Your crown could be putting pressure on a traumatized nerve and if an infection occurs, it can be painful. One cause of infections could come from previous fillings that may have had leakages resulting in bacteria infecting the nerve root.
Signs of an infection may include swelling of the gum, pain when you bite down, temperature sensitivity, and fever. If you are experiencing any of those symptoms, contact your dentist immediately to schedule a root canal. Most people assume that because you have a dental crown, cavities will no longer be an issue. However, because the tooth underneath the dental crown is still alive, a new cavity can still form at the border of the tooth and the crown.
A cavity is caused by dental plaque buildup leading to tooth decay. If the cavity sufficiently damages the nerve, the tooth can die and lead to infection. In this case a root canal will be required.
Root canal therapy in a crowned tooth involves drilling a small hole into the crown to remove the infected nerve and surrounding tissue in the tooth roots. This may require multiple trips to the dentist before completely resolved. The best way to avoid cavities in a dental crown is proper oral hygiene and routine dental cleanings. Contact our team if you are due for a cleaning or suspect a cavity in your dental crown.
A cracked dental crown can be uncomfortable and in some cases cause mild pain. Grinding your teeth at night, a habit called Bruxism , adds pressure to the crown that could result in a crack. If you notice that your dental crown is cracked, broken off, or dislodged entirely, contact your dentist to make an appointment.
The pain may be localized in a single tooth, or it may feel like an entire side of your jaw is hurting.
Often, the pain is worse if you lay down, so you may have trouble sleeping. Sometimes the pain may seem to be in a different tooth than the one that is actually infected; this is called referred pain.
In addition to tooth pain, patients with abscess teeth often experience swelling of the jaw, gum soreness, and extreme sensitivity to hot and cold foods. You might develop a mild fever. If the abscess is close to the surface of your gums, you might notice what looks like a pimple on your gums. This pimple may rupture if you press against it with your tongue, releasing a smelly liquid. If you believe you have a dental abscess, don't delay seeking treatment from your dentist.
Abscesses that are left untreated can spread infection to a neighboring tooth, into your jaw bone, or even into your brain or blood tissue, which may have serious or deadly consequences. The sooner your dentist is able to treat the abscess, the greater the chances of saving your tooth. Abscesses can be detected with a simple set of dental x-rays, which only take your dentist a few minutes to produce. The abscess tooth treatment your dentist recommends will depend on the severity and location of the infection.
Here are the most common treatment options. If the abscess is minor and is located near the surface of the gums, your dentist may drain the pus by making a small incision in your gums. You may be given local anesthesia to numb the treatment area during this procedure.
Draining alone is not usually sufficient to treat an abscess. It relieves the pressure in your gums and can therefore help ease your tooth pain, but it does nothing to address the infected tissue inside your tooth.
Usually, your dentist will need to perform a root canal procedure to remove the infected tissue inside your abscess tooth. Root canals are not nearly as painful as you may have heard. Your tooth and gums will be numbed prior to the procedure. Then, the dentist will drill through the tooth to access the pulp inside your tooth roots. A special suction device or laser is used to clear away the infected tooth pulp. Then, your tooth roots are filled with a synthetic material, and the access hole is filled.
Usually, your tooth is then covered with a crown to prevent future cracks and damage. A root canal procedure and subsequent crown placement usually take place across at least two appointments. At the first appointment, the root canal is performed and a temporary crown is placed over your tooth. At the second appointment, a permanent crown made from porcelain or metal amalgam is cemented over your tooth. A tooth that has been treated with root canal therapy is technically dead since its nerves and blood supply have been removed.
However, this treated tooth can remain in your mouth for many years if you continue to care for it properly with good oral hygiene and dental care. If your tooth is badly decayed or cracked, or if the infection is extensive, your dentist may need to remove the infected tooth completely. You'll be given local anesthesia, and then a dental elevator and forceps are used to remove the tooth from your jaw. After your socket heals for a few weeks, your dentist may insert a dental implant to replace the missing tooth.
Antibiotics, such as amoxicillin and penicillin, are often used on conjunction with one of the treatments above. They help your body fight off the bacteria that caused the abscess and also help keep the infection from spreading to other teeth. Additionally, when you floss, you will want to pull the floss from the sides of your teeth rather than pulling upwards. Depending on the materials used for your dental crown, they can last about years.
When the crown is placed, your general dentist will discuss the proposed lifespan for your particular dental crown. Towards the end of this life cycle, it is important to pay attention to certain signs that your root canal crown needs to be replaced. Here are three signs to look for:. Root canal crowns are effective dental restorations used to restore the external appearance of the tooth while also protecting the remaining tooth structure from decay.
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