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Pain in the tooth. Have a silver crowning. Can I gargle with salt water?

Recently a couple of months ago I had revieved a silver crown on my last tooth on my upper right jaw.
This morning while I had brushed my teeth I felt a very unusual cold sensation this morning on the cap and as I brushed I bit down on my tooth brush and felt a horrible pain on the silver crown I can't even continue to eat my lunch and dinner without switching my position and chewing on my left side of mouth.
Are there any suggestions to stop the pain?
Gargle my mouth with salt water?
Asked On : Tue, 16 Apr 2013
Answers:  9 Views:  77
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Dentist 's  Response
Thanks for posting your query.
The pain and sensation with the silver crowning may be due to-
Gingival recession or periodontitis associated with the crowned tooth.
Get the crown removed and clinical and x-ray check-up has to be done.
Use desensitising toothpaste to brush your teeth.
Maintain good oral hygiene.
Brush your teeth twice daily using soft-bristled toothbrush.
Use chorhexidine mouthrinse to gargle.
Take care.
Answered: Wed, 17 Apr 2013
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Dentist Dr. Gunjan Gupta's  Response
Thanks for your query.
As you provided the detail it seems that you have infection in underlying tooth,because of that you have such sensation.
so i will suggest you please visit back to your dentist as soon as possible and get the examination done including x-ray of the same and take a proper treatment.
If there is infection in the same tooth you have two treatment options- canal treatment.
Nothing to get worried.
Take Care.
Dr.Gunjan Gupta
Answered: Thu, 18 Apr 2013
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  User's Response
Hello dear

The reason for your pain can be one of the following

There is infection below your crowned tooth

You have biten over some hard stuff and there occured trauma in that crowned tooth.

Just stop chewing from the side of crowned tooth

Start doing warm saline rinses

Take OTC acailable antiinflammatory and painkillers

Wait for one week

Ifmit is due to trauma it will be relived if it is due to infection then you ll have to see your dentist.


Dr. Amit k. Gaba
Answered: Wed, 17 Apr 2013
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Dentist Dr. Anshumala Singh's  Response
Dear friend.

Thanks for sharing your concern.

your history shows that there is infection under the crowned x ray is required here.
is the tooth treated ?there could be any unexplored canal which is causing pain now.

Food impaction around the crown can cause local inflammation of gum (gingivitis) resulting in pain.

I would suggest you to get clinical evaluation done by your dentist.

Hope it helps.


Take care.
Answered: Wed, 17 Apr 2013
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Dentist Dr. Benley George's  Response
Your problem could be due to gingival recession in the region or high points in the occlusion. It would be better if the tooth can be Root canal treated by an Endodontist and a cap placed. This can relieve your problem. Consult your dentist at the earliest. Wishing you a speedy recovery.

Answered: Mon, 22 Apr 2013
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014
Hello and Welcome to HCM,
Thanks for writing to us.
A persistent tooth pain after having a dental filling should be considered as a sign of possible complications. Although a mild sensitivity after a filling is normal, if you experience a continued or/and intense pain you must visit your dentist for examination of the possible causes.
Warm salt water rinses for the next few days will help the gum to heal and will help relieve discomfort. You may experience some bleeding of the gum when brushing and flossing for the first few times. Continue brushing and flossing as usual and these symptoms should subside in a few days.
Hope this helps you.
Wishing you good health...
Answered: Tue, 23 Apr 2013
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Dentist Dr. Sonia Nayab's  Response
hi there

thanks for asking your query

history provided shows that there is infection under the crowned tooth,but confirm diagnosis can be made by clinical examination and xray films

treatment includes crown removal and tooth evaluation

is the tooth root treated(rct)??if so then root canal has to be evaluated,if there is any missed canal or remained infected pulp then root canal treatment has to be repeated

sometimes food impaction around the crown cause local inflamation of gum (gingivitis) cause pain and discomfort

in such case maintain good oral hygiene,floss after every meal especially around crowned tooth,get your scaling done,gargle with saline water

take analgesics for pain relief and consult a dentist for further evaluation


Answered: Tue, 16 Apr 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

Your clinical history and symptoms suggest that you have developed re-infection in the tooth.
A detailed clinical examination by the Dentist is required.
Take an x-ray of the tooth to look for the correct periapical condition of the tooth.

Based on clinical symptoms and x-ray treatment will be Root canal treatment.
Take tab amoxiclav 625mg and tab aceclofenac twice for three days.
Antibiotics and analgesic will give temporary relief, unless the tooth is devitalised and sealed you will face pain and infection.

Meanwhile you maintain a good oral hygiene, use antiseptic mouthwash gargles and lukewarm saline gargles.

Hope this helps out.

Answered: Tue, 16 Apr 2013
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Dentist Dr. Farah Hussain's  Response
hello there ,

Thanks for writing your query,

Dental pain in an already filled and restored tooth indicates the presence of infection below the filling .

Tooth ache indicates bacterial decay or infection in the tooth that involves the exposed tooth nerve tissues .

such infected tooth needs to be treated by a root canal procedure so please consider getting the treatment done by consulting a dentist.

you may need an OPG radiographic examination done for your teeth to confirm the spread of infection or to rule out the exact cause of the pain .

you may need to replace the silver crown if the tooth is infected. please get the evaluation done approaching a dentist.

i hope this helps ,

take care.
Answered: Thu, 18 Apr 2013
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