chance the crown can be removed and replaced more easily ? Rather than drilling through the crown for a root canal? Is there some rule of “pain” and prognosis where you decide that or not?

        • Bauer BryanJune 1, 2018 at 4:54 pm #

          Yes

        • Bauer BryanJune 1, 2018 at 4:56 pm #

          There is no hard and fast rule which is why it’s such a tricky subject. Pain is subjective to the individual. Usually I say if pain is not diminishing week to week then we need to do RCT. If getting better over time then may be ok. I also go by what the tooth was like. If it had a crack and still have pain then I do RCT, if it was deep decay then I will let it try to settle down. If crack and decay I treat same as just crack.

  124. Megan QueeJune 1, 2018 at 5:40 pm #

    Thank you for your prompt reply. I’m the event a root canal is needed, and it sounds eminent, would you refer a patient to an endodontist or stick with a general dentist?

    • Bauer BryanJune 1, 2018 at 6:31 pm #

      Depends on the dentist. I do 100% of my own root canals as a general dentist and can handle any problem or issue BUT I have a CBCT and 8x loupes that I use which few general dentists have.

      • Naomi NievesJune 2, 2018 at 2:53 am #

        Hey Bryan, I got a root canal done a month ago and I recently got my crown put on today on tooth 19 and it really hurts I can’t eat on that side and I also got fillings done on tooth 12 2 weeks ago by the same dentist and I can’t eat or floss on that tooth and she keep saying oh the pain will go away but it’s not??

        • Bauer BryanJune 4, 2018 at 8:32 pm #

          Check your other post

  125. Naomi NievesJune 2, 2018 at 2:49 am #

    Hey Bryan i got a root canal done on tooth 19 about A month ago and today i got my crown on it and I’m having pain on the tooth when i eat . Also i got my fillings done by the same dentist and it’s still hurting 2 weeks later when i eat when i floss and she keeps saying it’s okay the pain will go away but is still hurting .

    • Bauer BryanJune 4, 2018 at 8:31 pm #

      Have another dentist look at it. May need more time or may be anther reasons that only a quick look could tell.

  126. Tooth HurtyJune 2, 2018 at 10:09 pm #

    I had a (temporary) crown placed about 3 days ago & have been utterly exhausted/foggy headed ever since. It feels like my body is fighting off an infection of some kind. In addition, the entire area around the crown is painful & inflamed, as well as there being some nerve pain in the tooth as well. My gums hurts to the touch around the tooth & it’s more sensitive to cold than it was before. The pain is not excruciating–more like mildly sore & throbbing.

    My dentist was conservative & just did a crown w/ a pulp cap & some antibacterial calcium stuff but said I might need a root canal later. Should I be worried about sepsis/endocarditis or anything serious like that? I don’t have any known heart problems, but it seems odd to feel THIS tired & foggy-headed days after a dental procedure. They didn’t use any sedatives or NOS during the procedure; just numbing shots. I slept 17 hours the day the crown was placed & 14 hours yesterday :\

    • Bauer BryanJune 4, 2018 at 8:33 pm #

      Sometimes a long procedure can take it out of you. The chances of a root canal are high if they had to do a pulp cap, sounds like you area aware of that though already.

      • Tooth HurtyJune 4, 2018 at 11:24 pm #

        THANK YOU for the free advice! Much appreciated, especially since I don’t have insurance 🙂 Still feeling “off” mentally to the point others have noticed, but maybe it’s something else. I will stop worrying now.

  127. StacyJune 4, 2018 at 8:19 pm #

    I had a root canal done on tooth #30 last Wednesday and now the tooth that is sensitive to tough is tooth #31. Is that normal or should I assume there is a problem with that tooth now? Thank you!

    • Bauer BryanJune 4, 2018 at 8:33 pm #

      Pretty normal.

  128. Kitty B AvilaJune 5, 2018 at 11:56 pm #

    Hi, I cracked a tooth on a frozen milkdud, I know😏
    The tooth had a porcelain filling prior to crack.
    That same day went to dentist.
    The dentist said instead of replacing filling I recommend a crown.
    Crown was put on.
    Now I have pressure pain when chewing.
    I do not have pain otherwise, but if I push down on tooth I feel pain.

