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Pain worsening after permanent crown

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  • Pegasus5726
  • Newport Beach, CA
  • Created: August 17, 2018

I had a permanent CEREC crown placed (tooth 31) a week ago, and it is getting more painful each day.  The tooth had large composite filling and a crack and had been bothering me intermittently for years when I would bite on something wrong.  I saw an endodontist just prior to getting the crown and he said I didn’t need a root canal.   The pain after the crown placement  feels like it’s in the tooth itself, and the pain radiates all through the jaw and neck, in the mastoid muscle, Sternocleidomastoid muscle, upper and lower jaw,  upper and lower teeth sensitive, and TMJ, all on the right side.   And this pain gets a little worse each day.  It doesn’t hurt when I bite on a toothpick with that tooth, and it has only mild sensitivity to cold which goes away immediately.  Percussion doesn’t seem to hurt.   I was having  jaw pain and TMJ flare up while sitting in the chair getting the dental work done. When he was injecting novacaine, it felt like was in just injected in one area at back corner of jaw, kind of angling the needle in different directions from that one injection point.   Any chewing aggravates my entire right jaw and I am mostly eating pureed food now.   The bite feels perfect,  so I don’t think it’s a problem.  My teeth are very sensitive in general, and when I had mercury fillings replaced several years ago with composite fillings, my teeth were sensitive for a while,  but nothing like what am I experiencing right now.   I wonder if my tooth could be sensitive to the bonding material that was used to seat the crown?  (Cement was not used). If so, How long could this last?   If I get a new crown  and use cement instead of bonding could this solve the problem?  Or could a possible cracked root or damaged root nerve result in this extensive jaw pain? I’ve had 7 crowns placed over 35 years but never experienced this before.

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