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What is the cause of swelling on the gums and face with stiffness on the bottom cheek post popping a temp crown ?

I had a temp crown put in on the second to last tooth on the right. After I had the temp places I left the office and the crown broke off. I didn t know that wasn t supposed to happen so I continued on about my business and when I had an appointment again a few days later I told them and they replaced the crown. However this time it was causing me some pain and discomfort which I didn t know until the anesthetics wore off by then I was home. Later the next day the crown popped off again giving me relief but now my gums seem to irritated. Along with my the right side of my face being swollen. I have no pain but a stiff and rather hard area on my right bottom cheek , my gums also look swollen but I can not be sure.
Asked On : Tue, 10 Apr 2012
Answers:  4 Views:  508
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Dentist, Orthodontics 's  Response
First need to know why you have gone in for a crown. Usually crown is given after root canal, or in severely mutilated tooth structure. In your case you lost the temporary crown due to which the tooth has grown out a bit. The new permanent crown which was placed was very high and was irritating you. it finally popped off because a high point acted like a lever. You have a swelling indicates infection . I advice you to consult a good dental surgeon who would put u on antibiotics take a x-ray and sort things out.
Answered: Tue, 10 Apr 2012
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Dentist Dr. Latif's  Response
hello, post crown complaint is commonly due to wrong placement of crown, wrong impression and formation of crown , forcibly pressed crown into the gingival margins, or some periapical infections causing gums swelling and inflammations. there are few solutions for your issue , but the best is to visit the dentist from where you have done this crown treatment and let them see the case in detail . tell the dentist your symptoms in details and i am sure he will remove this crown. will look into the tooth vitality and then will decide further treatment. wish you good health . regards
Answered: Wed, 18 Apr 2012
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Dentist, Periodontics Dr. Arati C Koregol's  Response
Welcome to HCM
your lymphnodes seem to be enlarged because of inflammation of the particular tooth/gum associated with the crown. this may be because of improper fitting of the temp. crown that has lead to pain and irritation of the gum. So visit the dentist for correct occlusion of the crown and for high point correction on the crown.
Hope this will help you
thanks for the concern
Answered: Tue, 10 Apr 2012
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  User's Response
You have all signs and symptoms of acute periapical infection of tooth. You are suffering from cellulitis. Get RCT / re-RCT / extraction done and you will be fine. Dis-lodgement of crown is mostly due to poor cementation or high points on the crown. In your case its due to high points, as you felt relief after it came out. But extrusion of your tooth due to abscess pressure cannot be ruled out, which can lead to dis-lodgement of the crown, and relief to the patient as the tooth becomes disoccluded.
Answered: Thu, 19 Apr 2012
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