    • Bauer BryanJune 6, 2018 at 4:58 am #

      Time will tell. I would check the bite though to make sure not slightly too high.

  129. Carla KallanJune 6, 2018 at 9:58 am #

    Hi, so happy to find your site.

    A corner broke off upper first molar with large, old amalgam filling . Dentist (who have not known long) put a corner or there as a ptatch, with idea we put a crown on. Did the crown prep and temporary, was fine. Put in final crown and horrendous pain… all the time. Not sensitive to hot cold or pressure, just overall pain. No swelling visible.
    I said pls. do something or take this out or give me pain meds! He ground down and put temporary cap on it. It is better but not good. Just saw him again and he ground down temp so I’m not biting on it much. He said I can wait… I said what about antibiotics and he said no they just mask the problem. Is that right?? He said I could go to endodontist for tests and xrays that he can’t take. He only took one xray, ever of this tooth, and not digital. What would you do? I have a friend, older retired dentist, who said he’d take amoxicillin now and soon as can get to endo for evaluation…?
    Oh, also when first dentist said he’d put crown on in a month, and I said, temporary cement, right, in case of probs and he said the temporary cement is permanent so it will be permanent cement. Uh… I just had to have the first crown ground down and if temp cement is same as permanent, why do they call it temporary? I’m not knowing what to do. Thank you.

    • Bauer BryanJune 6, 2018 at 7:52 pm #

      Go see the endodontist like he recommended. Many dentists do not do root canals on molars and thus they are not going to be able to give you the best answer if the tooth is borderline needing a root canal. I am guessing you need a root canal though so go asap. The antibiotic may or may not help and I personally would not give you one unless you had a swollen area.

  130. Carla KallanJune 6, 2018 at 10:05 am #

    Oh, sorry I forgot to say it has been a month since the crown that hurt so much removal.

    • Carla KallanJune 8, 2018 at 1:11 pm #

      OK, he took a lot down on that crown to the point it is concave. After several days, pain has subsided. So I went through weeks of pain because he made the crown too large (it was huge)? Temporary cap still lll projects into my cheek (the temporary, with no impression taken yet). So am back to square one.

      How fast do I run to another dentist? Unfortunately, I’ve paid– considering I had a crown put in, drilled down cuz of throbbing pain, capped again…. weeks of pain for no reason.

      This crown was huge, and when I asked about it, no it was fine… right… What would you advise?

  131. Amanda MJune 6, 2018 at 5:36 pm #

    I cracked number 31, lots of pain, cone beam(?) X-ray finally diagnosed the crack.- the short story. I had a root canal and crown in January/February. Everything went well and seems to be working out. At my checkup in May, the dentist thought that maybe it’s mate molar on the other side might have a crack. Nothing hurt at the time. Is that typical? In the last week, I’ve developed even more cold sensitivity possibly around that tooth. I already have sensitive teeth.

    What should I do? Do people crack teeth in pairs? I have been wearing a night guard for 12+ yrs for night grinding.

    Thanks so much for your advice.

    • Bauer BryanJune 6, 2018 at 7:45 pm #

      Yes very common. If I have a patient lose a tooth or get a root canal because of a crack I pay close attention to the same tooth on the other side of the jaw. People’s dental issues tend to mirror each other on the left and right side. I would def. crown it based on the little amount of info you gave.

  132. MeggieJune 26, 2018 at 1:16 pm #

    I had a root canal beginning of May. On the upper left tooth. I also had a deep cavity on the tooth next to it. The dentist said he didn’t go as deep as he should have because of my sinus lining. The temp was fine in the root canal and out of nowhere in the middle of the night I felt a stinging pain that came and went, before I knew it my sinuses started to act up. I went in and he said that my temp crown was pushing on my gums and my gums were inflamed. But he was going to apply the new crown, make sure I floss as well to keep food from between my teeth! Well fast forward I had sinus issues when after a tooth X-ray dentist said all looked well, it has to be sinuses. I went to see my dr which said my sinus were pretty inflamed, both nostrils and etc.

