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  • Nerve pain surrounding crown/root canaled tooth-crown lengthening surgery necessary?

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    Old 02-06-2015, 08:43 AM   #1
    Sasha59's Avatar
    Join Date: Jun 2012
    Location: USA
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    Sasha59 HB User
    Nerve pain surrounding crown/root canaled tooth-crown lengthening surgery necessary?

    My #14 tooth was diagnosed as needing a root canal and crown. So the dentist put a temp tooth on and thereafter I had the root canal performed by an endodontist. Then I returned to the dentist for the crown fitting and I told her during that visit that I had slight discomfort on that tooth (and couldn't understand why if the nerves were no longer there). She attributed the discomfort to sensitive surrounding gum tissue that would be relieved by proper oral care procedures which I followed and the crown was eventually placed.

    But I continue to have discomfort surrounding that tooth which has become more like a zinging, nerve pain whenever I floss. around it. I went back to the endodontist for his review and was shown that the root canal was done properly. However, he did reveal that the crown was ill fitted (i.e., was not meeting the gum correctly at a point and food could get lodged under the crown).

    So I returned to the dentist and she removed the crown and put the temp back on. She also reworked cavities on the surrounding #13 and #15 teeth. Also, I continue to follow her dental regimen (proper flossing, rinses, use Sensodyne, etc.) to try and improve the discomfort but it has progressively gotten worse. It really zings and hurts when I floss on the backside of that tooth and now also hurts when I chew on an edge of that tooth.

    I went back to the endodontist to review the root canal again but he convinced me that his work was done properly. He was perplexed as to my problem since there is no evidence of an infection or fracture, and the temp seems to have a good seal now. He recommended along with my dentist that I see a periodontist.

    So I saw a periodontist who recommended crown lengthening surgery. He said there is no guarantee that this procedure will alleviate my pain but is hopeful since it will allow better room for the crown placement.

    Consequently, I am really unsure about proceeding with this surgery. I have definite NERVE PAIN surrounding the back side of this tooth. Could it be that the temp is ill fitted in some way? Should I seek another periodontist for a second opinion or some other type of dental professional? This whole process so far has taken over a year (there were a couple months setback during that time due to a family death).

    What should I do from here? I will appreciate any advice.

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    crown, crown lengthening, nerve pain, root canal

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