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Ask Dr. Rye: Crowns and dull pain
A month after getting a crown I have dull pain, is it the nerve or bad installation? I had a temporary for 2 weeks (I know!, long wait). During that time though I even forgot about it, that’s how normal those 2 weeks were as far as my teeth go. I’ve had nothing but discomfort (not sharp achy pain) in what feels like is my root or stump inside the space of the crown and my tooth.
It is likely an occlusal (bite) issue. In the defense of the dentist, if he used a Zircon crown on a back tooth, the standard “type-writer tape” occlusal indicator is difficult to read sometimes. The Zirconia is so hard and smooth it doesn’t always mark well. Great material for crowns, by the way. Also, sometimes patients are so numb at delivery, they may have difficulty getting their teeth together normally to mark the tape. Rarely, the cementing process itself can exacerbate a tooth that is already in “trouble”, kind of like a “final blow”. Imagine a tooth that has had a lot of work in the past, and now the crowning process, although necessary, pushes the vitality of the tooth over the edge. My suggestion is always to have the dentist check the bite first. Don’t forget to thank him. Your relationship is worth gold to you, and it is valuable in the same way to him?