Root canal and crown question

[bwspot]

I went to dentist for routine checkup. After Xrays I was told that i had a cavity and i need a crown as cavity is too big for the feeling. My tooth was prepared for the crown. The space between feeling and nerve after preparation was about 1.5-2mm so doctor put some liquid to see if I will be able to have a crown with no root canal. After few days I started to have lots of pain and sensitivity to cold. I went to doctor and told her about it and she performed the root canal without even checking my tooth sensitivity. She said she is 100% sure that i needed it. After the root canal I had terrible pain in the gums area every time i would bite on the tooth with the temporary crown. It lasted for 2 weeks and then I got the real crow, but i was not happy with it as it felt too high. The doctor checked it and told me that i am probably feeling it too high as this is new to me. I was 100 sure this is not right, but she corrected little and said all fits perfect. Now when i slide my bottom jaw over top i always feel the crown when i hit it. On the other side I don’t feel anything when i slide. What i feel since then is the sensation that my gums are swollen or sore and the feeling does not want to go away. I suspect the crown is too high and probable when I sleep I press on it a lot and put too much pressure on the gums leading to pain. I would like to know if:
- Should i have the root canal done right away or maybe it was worth to wait few more days to see if the pain would go away
- Why after root canal i had such a terrible pain, is it because it was done incorrectly and too harsh and the damage to the gums was too much
- should i feel the crown when i slide my bottom jaw over top
- is my pain caused by high crown

 

[LADentalclinic]

Without seeing an x-ray I cannot say whether or not I agree that you needed the root canal. Some soreness after a root canal is experienced by some people, but a root canal is the removal of the nerve, so the pain shouldn't be severe. It absolutely sounds like your crown is too high. This will not correct itself. The crown must be adjusted or the ligament surrounding the tooth will continue to be inflamed and you will continue to feel pain. I would return to the dentist and have the crown adjusted. Don't leave until your bite feels even. Your sense of feel is more accurate than the articulating paper that we use to check the bite. A bite that is too high will not correct itself.
Best of luck to you.

 

[bwspot]

Without seeing an x-ray I cannot say whether or not I agree that you needed the root canal. Some soreness after a root canal is experienced by some people, but a root canal is the removal of the nerve, so the pain shouldn't be severe. It absolutely sounds like your crown is too high. This will not correct itself. The crown must be adjusted or the ligament surrounding the tooth will continue to be inflamed and you will continue to feel pain. I would return to the dentist and have the crown adjusted. Don't leave until your bite feels even. Your sense of feel is more accurate than the articulating paper that we use to check the bite. A bite that is too high will not correct itself.
Best of luck to you.

thx for your response. I will try to get xray and I might post it here. I will go back to doctor but this time a different one and get the crown checked.. The doctor that did that was nice but was insisting that what i feel is not true and there is nothing there that is on the way. The doctor also trimmed one of the fillings on the opposite site of the crown to when was trying to correct the problem and that is what completely drove me nuts. Why to touch the old filling? The new crown is the root cause of the problem not old filling. Now i can sense that old filling is trimmed and all area around the tooth is sharper due to it and probably soon it will fall apart as it should not be touched at all.

 

[LADentalclinic]

A second opinion would be a good idea, but your new dentist may or may not want to adjust a new crown that another dentist did. Some types of crowns can fracture if they are adjusted a lot. A new dentist may not want to be held responsible if this happens. I hope you get some relief soon.

 

[bwspot]

A second opinion would be a good idea, but your new dentist may or may not want to adjust a new crown that another dentist did. Some types of crowns can fracture if they are adjusted a lot. A new dentist may not want to be held responsible if this happens. I hope you get some relief soon.

So 2 weeks ago i went to my dentist and I rejected the dentist who did the work on me. I spoke to my original dentist and I asked to adjust the crown. She adjusted it and it felt much better, but after two weeks I still feel the gums under the tooth. It is weird as the root canal was done and now the whole area is more sensitive then before. I feel like the damage to the nerves where they connect with the gums was so intrusive that it affected that area and now i will be stuck with it forever. Its not like the pain is super strong, but it bugs me. I feel something and it changes with the weather. Before anything was done i did not have any sensation. If i grab that tooth with my finger and try to move it I feel some discomfort. Also, I am not sure how the crown should be adjusted, but in my opinion maybe it is just too big. On the right side where everything is ok, I feel like that tooth is smaller and no matter how i slide my jaw i cannot hit it. I got some x rays, but they did not get me one that shows the tooth after it was prepared for the crown. I am suspecting that although i had sensitivity, if i would wake 1 week or so the tooth might adjust and i would not need the root canal. See attached if you can tell anything.

 

[LADentalclinic]

I've posted a radiograph that shows what a root canal should ideally look like. The white lines going down the tooth is the fill material. It should extend down to the tips of the roots. Yours appears to be short. That could explain why you're still experiencing sensation on that tooth. All of the nerve wasn't removed.

 

[bwspot]

I've posted a radiograph that shows what a root canal should ideally look like. The white lines going down the tooth is the fill material. It should extend down to the tips of the roots. Yours appears to be short. That could explain why you're still experiencing sensation on that tooth. All of the nerve wasn't removed.

i do appreciate your reply. Does it mean that on the attached photos where I marked the fillings at the end in red color they should extend longer?
Also, is it possible that they could just tell me to wait some time after they prepared for the crown before going straight to the root canal?
I think what they did is called the pulp cap.
Once I told the doctor that the tooth was sensitive to cold she immediately decided to do the root canal without any further testing.
I have an appointment tomorrow to check it again. I will try to get that xray after they did the pulp cap before the root canal.