    The only thing is the root canal is acting up. I feel pressure and only a little pain when I push on it. The dentist said the tooth is close to th sinus so if it’s causing pain than that’s probably why. Many people will think it’s the tooth when in fact it’s the sinuses and vice versus.

    Now the tooth next to it is bothering me and it’s not the one with deep cabitiy work! Mind you it’s just a pressure in the gum area. And only when I chew does it hurt. I believe my bite is off but they have adjusted it twice. The second time it gave me some relief and came right back but I do have a lot going on with my sinuses. I was completely nervous after googling my symptoms and even thought he went thru my sinus cavity but he assured he did not. He showed me the X-rays, all 4 nerves are completely filled, and all. So why all this? The other root canal he did was perfect and no issues only when I touch it is it senstive.
    The new root canal isn’t sentive to hot or cold. It seems to be fine. I do have tendency to push it on a lot because I am so nervous it may be more!

    • Bauer BryanJuly 3, 2018 at 6:35 pm #

      If they found all 4 canals and showed you it is probably done well. You can get a second opinion and maybe should but that’s all I can tell you without seeing it.

  133. AntonioJune 28, 2018 at 4:02 am #

    Hi! I got a crown about 4-5 weeks ago on molar 19, procedure went normal then exactly 2 weeks ago i got the permanent crown, which i also thought went about as normal as possible. A day of soreness after, then everything seemed to be normal again. Until last night, when out of the blue i began to have a radiating/throbbing pain from my tooth that seemed to come in waves, sometimes throbbing and sometimes more of a pressure feeling. It isn’t extreme but it was enough to make me miserable as it is almost constantly coming and going, ibuprofen hardly seems to work. Visually nothing looks different and I’m sure I didn’t eat anything hard, nor do i grind my teeth so i have no idea what could be causing it. I flossed and brushed fine so I don’t think it’s related to stuck food, nor did my bite seem wrong at any prior time. I read through as much blog as i could see but didn’t see any exact situations, what could it possibly be? Could the tooth still be settling? Root canal? I just find it absurd that i went from no pain to being miserable in a matter of hours. What is your advice?

    • Bauer BryanJuly 3, 2018 at 6:36 pm #

      Very possible that heading to root canal.

  134. NetmouserJuly 3, 2018 at 11:48 pm #

    A slightly different kind of hurt. I have a deep bite. A bottom front crooked tooth has begun hitting a top crooked tooth. When I chew now, and in sleeping I find the bottom presses for a good long time against the top, so I roll over and reposition my head, and try to leave my jaw slightly open. I now have a slight ache in the top left central incisor, lateral and canine.

    I’m hearing solutions from braces (invisalign) to crowns and to something less invasive and cheaper like filing the side of crooked teeth that are hidden (slant inward behind the tooth next to it.

    I’m 71, and braces can be years. Crowns are quick but also very expensive (assume top and bottom), and I wonder if that can correct the crooked teeth. Filing sounds easy, if that solves the problem.

    Obviously you can’t see my mouth, but do you have a sense of direction that helps me think when I next talk with the dental doctors?

  135. Mark BorjaJuly 5, 2018 at 8:35 pm #

    Question about a crown on tooth 2.
    Tooth was cracked and a crown was recommended. Tooth was preped for a Porcelain fused to zirconia. After the tooth prep it was discovered my insurance would only cover a gold crown. A gold crown was substituted for the Porcelain fused to zirconia. Should I expect any problems for this procedure.
    So far not happy with the fit of the crown to the bite of the crown in the lower jaw. Having pain in lower crown now. Both clowns have been adjusted but still not happy with the results. What should I do?
    Thank you

    • Bauer BryanJuly 14, 2018 at 4:44 pm #

      Gold is the best product available. People don’t like it for color reasons only but on tooth #2 should not matter. Takes time to get bite right sometimes.

  136. Sophie MJuly 8, 2018 at 1:53 am #

    Hi Bauer, on Monday (July 2nd), I got a temporary crown placed on my top right molar because I had cracked tooth syndrome. Started to feel sensitivity on that tooth in May and now have temporary on it. I didn’t have any pain upon chewing the first two days, just tenderness. I’m really sensitive to cold on that tooth and the two teeth behind it so I’m avoiding drinking cold liquids. I’m not sensitive to hot.

