Some please help!

Joined
Apr 10, 2025
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So in November of 2024, I had a crack in my first upper molar on the inside (visible to the eye). The tooth had a big metal filling, and the dentist said the sides had become weak because of it. He told me I would need a cap (an onlay). He removed most of the crack, took the old filling out, refilled it, and then capped it.

Now I have an open bite, so the only connecting teeth are the two back ones on either side. When he fitted the new cap, it was too short, and I started experiencing pain in the last molar because all the pressure was going to that very back tooth.

I went back to him in January 2025, and he told me it was fine—that all the back teeth were touching. I wasn’t satisfied with that answer, so I got a second opinion from another dentist at the same practice. During the consultation, he agreed with me and said the crown was too short and needed to be redone—great.

Here’s where everything started going downhill.

The new dentist removed the old crown, but it felt very aggressive. He struggled to get it off, but eventually succeeded and put on a temporary crown. I had to wait two weeks for the permanent crown to come back from the lab.

Within those two weeks, I started experiencing a dull ache in my cheek where the work was being done. I also couldn’t bite on that tooth at all—sharp pain that was horrendous. I went back (still within those two weeks), and told him my symptoms. He said the temporary crown was too high and catching, which was causing the pain. He shaved it down and told me if I still had pain in a week, he’d remove the crown and investigate.

Yesterday (9th April), he fitted the permanent crown using temporary cement to test the bite. If the bite isn’t right, he can take it off and send it back to the lab for adjustments. I still have cheek pain and pain when I bite down. He said it’s likely because the temporary crown didn’t offer support for the crack, and the permanent one will be better—that the pain should go away. He also said if it doesn’t, he’ll have to remove the tooth, as a root canal probably won’t help either.

Well, it’s been a full day and the pain is still there. I can’t bite on it, and I’m starting to worry he’s just taking the easy way out by suggesting extraction. None of the dentists have taken an X-ray to check the health of the tooth. I’m going back in two weeks to have it permanently cemented, but he said worst case, if the pain persists, we’ll take the tooth out.

I don’t want a dental bridge, so my only option is an implant—which costs thousands. Someone please help. I feel like I’m falling into a massive hole with no ladder to get out. Am I being fobbed off? Can anyone else advise me, please?
 

Dr M

Verified Dentist
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Why no x-ray? This is strange. I would suggest holding of on any permanent cementation until the cause of the pain has been sorted out. If need be, seek an opinion outside of that practice.
It might be that the tooth is cracked, but it also might be that it only needs a root canal treatment. You can't make any decisions about extractions if you don't have all the information first.
 

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Joined
Apr 10, 2025
Messages
8
Why no x-ray? This is strange. I would suggest holding of on any permanent cementation until the cause of the pain has been sorted out. If need be, seek an opinion outside of that practice.
It might be that the tooth is cracked, but it also might be that it only needs a root canal treatment. You can't make any decisions about extractions if you don't have all the information first.
Yes I thought it was very strange to not do an xray! He told me that the xray wouldn’t show up cracks so there is absolutely no point in doing one!
 

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Dr M

Verified Dentist
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It might not even be a crack. And certain cracks can definitely be seen on an x-ray. The initial prep might have damaged the nerve, which could have led to irreversible pulpitis and thus requires a root canal. I would suggest go for the x-ray somewhere else.
 

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