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Question:
Sensitivity then swollen glands after dental crown: About 2 months ago my new dentist put on a crown to a tooth that wasn't hurting, but had a piece cracked off.
He had alot of difficulty fitting the crown, because my TMJ prevented a proper camera fit to get the computer generated crown.
The crown looks nothing like the old tooth or it's mate on the other side. Two weeks later, the tooth developed extreme sensitivity (to heat and especially cold), and a couple weeks after that, I got swollen glands.
I returned to the dentist, who found nothing in the x-ray, adjusted the bite, and prescribed toothpaste for sensitive teeth. A month later, the pain is still there and my glands are still swollen. ...Visitor from MN
Answer:
There are multiple causes of symptoms you are having.
Sensitivity can arise from occlusion issues related to individual tooth treatments or be more related to the existing health status of the tooth being treated, where the original structure is in a state of decline.
Creating and placing posterior crowns is difficult for any dentist. The fact your existing TMJ problem prevented a "more normal" treatment opportunity may or may not have played a role in a questionable crown product.
If there were no decay issues or old deep fillings in the original tooth structure, the sensitivity you are having could be related to an artifact of a difficult cementation process, less than optimal relationship between the two bonding surfaces (prepared tooth and interior surfaces of the crown) or the use of a crown product that violates the existing occlusal plane (e.g., too high or unusual lateral force).
In this difficult situation it is not uncommon to have a crown cemented and then find out it may need a root canal.
We usually will take a periapical film to see if the root is acting up, which could also be causing the sensitivity issue.
Ara Nazarian, D.D.S.
Michigan Reconstructive Implant Dentistry
1857 East Big Beaver Road
Troy, Michigan MI 48083
(248) 457-0500
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