Pain in Root Canal/Crowned Tooth

Discussion in 'Dental Archive' started by Billy, Feb 6, 2005.

  1. Billy

    Billy Guest

    I've had pain (the pressure type) on my lower rear molar for several days
    now and the dentist can not determine the cause. I was hoping that someone
    could give me their thoughts or experiences on this.

    The history of this molar tooth is that I've had a gum lengthening procedure
    by a peridontist to fit a crown, then a route canal and crowned it (silver
    with porcelain coating) - applied about three years ago.

    Suddenly last week, I started feeling pain in this area when I was chewing.
    It becomes real painful and sensitive for an hour or so then subsides. When
    it is sensitive, the area is very tender to any chewing down on it. It feels
    like there is a weight being pressed on it. When the pain subsides, chewing
    on it feels faintly annoying - not even a bother. Then it comes back hours
    later or the next day and hurts again. Then subsides again.

    I went to the dentist and had an x-ray. Nothing found. He filed the tooth to
    realign the bite thinking that this may be the reason. This still did not
    fix it.

    I looked around the tooth myself and did some poking with a travel plaque
    pick very lightly at the gums. The gums did not hurt and are not
    red/swollen. What I found is that there is actually a hole (or pit you might
    call it) in the underside of the inside part of the crown. I can stick this
    plaque pick right inside the underside of the crown. When I move it around a
    bit in there - bingo - painful!

    How could there be pain in a root canalled tooth? Do you think this might be
    the tooth, the gums, or the bone itself that is causing this intermittent
    pain?
     
    Billy, Feb 6, 2005
    #1
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  2. Billy

    Dr. Steve Guest

    On Sun, 6 Feb 2005 18:53:51 -0500, "Billy" <> wrote:
    Three possibilities come to mind.

    1). Para-function--nighttime clenching
    2) cracked root
    3) failed root canal treatment

    ...
    Stephen Mancuso, D.D.S.
    Troy, Michigan, USA

    I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting.
     
    Dr. Steve, Feb 7, 2005
    #2
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  3. Billy

    W_B Guest

    On Sun, 6 Feb 2005 18:53:51 -0500, "Billy" <> wrote:
    Show this area to your dentist or get a second opinion from an
    endodontist.

    Could be a fractured root.

    --
    W_B


    Take out the G'RBAGE
     
    W_B, Feb 7, 2005
    #3
  4. Billy

    W_B Guest

    On Mon, 07 Feb 2005 00:39:30 GMT, Dr. Steve <>
    wrote:

    Probably #2

    --
    W_B


    Take out the G'RBAGE
     
    W_B, Feb 7, 2005
    #4
  5. Billy

    Billy Guest

    "Dr. Steve" <> wrote in message
    news:...
    I'm a bruxism candidate. I've been doing this for years!
    Thanks. I'm going to visit an oral surgeon but just based on my own
    curiosity: Would a cracked tooth that was previously route canalled have
    pain? I was under the inpression that a root canal procedure eliminates
    "feeling" in the tooth. Also, could the crack occur to a tooth underneath a
    crown?

    I forgot to mention that the tooth sometimes feels steadily sore, even if
    not biting down and just being "brushed" with my tounge.

    I was reading about Apicoectomy. It sounds scary.
     
    Billy, Feb 7, 2005
    #5
  6. Billy

    Dr Steve Guest

    A possible suggestion:

    1) Get an NTI device, then if pain persists:
    2) Have the Root canal retreated through the crown, then if pain persists:
    3) get worked up for replacement of the tooth with an implant.

    Or,,,,,, skip step (2)

    Not having examined you in person, the above is just a guess.

    --
    ~+--~+--~+--~+--~+--
    Stephen Mancuso, D.D.S.
    Troy, Michigan, USA
    .....................................................

    This posting is intended for informational or conversational purposes only.
    Always seek the opinion of a licensed dental professional before acting on
    the advice or opinion expressed here. Only a dentist who has examined you
    in person can diagnose your problems and make decisions which will affect
    your health.
    .......................
    "Billy" <> wrote in message
    news:...
     
    Dr Steve, Feb 7, 2005
    #6
  7. Billy

    Billy Guest

    I never went back to the dentist, and the pain is completely gone. Got any
    ideas?

    "Dr Steve" <> wrote in message
    news:pNPNd.2148$...
     
    Billy, Feb 10, 2005
    #7
  8. On Wed, 9 Feb 2005 21:41:46 -0500, "Billy" <> wrote:

    Acute periapical abcess ---> chronic periapical abcess (dormant).

    Joel

     
    Joel M. Eichen, Feb 10, 2005
    #8
  9. Billy

    Dr Steve Guest

    Yup

    Quite likely the infection drained out and is waiting to fill back up again.

    --
    ~+--~+--~+--~+--~+--
    Stephen Mancuso, D.D.S.
    Troy, Michigan, USA
    .....................................................

    This posting is intended for informational or conversational purposes only.
    Always seek the opinion of a licensed dental professional before acting on
    the advice or opinion expressed here. Only a dentist who has examined you
    in person can diagnose your problems and make decisions which will affect
    your health.
    .......................
    "Joel M. Eichen" <> wrote in message
    news:...
     
    Dr Steve, Feb 10, 2005
    #9
  10. "Joel M. Eichen" <> wrote >
    Sorry if I'm intruding, but this ''thread'' is similar to a problem I'm
    having. Rear upper tooth has had root canal and now is capped with porcelain
    crown. For the past two years, it feels ''under pressure'' and very
    sensitive every once and a while...I get antibiotics and it goes away. How
    is this fixed??

