Pain with temporary crown?

Question

Two & 1/2 years ago, I had a crown. It was so sensitive that they never permanently glued it down. However, it finally quit hurting, but they didn't take it out since the temp. glue was holding it. It fell out a couple months ago, and then after they permanently glued it on, the porcelain shattered. So, today they removed it, replaced it with a temporary crown and I'm awaiting the NEW permanent crown. It now hurts when I bite down (on soft foods). I'm concerned that I will go thru the misery I did the first time. Has anyone had this before? I had a crown on the bottom jaw and had no difficulties, but the top tooth was miserable last time, and now it's hurting to bite again.

Answer 1

It could be a number of things. The temporary crown could be too high causing your occlusion (bite) to be off. The temporary could be impinging on the gum tissue below it, or if they prepared the tooth with burs/drill you could have sensitivity or possibly pulpitis. If you can describe the symptoms of pain in more detail that would help. For example: when does it hurt? does the tooth hurt or do the gums hurt? Does it hurt spontaneously? does it wake you up at night? Is it a sharp pain or a dull, aching pain? Did they use burrs to prepare the tooth a little for this new crown?  

Answer 2

for extremely sensitive dentine/ tooth, or if the tooth has been afflicted with irreversible pulpitis, you may have to undergo a root canal treatment procedure. this will eliminate your pain. only then can you get a crown made for your tooth. Please go to a good prosthodontist in your area who is an expert in making fixed prosthesis like crown and bridges. ceramic shattering at the time of fixing points to the fact that the prosthesis was not made properly. Surprisingly you are continuing with the same person who has been unable to give relief to you since last 2 years. Dentistry is a very predictable science and there is no question of taking a chance. The diagnosis has to be sound before initiation of actual therapy.