    I have been waking up the last two months clenching my teeth, but haven’t felt myself clenching the last 5 days since getting the temp on… but the last 3 days around 12 pm or 3 pm I start feeling jaw pressure and aching to the point I need to take Ibuprofen. I don’t feel the jaw pressure in the morning. Is this normal with a temp crown? Could it be the clenching at night? It aches on the teeth behind my temp crown rather than on that tooth which is strange.

    I’m getting the permanent crown on this upcoming Wednesday… but so far I’d say I’m not feeling better, my upper right jaw (only that side) is aching and feels pressure.

    • Bauer BryanJuly 14, 2018 at 4:45 pm #

      Sounds like you are high risk for needing a root canal. I would probably get one if I was in your shoes.

      • SophieJuly 14, 2018 at 5:23 pm #

        Turns out my temporary crown had an opening at the top, which is why I was super sensitive. Ever since I got my permanent crow onn two days ago, I don’t feel any aching at all or the same level of sensitivity as before… I’ll wait it out until I’m truly in pain for an RTC

        • Bauer BryanJuly 14, 2018 at 6:11 pm #

          That makes perfect sense. Glad to hear it turned out ok!

  137. MaddieJuly 10, 2018 at 2:59 am #

    Hello. I’ve got my crown 7 weeks ago. It ‘covers’ 8 teeth. I am very stressed because I started to feeling a moderate pain at on of the crowned teeth. It is sensitive at cold, painful and sometimes is pulsating. What could it be? It’s complicated for me now to see the dentist because I got my crown in another country. It would cost me a lot of money to go there and get eventually a root canal treatment. I am also afraid that the pain will be stronger and might need a root canal treatment trough the crown. On a scale 1-10 the pain is somewhere at 2.

    Your opinion will mean a lot to me!

    Thank you!

    • Bauer BryanJuly 14, 2018 at 4:49 pm #

      It’s very risky to have dental work done far from home for many reasons. You are experiencing one of them right now, no follow up and no one to turn to when things go wrong. Also a good chance the work is poorly done. I’ve seen this many times and it seems to be getting worse. I wouldn’t be surprised if you went locally and were told all the work needs to be redone, as this is usually how these dental tourism cases play out. Dental tourism

  138. Juliana SantosJuly 10, 2018 at 6:59 pm #

    Hello Dr.

    I went to a Dentist and he told me the tooth was compromised and he could not do a root canal because I was going to loose the tooth. I went to a second dentist and he said no, I can safe the tooth. I opted to save the tooth, because in feel like saving the tooth is better than having an implant where anything can go wrong and also implants are not as movable as our own teeth are. I am extremely afraid of bacterial infection and other complications that can come with an implant. So, the tooth is saved, root canal done everything went well, crown went amazingly well and it did not hurt in the first 4 days. I am on the day 5 today and I noticed that when I was eating that it started to hurt. I wasn’t chewing with the new crown before and I was trying to be careful with it, but now that I am starting to use it, It hurts a bit. Do you think it’s adjustment time or something else? Also the crown does not hurt when my mouth is closed I mean the crown is not tall.

    • Bauer BryanJuly 14, 2018 at 6:13 pm #

      Can’t say without x-rays. Could be normal still but that seems pretty unlikely to me. Sometimes when a tooth is borderline restorable you CAN save it but it becomes less predictable.

