Anesthetize the tooth under the crown. What to do if the tooth under the crown hurts when pressed, how to quickly cure folk remedies at home? Incorrect installation of the prosthesis

The most popular type of prosthetics is the installation of a dental crown. The prosthesis not only restores the destroyed tooth, but also contributes to full recovery its functions. Modern materials allow you to protect tissues from the temperature when eating, and also play the role of a barrier to pathogenic bacteria.

However, after the procedure, patients often re-apply to a specialist due to the fact that the tooth hurts under the crown. A person can face a problem immediately or after a few years: he does not know why the pain syndrome appeared and what to do to eliminate discomfort.

Causes of pain in the tooth under the crown

If a tooth hurts under the crown after prosthetics, then the reason is the improper preparation for the procedure. In 60-70% of cases, the canals are not sealed thoroughly or are poorly cleaned. The reason for the appearance of pain also lies in the process of manufacturing the prosthesis, violations of the rules for turning, or its installation on the tooth. Bacteria can accumulate under the crown if it does not cover the neck of the tooth tightly enough - with a living tooth, there is a possibility of inflammation of the nerve.

Poor quality filling

The most common cause of pain is an improperly performed filling procedure. When the tooth is dead, and the root canal is filled with material not up to the top, then bacteria accumulate in the resulting cavity, which lead to infection and, subsequently, to the formation of a purulent focus.

Another common problem is the loose filling of the canal with a filling substance. Pathogenic bacteria gather in the remaining pores, which can soon cause inflammation. In both cases, the cause of the disease can be identified only with x-rays.

Perforation of one of the channels

The tooth root has one physiological opening - at the top. The other hole is an artificially created perforation. It occurs when the canal is not properly processed, when the dentist's instrument makes perpendicular movements, leading to the appearance of holes.

Also, the cause is incorrect installation of the pin. The pin itself can also make a hole if the doctor makes mistakes when fixing it. Perforation causes sharp pain and bad smell. The patient's gums become inflamed.

Other causes of toothache

The causes of pain can be different:

1. Breakage of the dentist's instrument due to incorrect procedure or curvature of the root canal. Foreign object remains in the hole during filling.
2. The crown was placed incorrectly. When the prosthesis is overestimated by bite, the teeth do not close, inflammation occurs over time. If the gum hurts, then the design either goes under it, or does not reach its edge.
3. The pain of the tooth under the prosthesis is associated with inflammation near the root apex and the appearance of pus. Unpleasant sensations arise when the patient tries to bite, chew. When a focus of inflammation is found at the initial stage or in the chronic stage, pain may be absent.
4. Incorrect turning without cooling adjacent tissues. A doctor's mistake leads to the development of pulpitis.
5. Periostitis or flux. Inflammation of the periosteum, characterized by the appearance of a tumor on the gum. The tooth is removed if there is no way to save it.
6. If periostitis is not treated, a fistula appears under the crown. Pus accumulates at the top of the tooth root and eventually breaks through the bone and mucous membrane, leaving the oral cavity. The fistula can drag on itself, but become inflamed again with a decrease in immunity.
7. Cyst - last stage periodontitis. With prolonged inflammation at the top of the root, a tumor forms - a cavity with a fibrous membrane filled with pus. Pain is felt when pressed, the gums periodically swell.

Diagnostic methods

At the stage of prosthetics, an orthopedic dentist and a dentist-therapist work with the patient. If the treatment is incorrect, the patient may need to re-treat the disturbing area. To detect the neglect of the disease, the patient is sent for x-ray or computed tomography, on which depend further actions specialist.

x-ray

When pain occurs, the dentist directs the patient to take an x-ray. It helps to identify the presence foreign body(parts of the instrument), areas of damage to the tooth, depth of infection. The study helps in assessing the quality of the filling, the fit of the material to the cavity, the treatment plan and the possibility of access to the infected area are determined.

External examination of a diseased tooth

The specialist conducts a visual examination to determine if there is a problem and to give a referral for an x-ray. During an external examination, the doctor assesses the condition of the tooth: is it loose, is there swelling, by palpation, the presence of tumors on the gums is detected.

Visually, the dentist can only assess the consequences of inflammation, the correctness of the turning at the junction with the gum, see the fistula, ulcers, but to understand the root cause, you need to do a hardware study.

Is there pain when pressed or bitten?

If it hurts to press on a prosthetic tooth, then the sensations are often caused not by the tooth itself, but by the gums around it. A similar feeling of pain causes a bridge when chewing. This may be due to the fact that the "tooth with a ledge" system was not used in the preparation. The edge of the crown should not lie on the gum, but on the tooth, moreover, with plug-in bridge structures, the gum dries out due to the lack of a root.

Pain when biting may indicate the appearance of carious cavities. It is important not to exclude inflammation resulting from insufficient sanitation oral cavity and infections.

