Very sore pain in gum and tooth after core and temporary crown work.

[Du_deleted]

https://drive.google.com/file/d/1_LSnYSfSZ69yy2a9ouXvQZQy5MdXmV_V/view?usp=drivesdk.
I Have lower jaw pain under ear, neck pain since may. Went to dentist,he suspect a tooth fracture in lower first molar#46.he sent me to Endo.he couldn't spot any tooth fracture,said that tooth is sensitive to bite/cold. I waited till September if it improves.Still the same pain symptoms,my dentist told me to do RCT.I had rct done 7 weeks back.Still same symptoms. Dentist still suspect I have a tooth fracture.I went for core and temporary crown work this week.Told me to come after 3 weeks for permanent crown.I don't know for sure if I have tooth fracture.Still have same symptoms.constant burning pain in neck and lower jaw under ear.Can I do permanent crown?How to know if I have tooth fracture? I have very sore pain on the gum,tooth on that area after temp crown work. Is this normal or because of fracture?do I need extraction?x-rays normal.dentist took CBCT,suspect a root fracture from it. added cbct images link on the top.

My x-rays are normal. I had few different dentists opinion before this root canal. None of the dentist are sure about the tooth fracture. My dentist suspect my pain and symptoms from this tooth fracture or tmjd. I don't know if I did root canal without knowing if that's actually needed. Still have same burning pain in jaw under ear and neck.

I have very sore pain after this build and temporary crown work done. It's been 2 days and very sore pain and pinch like pain on the gum and tooth of #30. What to do for this? Is this normal? Do anyone see any fracture on my tooth? Appreciate your inputs.

 

[DrD]

Hello,
- Fracture is very difficult to see on x-rays and very hard to diagnose.
- RCT may not help if the tooth is fractured.
- Depending on how is the fracture but tooth may need to be removed if the fracture is deep in the gum.
- The tooth looks fine on the first x-rays. And the RCT looks good on the second x-rays.
- Sensitive to cold and biting are normal signs of tooth fracture.
- Did you get a biting test with a tooth slooth?
- Is the pain constant, spontaneous or only if you bite down on that side? or does it wake you up at night?
- Did you get any medication for it?

 

[Du_deleted]

Hello,
- Fracture is very difficult to see on x-rays and very hard to diagnose.
- RCT may not help if the tooth is fractured.
- Depending on how is the fracture but tooth may need to be removed if the fracture is deep in the gum.
- The tooth looks fine on the first x-rays. And the RCT looks good on the second x-rays.
- Sensitive to cold and biting are normal signs of tooth fracture.
- Did you get a biting test with a tooth slooth?
- Is the pain constant, spontaneous or only if you bite down on that side? or does it wake you up at night?
- Did you get any medication for it?

Thank you @DrD for the reply. Appreciate it.
I have taken NSAIDs, antibiotics, steroid pack and muscle relaxers. Nothing helps. It's constant burning pain in lower jaw under ear and neck.
I did a tooth sloth test too. It was paining and sensitivity to bite on one spot on that tooth. So dentist suspect a tooth fracture and took CbcT scan. But the Endodontist couldn't see any fracture and he told me not to extract tht tooth. Told me to try root canal.

Most of my pain is only on lower jaw under ear and neck. It's burning pain.

I had temporary crown work done on Wednesday. Since then I have very sore and sharp pinch like pain on that tooth and gum. Along with lower jaw under ear pain, this tooth and gum pain. Taking NSAIDs. Attaching xray taken this week.

I have this pain since may. Constant burning pain. Does it indicate that I have tooth fracture and need extraction?

 

[DrD]

It's understandable that the tooth is sensitive to biting but with all the meds + treatments you got on this tooth and still have those symptoms, you probably need to get tooth removed. I would also investigate other places/teeth, or tmj.

 

[Du_deleted]

It's understandable that the tooth is sensitive to biting but with all the meds + treatments you got on this tooth and still have those symptoms, you probably need to get tooth removed. I would also investigate other places/teeth, or tmj.

Thank you @DrD. I have started a conversation with you. Hope you received it.
Yeah, I am looking into tmj treatment. Tmj specialist told me to start the treatment after all the dental work.

I don't know if I should extract the tooth now. Endodontist didn't recommend me to remove the tooth. Even though my Dentist suspect w tooth root fracture. Endo want me to try crown and see if it helps.

I have been dealing with that pain since may. I don't know if I should try permanent crown or extraction.
I have very sore pain after this temporary crown work. It's sharp pinch like pain, scratching pain inside in gum and tooth. Is it normal to have pain for a week after this work?

 

[Du_deleted]

Hello,
- Fracture is very difficult to see on x-rays and very hard to diagnose.
- RCT may not help if the tooth is fractured.
- Depending on how is the fracture but tooth may need to be removed if the fracture is deep in the gum.
- The tooth looks fine on the first x-rays. And the RCT looks good on the second x-rays.
- Sensitive to cold and biting are normal signs of tooth fracture.
- Did you get a biting test with a tooth slooth?
- Is the pain constant, spontaneous or only if you bite down on that side? or does it wake you up at night?
- Did you get any medication for it?

@A_s ,
It's been 2 weeks after temporary crown. I still have sore pain in that gum and tooth. I did salt water rinses. It's like sore , sharp like pinch pain and scratchy like pain. It's on and off and am not chewing that side at all.
I asked my dental office and they said to wait till my next appointment and see if it improves.
I have my next appointment for permanent crown next week. I dont know if I should wait for this pain to settle down or to get permanent crown.

 

[Du_deleted]

It's understandable that the tooth is sensitive to biting but with all the meds + treatments you got on this tooth and still have those symptoms, you probably need to get tooth removed. I would also investigate other places/teeth, or tmj.

@DrD ,
It's been 2 weeks after temporary crown. I still have sore pain in that gum and tooth. I did salt water rinses. It's like sore , sharp like pinch pain and scratchy like pain. It's on and off and am not chewing that side at all.
I asked my dental office and they said to wait till my next appointment and see if it improves.
I have my next appointment for permanent crown next week. I dont know if I should wait for this pain to settle down or to get permanent crown.