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FAQ:  Pain - Gum and Mouth



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Question:
In February, I went to the dentist and had a double crown (#13,14)and an inlay(#12) put on 3 teeth next to each other, upper left. I have been in pain ever since.

I now (April) have had root canal on all 3 teeth - 2 teeth 4 weeks ago and the other 2 weeks ago. I am still in pain. The pain in the jaw to the ear is gone. The gums between the double crown is where the pain starts. This is the original spot where all the pain started right after the crowns and before all the root canals.

The pain is sporadic (dull) and the gums fell like they are on fire although there is no redness when you look and lasts 5 to 8 hours every day. I can't sleep most nights because of the pain. The endodontist can't figure out what's wrong. Can it be a bad crown?

Hopefully, you can help and send me in the right direction. I teach and haven't been able to go to work. ...Visitor from NJ

Answer:
Assuming that your root canal treatments were done well and have had time to heal, we can presume that the discomfort you're still experiencing is not root canal pain (it's also a good sign that the discomfort no longer radiates toward the ear).

It's certainly possible that after 3 root canal treatments on the upper back teeth that there is involvement in the sinus or that longer healing time is necessary.

When you describe that the discomfort now seems to emanate from the gums, I wonder if there is a periodontal problem associated with this area?

Many times crowns must be made below the gumline to extend to where deep fillings once were. They can impinge upon the gum tissue if it's not dealt with as well. This is something that your dentist can explore with you or you can seek a second opinion with another dentist or periodontist (gum specialist).

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