The nature of the pain - pulling or aching?

Unpleasant sensations depending on the disease may be different. When a tooth pulls, the cause is inflammation of its soft tissues, periodontitis. Pain when chewing appears due to too much deep cavity the tooth from which the nerve is to be removed. If it twitches and gives to the jaw, the problem may be the appearance of a cyst.

Aching sensations appear with an infection in the canals, an incompletely cleaned pulp, perforation, underexposure or removal beyond the root filling material. Pain after installation is a typical reaction to tissue injury.

Tooth treatment

In the presence of unpleasant sensations, the specialist finds out the cause of the pain: improper prosthetics, poor-quality canal cleaning, caries or stone formation, chronic inflammation. Treatment through a crown does not guarantee complete removal infected tissues, so in most cases the design is removed.

Removal of the crown and full sanitation

A few years after the installation of the prosthesis, the tooth under the crown begins to ache or hurt. Is it possible to carry out the treatment without removing the crown? There are 3 options for saving the prosthesis:

AT advanced cases you will have to part with the prosthesis, since it is impossible to carry out high-quality cleaning of the canal. The pain disappears after re-filling, removal of tartar and reinstallation orthopedic construction. The crown is deformed, so you need to make a new one ceramic-metal prosthesis that meets all requirements. When the tooth is completely destroyed, it will be removed by a specialist.

How to relieve pain at home?

If a tooth aches after installing a crown, and the patient cannot get to the doctor, you can relieve the pain at home. Convenient to apply simple means, which are at home or can be easily purchased at a pharmacy without a prescription:

Folk remedies to help relieve pain

If the patient is afraid to use medical preparations, you can relieve pain with the help of certain products. Folk methods of treatment offer to cook the following means to ease the pain:

• chopped garlic is combined with water, soda and salt, 10 drops of peroxide are added, the teeth are brushed with the mixture 2 times a day;
• a slice of raw beets is put into the mouth, to the site of inflammation;
• a pinch of instant coffee is placed on the affected area;
• a piece of fat is placed on the inflamed area;
• 1.5 st. l. oregano herbs pour 250 ml of water and rinse 5-7 times per hour;
• 1 st. l. calamus root pour boiling water, cool, put in your mouth and hold for 15 minutes.

When is it necessary to see a doctor?

You can temporarily relieve symptoms at home, but you should see a doctor if:

• tooth aches during meals or at night;
• there is even a slight inflammation;
• increased sensitivity of the tooth;
• a tooth aches, twitches and gives to the temple or ear;
• under the crown bone dark and smelly.

You should not try to cure the infected area yourself with painkillers, folk and disinfectants. Do not apply hot or cold compresses to the affected area. Infected tissue must be removed quickly so that the inflammatory process does not spread to neighboring tissues.

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Inflammation of the root of the tooth - causes

There are two main causes of inflammation of the root of the tooth:

- infection;

- trauma to the tooth.

In turn, the cause of the infection that caused inflammation of the root of the tooth can be:

— untimely appeal to the doctor;

- inadequate treatment of dental pulpitis;

- the occurrence of pulpitis under the dental crown: if the crown injures the gum, when the crown is displaced, this place becomes the entrance gate for infection and further development inflammation;

- the so-called marginal pulpitis, when the infection spreads from other sources not related to caries, and spreads from the oral cavity along the root of the tooth. In the same way, abscesses form along the jawbone and the roots of inflamed teeth; while the crowns (if any) remain intact;

— infectious diseases other localization (sinusitis, tonsillitis).

In all these cases, bacteria enter the dental canals and actively multiply inside the canals, spreading the infection deep into the root itself and along it.

Inflammation of the root of the tooth can lead to causes associated with injuries:

- fracture of the root of the tooth;

- a poorly sealed tooth, which in the process of chewing food is constantly subjected to a heavy load;

- various dislocations in athletes and musicians;

- injuries of blood vessels and nerves root canal up to their rupture, leading to tooth mobility and high susceptibility to infection;

- the use of certain antiseptics in the treatment, in rare cases- when using arsenic.

Features of acute inflammation of the tooth root

Inflammation of the root of the tooth (periodontitis) can occur acutely and chronically.

An acute course manifests itself, like any inflammatory process, the following symptoms: redness, swelling, pain.

There is bleeding and soreness of the gums at the site of inflammation, with pressure on the tooth, the pain increases sharply, enlarged regional lymph nodes can be palpated.

There is an increased sensitivity of the tooth to all irritants: temperature, mechanical, chemical.

With a far advanced inflammatory process, symptoms join general intoxication: fever, severe headaches, severe weakness, in a general clinical blood test, signs of inflammation are determined (leukocytosis, elevated ESR). If you do not urgently start treatment, an abscess or phlegmon may form under the root of the tooth, the inflammation will go to paranasal sinuses nose, with further spread of infection, sepsis or osteomyelitis will develop.

