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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Throbbing Pain In Tooth

I had a permanant crown put on a baby tooth that was 55 years old. The baby tooth was decaying and dead. Now I am having throbbing pain in the tooth area and when I click my crown with another tooth very sharp pains are in this area. What could this be?
Mon, 8 Jun 2015
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Dentist,  's  Response
Hi..
Can understand your concern..

An per your complain and explanation of symptoms the reason behind the pain is infection under the root tips of the tooth leading to formation of pus which causes pressure and pain..

Any infection below the root tips of tooth causes pain on clenching the tooth with the opposing tooth and your symptoms are indicative of the same..

I suppose that the root canal treatment was done before crown placement and any defect left during the treatment can lead to infection and inflammation after a few months or years..

In case root canal was not done infection of the tooth due to ill- fitting crown or dissolution of cementing material can cause seepage of food debris and bacteria between the tooth and crown leading to nerve exposure and pain..

I would suggest you to consult a dentist and get an x-ray done to get evaluated for the cause and get treated accordingly..

For now you can take a course of antibiotics like Amoxicillin+clavulanic acid three times daily and Ibuprofen 2 times daily for 5 days ,but treatment is must for permanent relief..

Hope your query is solved..

If you find the answer helpful please write a positive review and click on find this answer helpful as a token of appreciation..

Thanks and regards..
Dr.Honey Nandwani Arora.
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Dentist,  Dr. Harry Maheshwari's  Response
Hi Dear,

Welcome to HCM.

Understanding your concern.

Brief answer - Periapical abscess

As per your query you have throbbing pain in the area of crown its because of underlying tooth has got build up of bacterial accumulation in that area and due to that bacterial activity pus formation is there and that pus is finding no space to escape and accumulating in that area and putting pressure on nerve roots and jaws due to which you experience throbbing pain.

I would suggest you to visit dentist once and get IOPA( X-ray ) of that area done and depending upon extent of underlying infection get root canal treatment of that tooth done and if infection is too much get that teeth extracted.

After tooth extraction once area will be properly healed you can go for tooth implant or fixed or removable prosthesis.

Scaling, root planning and curettage of that area should be done to maintain proper cleanliness. Warm saline gargles should be done properly. Brush and floss on daily basis.

Hope your concern has been resolved.

Best Wishes,
Dr. Harry Maheshwari
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Suggest Treatment For Throbbing Pain In Tooth

Hi.. Can understand your concern.. An per your complain and explanation of symptoms the reason behind the pain is infection under the root tips of the tooth leading to formation of pus which causes pressure and pain.. Any infection below the root tips of tooth causes pain on clenching the tooth with the opposing tooth and your symptoms are indicative of the same.. I suppose that the root canal treatment was done before crown placement and any defect left during the treatment can lead to infection and inflammation after a few months or years.. In case root canal was not done infection of the tooth due to ill- fitting crown or dissolution of cementing material can cause seepage of food debris and bacteria between the tooth and crown leading to nerve exposure and pain.. I would suggest you to consult a dentist and get an x-ray done to get evaluated for the cause and get treated accordingly.. For now you can take a course of antibiotics like Amoxicillin+clavulanic acid three times daily and Ibuprofen 2 times daily for 5 days ,but treatment is must for permanent relief.. Hope your query is solved.. If you find the answer helpful please write a positive review and click on find this answer helpful as a token of appreciation.. Thanks and regards.. Dr.Honey Nandwani Arora.