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Suggest treatment for tight feeling in mouth after crown placement on teeth

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Posted on Mon, 14 Dec 2015
Question: Hi, On Monday of this week I had two permanent crowns put in on teeth 14 and 15. Prior to this I had two separate temporaries put in and had them in for 2 weeks. The temporaries after a few days felt great like my normal teeth. After getting the permanents put in this past Monday ( these are 2 teeth molded together) they felt tight and not right. I went back to the dentist on Wednesday and they kind of ground them down to fit better. It hurts when I chew mainly on tooth 14 and they just don't feel right as compared to the temporaries that were in. How long should I give it to see if things calm down and I get used to them? They told me if they still hurt next week to come back and told me to take ibuprofen and Tylenol 3 times a day for the discomfort. Do you have any advise and do you think the fact that the 2 crowns are molded together is the problem. They said I need this because I grind my teeth. thank you Ed .
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Answered by Dr. Mahesh Kumar T S (22 minutes later)
Brief Answer:
high points in crown, tooth infection, medication.

Detailed Answer:
Thanks for your query, I have gone through your query.
As far as the pain in the crowned teeth can be because of the high points(excess crown structure) over the crown. So this can be corrected by grinding the crown and reducing i to normal. This takes a week time to settle down.
The other possible cause for pain can be an infection in the root tip(if the tooth is not root canal treated), so you need to get a radiograph to confirm the diagnosis. If the tooth is infected and root canal treatment has not been done, then it has to be root canal treated and then crown has to be placed.
Regarding the joined crowns, this decision varies from dentist to dentist. If i am your treating doctor, i would suggested you to go for individual crowns, because, if one crown has problem and needs to be removed, then both the crowns has to be removed and repeated. The pain is not because of the joined crowns.
You can continue the medicines for 3 days and stop it and observe it for a week, if the pain persists then consult your dentist and get the crown corrected.
I hope I have answered your query. If any queries are there, reply me back. take care.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Mahesh Kumar T S (57 minutes later)
I see you suggested possibly needing a root canal, my question is why did the temporaries feel absolutely fine with no pain now immediately upon getting permanents things are different? Something does not add up.
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Answered by Dr. Mahesh Kumar T S (9 minutes later)
Brief Answer:
high points, reduction.

Detailed Answer:
Thanks for your feed back.

The possible cause for pain soon after placing the permanent crown is because of high point in the crown. So get the high points corrected and observe for a week. If the pain still persists, then get the vitality test for the same tooth. If the tooth is non vital, then get the tooth root canal treated. If the tooth is vital, then the pain should subside by the reduction of the high points.

I suggested root canal treatment if there is infection in the tooth. This infection can get aggravated anytime. So it might have aggravated soon after placement of the permanent crown.
So consult your dentist and get it evaluated.

I hope i have answered your query. Take care and Regards
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Mahesh Kumar T S

Dentist, Oral and Maxillofacial Surgery

Practicing since :2007

Answered : 3376 Questions

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Suggest treatment for tight feeling in mouth after crown placement on teeth

Brief Answer: high points in crown, tooth infection, medication. Detailed Answer: Thanks for your query, I have gone through your query. As far as the pain in the crowned teeth can be because of the high points(excess crown structure) over the crown. So this can be corrected by grinding the crown and reducing i to normal. This takes a week time to settle down. The other possible cause for pain can be an infection in the root tip(if the tooth is not root canal treated), so you need to get a radiograph to confirm the diagnosis. If the tooth is infected and root canal treatment has not been done, then it has to be root canal treated and then crown has to be placed. Regarding the joined crowns, this decision varies from dentist to dentist. If i am your treating doctor, i would suggested you to go for individual crowns, because, if one crown has problem and needs to be removed, then both the crowns has to be removed and repeated. The pain is not because of the joined crowns. You can continue the medicines for 3 days and stop it and observe it for a week, if the pain persists then consult your dentist and get the crown corrected. I hope I have answered your query. If any queries are there, reply me back. take care.