Features of the course of chronic inflammation of the tooth root

The chronic course of inflammation of the tooth root is characterized by the absence of symptoms. Usually there are complaints of discomfort and unusual sensations while eating, bad breath, which is noticed by others.

Often, chronic inflammation has no symptoms. But in the future, fistulas are formed that open on the gums or on the face. These far-reaching changes can be seen by chance on X-ray examination when contacting for another reason.

Only the occurrence of pain makes one turn for medical care. This occurs with a pronounced exacerbation of a chronic sluggish process. The chronic course of inflammation of the tooth root is dangerous because in many cases it is necessary to remove the tooth.

If you seek medical care late, the infection spreads rapidly, and this may later lead to the need to extract, possibly several teeth.

Symptoms of chronic inflammation of the tooth root in trauma

In case of inflammation of the root of the tooth that has arisen after an injury (for example, if the root of the tooth is broken), bleeding of the gums joins the above symptoms, a dark border appears at the place where the gums adhere to the tooth.

In the case of total destruction of the root (crushing) as a result of trauma, there is severe swelling gums, in which the patient cannot close his mouth and close his teeth.

Inflammation of the root of the tooth - treatment

Only a doctor can cure inflammation of the tooth root. The patient himself, if he wants to have healthy teeth, should contact a specialist in a timely manner.

Treatment of inflammation of the tooth root largely depends on the cause that caused the process, on the stage and severity of the course.

In general, the treatment of acute and chronic inflammation is similar, but has some differences.

The main task in the treatment acute periodontitis- free from pus inflamed tissues and save the tooth as much as possible. Sometimes the patient himself, due to diffuse pain, cannot accurately indicate the diseased tooth. In such cases, an X-ray examination is performed. In the future, under anesthesia, tissues damaged by caries are removed, and, if necessary, the damaged tooth pulp is also removed.

In case of development inflammatory process as a result of poor-quality filling, the filling is to be removed, after which the canals are instrumentally processed, thoroughly washed with antiseptics and expanded.

After these medical measures a course of antibiotic therapy, anti-inflammatory (NSAIDs) and antiallergic drugs are required.

A new filling is not placed until the course of treatment is completed. Therefore, before eating, the cavity in the diseased tooth is closed with a cotton swab. After two or three days, the canals of the inflamed root of the diseased tooth are washed with antiseptics, long-acting preparations are placed in them and closed with a temporary filling. If no pus is found in the channels, the pain has stopped by the time of the visit to the specialist, a permanent filling is placed. A follow-up x-ray examination is mandatory to confirm the quality of treatment.

In the treatment of chronic forms of inflammation of the root of the tooth, washing is carried out antiseptic preparations, root canal treatment with instruments, nerve removal.

Further treatment tactics have significant differences. After washing the canals, a swab with an antiseptic is placed in the cavity of the inflamed tooth and a temporary filling is placed, a course of antibiotic therapy is prescribed.

If after the end of the antibiotic there are no signs of further spread of the infection, the channels are re-cleaned and a temporary filling with calcium hydroxide is placed for a period of two to three months. This seal is a good antiseptic.

In parallel, physiotherapy is carried out, including UHF, electrophoresis with anti-inflammatory drugs.

After the specified period of treatment, if the desired result has been achieved and the inflammation has been stopped, the canals are cleaned, sealed and a control X-ray examination is done.

During the next visit to the dentist, a permanent filling is performed. In the absence of the effect of the treatment, if the inflammatory process continues to spread, they resort to surgical intervention.

It should be noted that the treatment of inflammation of the tooth root is a long process.

The success of treatment depends, first of all, on the timeliness of contacting a specialist, the severity of the inflammatory process and anatomical features diseased tooth structure. To save teeth, prevent complications and recurrence is necessary when slightest symptoms inflammation visit the dentist and strictly follow all the doctor's prescriptions.

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Why does a tooth start to hurt under a crown?

There are certain indications for preserving teeth with crowns. A crown is a kind of prosthesis that allows not only to increase the strength of a filled tooth, but also, in certain cases, to act as an artificial substitute for it instead of the missing one in the design, called a “bridge” or bridge prosthesis.

It should be noted right away that the pain in the tooth under the crown and the feeling of discomfort that arose for a short time after its fixation on the tooth is completely Different things, and the causes of pain in such cases also vary greatly. Accordingly, it will not always be possible to help a tooth at home.

However, it is quite obvious that normally a tooth with a crown should not hurt. Then reasonable questions arise: where, in fact, does this pain come from, is it acceptable (permissible) and how to understand what is its cause?

There are several reasons that can cause pain in a tooth under a crown.

