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Losing a tooth to infection (decay) or trauma can be a painful experience. Imagine that you are in a dental chair and just got a new tooth or a bridge fitted. It is a joyous experience, almost like a new found lease of life, to be able to eat better and look better. However, even after a few days to a week, you realize that the new crown is just not settling down completely. There is a constant sensitivity that exists and is not allowing you to enjoy the new tooth.
There are various reasons that the new crown can be sensitive, some of them including:
- A high point: On the new crown, there could be small points that do not allow for a bite as earlier. This can lead to sensitivity and minor jaw discomfort.
- Improper fit with exposed dentin: This can happen at the neck area, where the crown is not fitting the tooth, leaving a small part of dentin exposed. This can lead to sensitivity once the crown is fixed in.
- Other decayed teeth: If there is a decayed tooth adjacent to the crown, it could be confusing and sometimes difficult to pinpoint the exact area.
If it persists for more than a week, check with your dentist on the following:
- Severity of decay: The extent of decay in the first place should be considered, especially if you have had crown as a result of extensive tooth decay. If it was involving a large portion of the dentin, the changes of having sensitivity are high, even after a crown placement. In these cases, there could be silent abscess, which may never manifest as symptoms, but can cause a gnawing sensitivity issue with each bite.
- Area of decay: Root caries and cervical caries are more prone to have sensitivity compared to the crown of the tooth. The enamel layer in these areas is thin and the chances of dentinal involvement is high. The rate at which the decay will reach the pulp and cause pain is also higher.
- Type of dental treatment: If extensive metal work is done, the sensitivity might last longer than a week, which is the norm.
- Triggering factors: Make a note of what triggers the sensitivity, hot, cold or sweets.
- Management: As mentioned, expect the sensitivity with your new crown to last for up to a week. In some cases, it may be longer, depending on, as noted above, the severity of the original decay, the area, triggers, etc.
While some cases may be managed with a small trim of the crown, some may need the crown to be re-fitted, and some may even require re-treating the tooth completely.
If you haven't had your teeth cleaned in the last 3 to 6 months you could be spreading infection to the rest of your body. Please prevent oral systemic health issues by getting your teeth cleaned regularly from your dentist or hygienist. According to the american academy of periodontology, several studies have shown periodontal disease to be associated with heart disease.
I have light pain in the lower right last teeth. I have seen a black hole in the mid. please advice medicines.
Hello doctorI am 28 year old man I have teeth cavity problem last two months what should I do please tell me doctor.
My wife is pregnant. She is now in 9 month. We actually found few weeks back tht her front teeth are widening. I. E. Noticeable distance is formed between her upper front teeth. And she is reporting tht her teeth gums are painting severely. please advise what to do.
I am suffering from vomiting tendency from last 6 month. It always happen to me after doing toothbrush.
One of my female friend is suffering from mucocele. She's gone to a local doctor and he pressed the mucocele and asked her for wait for 3 to 4 days. And again she is having the same problem and this time more wide and she is feeling some pain as well. What should she do?
Bleeding gums is a sign of gum disease Gingivitis and advanced stage Periodontitis. Bleeding gums happen due to inadequate plaque removal. Germs present in the plaque attack the healthy tissue around the teeth and cause the first stage of gum disease –Gingivitis. Signs and Symptoms of gingivitis include bleeding gums, swollen, red or tender gums and bad breath or taste. If gingivitis is not treated then the plaque will harden into tartar and this will lead to increased bleeding and a more advanced form of gum and jaw bone disease known as Periodontitis which can finally lead to tooth loss.
Causes of bleeding gums include: Poor oral hygiene, brushing too hard, improper flossing, vitamin deficiency- C or K, ill fitting denture, hormonal changes during pregnancy, infection either it can be tooth or gum related. Ongoing gum bleeding may be due to serious medical conditions such as leukemia, bleeding or platelet disorder.
It is important to visit a dentist at first sign of bleeding gums because first stage of gum disease gingivitis can be treated and reversed completely. For further details you can contact us or visit our clinic.