  139. KaitlynJuly 27, 2018 at 6:09 pm #

    Hello Dr.,

    I was having some discomfort in my molar #18 upon release when chewing. One dentist said my tooth was cracked, and I needed a root canal followed by a crown. He referred me to an endodontist who said the same thing. I then went in for another opinion, and this last dentist said putting a crown on it would be fine and that a root canal would do me no good. So, I had the crown put on and the pain while chewing only got worse most likely because the bite was off. There was one weekend where I did have severe toothache which thankfully went away. For two months, I kept visiting the dentist to get an adjustment (approx 6 adjustments). Dentist said my jaw was shifting all the time, but he still would comment that a root canal would’ve done me no good and once the tooth settled down, he would replace the crown. When I asked why, his response was that it was “ugly” looking. Finally, at the 6th adjustment, dentist said I needed a root canal. I feel like he was just giving up on me because the adjustments were not working. He said that the root was getting darker but to me, it didn’t look much darker. The dental assistant mentioned that sometimes with a cracked tooth, it might be better to pull it than do a root canal because I could experience pain even after the root canal. My questions are: 1) Is this true regarding having pain after root canal for a cracked tooth? 2) Could it be that the crown was not a proper fit in the first place and needs to be replaced?
    3) Should I proceed with a root canal, have this tooth extracted, or try and get another adjustment? Or, should I just leave it alone, and will it adjust on its own in time?
    The crown does feel high still. I feel slight pain only if I were to chew on the tooth because it is tender. The tenderness will go away overnight and then returns again throughout the day which tells me the bite is definitely off still. I have a small bubble in my gum below the tooth which is not painful at all. This bubble did develop immediately after crown placement as well but then subsided. It has now returned and I have been rinsing with saltwater to see if it subsides again.
    I have a tooth that a dentist said needed a root canal and I have left it alone for 6 years with no pain or problem with the tooth at all. So, I am confused on what to do and how to proceed with this tooth. Your advice is much appreciated.

    Thank you.

    • Bauer BryanJuly 30, 2018 at 9:58 pm #

      The first two docs were probably right. Should have done root canal and then crown. Water under bridge now. Just do the root canal now and leave the crown or replace, either way is fine.

  140. KaitllynAugust 7, 2018 at 6:47 pm #

    Thank you for your reply, Dr. If the tooth has a crack though, is it possible that I might still have pain even after a root canal? I would rather have it pulled if the tooth will still give me problems even after a root canal. So far, the tenderness has gone away, but bubble in the gum is still there and crown is still high. Why after 6 adjustments has the crown returned to being high again and the bite being off? What is going on with the tooth? Why can’t it be adjusted properly? I feel like the tenderness is only caused by the bite being off. It seems like the tooth is settling down, and the tenderness is only being caused by the bite being off. Thanks.

    • Bauer BryanAugust 7, 2018 at 10:13 pm #

      Get another in person opinion. If there is still a bubble there then something is not right.

  141. NatalieAugust 11, 2018 at 9:01 am #

    I chipped a front tooth 18 months ago and I had a crown put on it and my tooth never hurt before, but has been sore ever since the crown was put on. I also had a root canal on a lower molar fail so they redid the root canal and placed new post and crown 2 weeks ago and the tooth has been sore to push on, hurts when flossing, and now it also hurts as bad as it did before the root canal and crown were redone. I am left financially strapped to even pay off what dental work was even done and it is going to take me a year to pay, so I can not afford to do any more dental work. I am at a complete loss as to what to do. Is it something I can just grin and bear, or is there possibility of infection? I am completely out of resources to do anything more. What would you suggest in this situation?

    • Bauer BryanAugust 13, 2018 at 7:42 pm #

      Retreating root canals is not something I recommend very often unless there is a really obvious reason for why it failed. It is often better for everyone involved to extract and place an implant. I don’t know what your circumstance was prior but that is a generalization. You may want to get another opinion of the work that was done at this point. If someone else says there is something wrong with then you might have some recourse. If not then your options become more limited to extraction.

  142. LindseyAugust 13, 2018 at 3:24 am #

    got a Cerac crown on a lower back molar. I went on an international flight three days after I got my crown. (Not dental tourism, just bad timing.) Now, it is two weeks later, and I am taking 2 advil 3x per day for ongoing pain. No sensitivity to cold or heat or chewing. Just throbbing pain. Will it take longer to recover because of my flight abroad? Was it a bad choice to get a cerac crown as opposed to a traditional crown? What should I do now? Also, what is the best way to find a good dentist? What should I look for / watch out for. In the past, I chose my dentist based on proximity. Thanks for the advice!

    • Bauer BryanAugust 13, 2018 at 7:39 pm #

      Flight won’t impact lower teeth at all. I don’t care much for cerec crowns personally but some docs are good at them. The mill is not very good compared to what labs use so the fit is often not great. Your pain could be any number of things. I have a list we give patients that are moving on how to find a good dentist. Here is our how to find a good dentist link

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