How should I handle this situation?
I feel like i have nothing to say and doctors are frustrated that i ask too many questions?
Can they just screw (excuse my language) tooth and be no liable at all?

My original doctor is very nice, but the lady who did the root canal cannot just walk away.
It is sad that dentist can just do whatever and then just say that anything can happen cause it is complicated.

 

[LADentalclinic]

Yes. The white fill material (gutta percha) should extend all the way to the tips of the roots. The only way to get it down that far is to file and clean the inside of the tooth all the way down to the root tips removing all of the nerves. A tooth with a root canal is a dead tooth and should have no feeling if done properly. The x-ray that I posted shows a textbook example of a successful root canal. It is not unusual for a tooth with a temporary crown on it to be sensitive to cold because of the fragile material of the crown and the trauma of the crown prep. Whether or not you really needed a root canal is impossible for me to say, but your root canal fill is definitely short. That part is obvious. You might tell them that you got a second opinion and was told that the root canal fill is short which could cause the tooth to become re-infected now or in the future. If necessary the root canal can be re-treated. You may consider a consult with an Endodontist (root canal specialist) if the tooth continues to give you problems. I'm sorry you're in this situation. I hope you get some relief soon.

 

[bwspot]

Yes. The white fill material (gutta percha) should extend all the way to the tips of the roots. The only way to get it down that far is to file and clean the inside of the tooth all the way down to the root tips removing all of the nerves. A tooth with a root canal is a dead tooth and should have no feeling if done properly. The x-ray that I posted shows a textbook example of a successful root canal. It is not unusual for a tooth with a temporary crown on it to be sensitive to cold because of the fragile material of the crown and the trauma of the crown prep. Whether or not you really needed a root canal is impossible for me to say, but your root canal fill is definitely short. That part is obvious. You might tell them that you got a second opinion and was told that the root canal fill is short which could cause the tooth to become re-infected now or in the future. If necessary the root canal can be re-treated. You may consider a consult with an Endodontist (root canal specialist) if the tooth continues to give you problems. I'm sorry you're in this situation. I hope you get some relief soon.

Thanks again for all your advice. It helps a lot. I will definitely use your wording at my visit.
You said the tooth with root canal should have no feeling. Does it mean that mine has some instead of gutta percha?
Also, the sensation I experience is that dull or swollen feeling around the area around the tooth. It is not sharp pain. It kind of feels like the pain around the wound that heals.
Can this be a cause of a post trauma after the crown preparation and later root canal or is side effect of the improper root canal treatment?
Or can this be also due to the crown being still too big and somehow pressing on the gums all the time and therefore not allowing it to heal?
There was a lot of pain around the tooth after the crown preparation and later the root canal.
I

 

[vedentis]

Yes your advice is also very helpful for me. Now I am very happy after pain relief.

 

[bwspot]

Sorry for not posting the results of my dentist visit but new problem developed that threw me off.
So I went to check my tooth on june 10th and they told me that root canal was done property and it was long enough.
They said that bite was also good and that the could not adjust it anymore as it would be wrong.
During the voyage with the dentist and tooth problem I spent some time with some music experiments.(mostly listening to different audio equipment and few times to the tone generator, not super loud) Same week after the dentist visit on Friday the 13th i started to get ringing in the ear. It has been on since then. It freaks me out as I cannot sleep. I almost forgot about my root canal, but today I started to think that maybe the root canal and ringing are correlated and ringing is not a cause of music listening, but the root canal. I do still feel uncomfortable with that new crown. I can feel it and when i touch the tooth and try to move it I feel discomfort and sensation that something under the crown is not OK and gums feel still not healed. I never felt uncomfortable when i was listening to the music and never got any ringing after it as music was not loud. The ringing that started happened during the silence just out of nowhere, I went to MD to check for infection but they did not see anything wrong. They prescribed some decongestant medicine and told me to go ENT if the ringing does not go away. I started to read more about ringing and all points to the Tinnitus but I cannot believe that this could happen. I am 39. Yesterday I massaged my neck and the jaw (both sides) for 10-15 minutes and later I hung on the inversion table. I repeated it twice. I went to bed and just like that ringing in the right ear went away but the one on the side when root canal was done did not stop. I woke up with ringing in both ears again. Not sure how the massage could be related or the inversion table. (hanging upside down) Is it possible that my problems are related to the root canal and massaging or hanging affects something like sinuses or nerves that fixes the problem? (not every time) Not sure what to do now? If i go to ENT they might diagnose me incorrectly if they don't take the root canal into the consideration. Please help or point me into the right direction.

 

[bwspot]

Anyone can give me an advice of possible ringing as side effect of root canal? I need to decide if I should go first to different dentist to check the root canal work before i go to ENT.
What would you recommend? My doctor told me to go to ENT but because the tooth still does not feel like i am suspecting that maybe it is a root cause of my problems.

 

[bwspot]

I went to root canal specialist and I was told the root canal was not done property. I was told the feelings were too thin and too short. I am haveing it redone today. I hope it will fix all my problems.

 

[bwspot]

So i had the root canal redone. So far i don't feel too much of the difference. I do start wondering if my root canal was actually done incorrectly or the root canal specialist just wanted to make money on me and redid it. I am having hard time trusting any dentist I see. I also went to another dentist and I was told my crown needs to be corrected as there is little empty space between the crown and the tooth. Here I wonder again is it really the case or they just want my money?

 

[Nicolas]

I guess you should have avoided crown because it is the reason that causes you pain and definitely requires root canal in which the dead nerve is removed. You will experience pain for some time after going through root canal. I feel the problem is with the high crown and it needs to be readjusted. I think its better to consult another dentist to fix this problem.