Constant Jaw Pain After Crown Preparation: What to Do

Many people experience some level of discomfort after getting a permanent crown placed, which often dissipates over time. However, for some, the pain persists, and it can be quite worrying. It's important to discern the cause and take appropriate action. In this article, we will discuss the signs of irreversible pulpitis, the potential need for root canal treatment, and what you can do to address the situation effectively.

Understanding the Cause of Persistent Pain

If you are experiencing constant pain in your jaw after crown preparation, it could be a sign of irreversible pulpitis. Irreversible pulpitis is a condition indicating that the pulp (the inner tissue of the tooth) is no longer viable and requires root canal treatment. If you noticed that the pain did not subside after the crown was placed, it is important to consult with your dentist as soon as possible.

Common Symptoms and Causes of Persistent Pain

There are a few common symptoms and causes that may lead to persistent jaw pain after crown preparation:

High Crown or Over-Preparation

If your crown is too high, it can cause pain when biting. This is usually detected relatively early, but sometimes the issue is not identified until the crown is cemented and the patient tries to bite normally. Over-preparation, where the tooth has been cut too much during the procedure, can also lead to a situation where a root canal is necessary to manage the pain.

To determine if this is the cause, you can ask your dentist to check if your bite is level and if the crown is correctly aligned with the neighboring teeth. You can also gently tap the crown using the handle of a metal spoon or apply a cold stimulus to see if it causes pain.

When to Seek Professional Advice

It is not unusual for a tooth to be inflamed after a crown preparation. However, if the inflammation does not subside after a few weeks, it is a sign that there might be an underlying issue that needs to be addressed.

Here are some steps you can take:

1. Keep Track of Symptoms

Monitor your symptoms and note any changes. If the pain is continuous and does not decrease, it is crucial to seek further evaluation.

2. Consult Your Dentist

Make an appointment with your dentist to have the tooth tested and diagnosed. If your dentist is unsure, they may refer you to an endodontist, who is a specialist in diagnosing and treating problems related to the pulp and root of the tooth.

3. Consider Root Canal Treatment

If the puls is indeed irreversibly inflamed, root canal therapy may be necessary. Ideally, this should be performed by an endodontist who can make a conservative access through the new crown. This can be done in such a way that the crown can be saved, and you can avoid the need for a replacement.

Conclusion

Persistent jaw pain after a crown preparation can be concerning, but it is important to remain calm and seek appropriate treatment. By understanding the possible causes and taking the necessary steps, you can address the issue effectively and potentially avoid more invasive procedures like root canal treatment.