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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Tooth Crown Pain Be Treated?

My husband thought a crown was cracked. He went to an emergency dentist yesterday, had xrays taken, a good cleaning. Xrays were negative, no cracks, cavities, etc. Was given antibiotics and rinse. He was up all night because the pain was horrible and throbbing. Went to regular dentist today, more xrays which revealed nothing. Was given pain pills that aren`t working. There is obviously something very wrong. He`s ready to get the tooth pulled. Any theories, or suggestions for pain relief? Applied extra strength Orajel over the weekend which made the pain worse.
posted on Thu, 13 Mar 2014
Twitter Thu, 4 Sep 2014 Answered on
Twitter Thu, 4 Sep 2014 Last reviewed on
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Dentist,  's  Response
Hello,
I would suggest reducing the bite on the crown as a first step to evaluate if this gives any relief. An older crown may have decay underneath the crown which is not visible on X-ray, but has caused an abscess. A new crown can also have an abscess underneath the crown. Treatment options include a root canal. Some root fractures are difficult to diagnosis with X-rays. Consult a root canal specialist if the tooth already has a root canal or you want another evaluation and testing of the nerve health.
More details involving the crown placement and dental history with X-rays would allow me to give a more detailed response. I suggest a combination of Tylenol and Advil taken at regular intervals for relief of severe pain. Orajel can burn the tissue. Antibiotics are usually prescribed for infections and can take more than 24 hours to be effective. Sometimes a different antibiotic is necessary to treat a resistant infection. Are there periodontal conditions to be concerned about? Was there an event that made your husband think the crown was cracked?
I am glad to assist further and thank you for your inquiry.
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How Can Tooth Crown Pain Be Treated?

Hello, I would suggest reducing the bite on the crown as a first step to evaluate if this gives any relief. An older crown may have decay underneath the crown which is not visible on X-ray, but has caused an abscess. A new crown can also have an abscess underneath the crown. Treatment options include a root canal. Some root fractures are difficult to diagnosis with X-rays. Consult a root canal specialist if the tooth already has a root canal or you want another evaluation and testing of the nerve health. More details involving the crown placement and dental history with X-rays would allow me to give a more detailed response. I suggest a combination of Tylenol and Advil taken at regular intervals for relief of severe pain. Orajel can burn the tissue. Antibiotics are usually prescribed for infections and can take more than 24 hours to be effective. Sometimes a different antibiotic is necessary to treat a resistant infection. Are there periodontal conditions to be concerned about? Was there an event that made your husband think the crown was cracked? I am glad to assist further and thank you for your inquiry.