    Thanks in advance
     
    BigManRestless, Feb 12, 2005
    #10
  11. Billy

    W_B Guest

    On Fri, 11 Feb 2005 20:56:55 -0500, "BigManRestless"
    <christopher.(removethis)> wrote:

    Just a guess here but, may be a fractured root,
    or a failing RCT (root canal therapy)
    Consult with an Endodontist for a clinical diagnosis.

    American Association of Endodontists:
    www.aae.org
    Lots of info there.

    --
    W_B


    Take out the G'RBAGE
     
    W_B, Feb 12, 2005
    #11
  12. On Fri, 11 Feb 2005 20:56:55 -0500, "BigManRestless"
    <christopher.(removethis)> wrote:
    Welcome!

    On occasion the dentist, the endodontist, or an oral surgeon must
    perform an apicoectomy. This involves drilling through the jawbone and
    accessing the root tip and removing the end of the root tip.

    Someones we cannot perfectly obturate (meaning fill) the foramen (the
    opening at the end of the root).

    I understand your symptoms perfectly!

    Joel M. Eichen DDS

     
    Joel M. Eichen, Feb 12, 2005
    #12
  13. Thanks for the speedy responses fellas!

    I've had x-rays of that tooth last year and can honestly say the tooth isn't
    fractured, so the 'apicoectomy' sounds like my only feasible cure.
    Drill through the jawbone huh? Is it safe to assume the porcelain crown
    would be saved or does the 'endo' fella drill through the tooth itself?

    Man! Dentistry has come a long LONG way since I was a kid!

    Be well....

     
    BigManRestless, Feb 12, 2005
    #13
  14. Billy

    Billy Guest

    Or you can have the tooth removed instead.

    "Joel M. Eichen" <> wrote in message
    news:...
     
    Billy, Feb 12, 2005
    #14
  15. Billy

    Dr. Steve Guest

    On Sat, 12 Feb 2005 09:10:15 -0500, "BigManRestless"
    <christopher.(removethis)> wrote:
    An x-ray image can give a "hint" of a fracture, but the fracture
    almost never can be seen without an extraction.
    ...
    Stephen Mancuso, D.D.S.
    Troy, Michigan, USA

    I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting.
     
    Dr. Steve, Feb 20, 2005
    #15
  16. Billy

    W_B Guest

    On Sun, 20 Feb 2005 01:57:14 GMT, Dr. Steve <>
    wrote:

    Agree to an extent.
    If ones' radiographic diagnostic accumen is up to par
    then it is quite easy to Dx root fractures before surgery.

    One just has to know what to look for.
    Patient reported sypmtoms usually point toward the path...
    a radiograph and an astute visual exam only confirms
    what is already suspected.

    Glad you're back,

    Contact me privately.







    --
    W_B


    Take out the G'RBAGE
     
    W_B, Feb 20, 2005
    #16
  17. Billy

    Billy Guest

    Re: Pain in Root Canal/Crowned Tooth - PART II

    I went to my dentist today for a regular six month checkup and cleaning,
    after the on/off irritation into this tooth came and gone since the previous
    post below. They took several more x-rays and found that their may be some
    decay at the top of the root that may be the cause of the irritation in the
    surrounding area. The doc says "wait and see" instead of pulling off the
    crown and correcting the problem. Last visit he thought it was my bite and
    filed my top tooth a bit. Obviously this was not necessary.

    One thing is for sure - the crown that surrounds the tooth is "open" between
    the gum and the tooth on the inside side. This is how food and drink are
    getting into the tooth structure to decay it. I thought that the tooth
    should have been fully enclosed by the outer crown, but the doc says no. Is
    this correct?

    So they used a needle syringe to "flush" the underside of the crown with
    some highly concentrated prescription wash and gave me one of those furry
    flossy looking picks to clean myself regularly.

    I'm concerned that the tooth will continue to decay until it reaches a worse
    situation, like damaging the deeper root or the bone. Is that possible?

    **************************************************************************
    "Billy" <> wrote in message
    news:...
     
    Billy, Apr 2, 2005
    #17
  18. Billy

    DrSteve Guest

    Re: Pain in Root Canal/Crowned Tooth - PART II

    I could not tell from the OP if the "decay" has caries interproximal, caries
    buccal, caries lingual, apical pathoses, or periodontal pocketing. His
    message could be interpreted as any of those. I say we need more
    information before commenting.





    "Joel M. Eichen" <> wrote in message
    news:...
     
    DrSteve, Apr 2, 2005
    #18
  19. Billy

    StovePipe Guest

    Re: Pain in Root Canal/Crowned Tooth - PART II

    DrSteve <> wrote:
    If he says that the dentist flushed the area with a (I would assume)
    Plastic tipped Monoject syringe, it is somewhere just under the finish
    line. I can't see what waiting would do.

    I say the correct approach would be a flap and a Fuji 9. Either that or
    refer to the Periodontist and let him or her do essentially the same
    thing.

    The other thing would be to remove the bridge and repair the defect.
    Then re-do the bridge with a new finish line.

    If I was me, I'd say that while he's 'waiting and seeing' he can have
    his dentist send the photo to the Periodontist and the Prosthodontist.

    In the meantime, I think the OP would need an NTI to unload the area
    while sleeping.

    Just my chicken scratchin's
    SP
    --
    Finally: take out the TRASHH
     
    StovePipe, Apr 2, 2005
    #19
  20. Billy

    Billy Guest

    Re: Pain in Root Canal/Crowned Tooth - PART II

    I'm not up on all the terminology, but I can say that he kept mentioning an
    "f" word as it relates to a dental problem. This is a root canal tooth if
    that helps.

    "DrSteve" <> wrote in message
    news:...
     
    Billy, Apr 3, 2005
    #20
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