The first of these is inflammation of the pulp (“nerve”) inside the tooth. Depending on the choice of the type of crown (stamped, metal-ceramic), the approach and tactics of the orthopedic dentist (“prosthetist”), sometimes a decision is made in favor of leaving the tooth alive, that is, not removing the “nerve” from it. However, in the process of work, errors in the diagnosis, treatment and processing of the tooth under the crown may occur, as a result of which sometimes inflammation of the pulp and pain occur.

Often, such pain manifests itself already at the stage of prosthetics, which makes it possible to make a decision to remove the pulp even before the installation of the crown. But there are, unfortunately, cases when the tooth begins to hurt after the end of prosthetics.

It is interesting

One of the most common causes inflammation of the pulp in the tooth is overheating during the "turning" of tooth enamel. Some dentists still work without water cooling in the handpiece of the drill, which occasionally leads to a “nerve” burn during the processing of hard tissues for a crown and subsequent pulp necrosis.

A metal-ceramic crown requires significant enamel treatment from all 5 surfaces of the tooth. From it, in fact, there is a stump, therefore, the doctor is required to strictly comply with all working conditions: from knowledge of safety zones to prevent the approach of a rotating bur to the pulp chamber, to the use of modern tips adapted to air-water cooling of the treated area from all sides. If at least one condition is violated, the tooth overheats and subsequently begins to hurt. Often in such cases, the tooth hurts under the crown from hot, and pain do not pass long time after elimination of the source of irritation, they often increase at night.

Pulpitis in a living tooth under a crown can also occur due to caries.

However, a tooth with a removed "nerve" can also begin to hurt under the crown. Typically, this is due to poor quality training tooth by a dentist-therapist before prosthetics.

Possible errors that this case can lead to subsequent pain under the crown, many:

• poor-quality processing of the canals and leaving the infection (bacteria) inside them;
• not completely extracted from the channel (channels) pulp;
• tool fragment in the channel;
• creating a perforation (hole) in the wall of the tooth or root (some people think that the root of the tooth hurts under the crown);
• not bringing or excessive removal of the filling material beyond the root

etc. Sometimes there can be both constant severe aching pains and pains only when pressing on the crown.

If at the stage of prosthetics, the orthopedic dentist immediately notices the mistakes of the dentist-therapist, then even before installing the crown, he asks either to re-treat the tooth, or sometimes, depending on the situation, insists on the removal of the tooth from the dentist-surgeon, which changes further tactics orthopedic treatment.

It is interesting

There are situations when a dentist-therapist, due to a lack of experience, qualifications, equipment in the clinic or a complex arrangement of canals during intracanal treatment of a tooth being prepared for prosthetics, makes mistakes that are incompatible with the further preservation of the tooth. Conscientious and honest doctors give the patient truthful information about causal relationships, but more often the unsuspecting client is told that the person himself dragged his problem to such a state that there is already a “cyst”, and the treatment started did not work.

Well, finally, the cause of pain may simply be an incorrectly installed crown.

In some cases, this is due to the overestimation of the crown over the bite: the patient feels discomfort, the teeth do not close. The tactics of the orthopedist to send the patient home to "get used" to crowns that are obviously overestimated in bite are wrong. The fact is that with such a crown, after some time, traumatic inflammation of the tooth root, as well as problems with the temporomandibular joint, may occur. In this case, a person cannot understand for a long time why the tooth ached under the crown, since sometimes more than one month passes before the errors of the work of the orthopedic dentist “emerge”.

There are situations when it is not the tooth that starts to hurt under the crown, but the gum. A crown fixed on a tooth can unnecessarily go under the gum with its edge, or, conversely, not significantly reach its edge.

In the first option, a permanent injury with a sharp edge forms a local inflammation, and the inflammation is accompanied by pain, which “gives” to the tooth. As a result, it seems to a person that it is the tooth that hurts under the crown, although the reason is in the gum.

The photo below shows an example of gingival inflammation in contact with crowns:

In the second option (when the crown does not reach the gums), pain usually does not occur soon. Frequent delay food between the gum and the edge of the crown can provoke the same inflammation and pain in the future as in the first case, but caries on the tooth is most likely to develop, leading to the gradual destruction of hard tissues under the crown with the appearance of a pain reaction to hot, cold, pressure and other irritants .

Folk remedies for pain under the crown

So, suppose you have a toothache under the crown and you don’t know what to do: whether to go to the doctor right away, or try first to relieve the pain at home and see if the problem disappears by itself in the future.

It is important to understand here that even well-placed crowns on the teeth can cause weak teeth. pain after prosthetics (both permanent and appearing only with pressure), but not more than 1-3 days, until the gum mucosa adapts to them. Therefore, folk remedies in this case will come in handy. However, with more prolonged pain, as well as with very severe pain, you should make an appointment with a dentist.

There are many methods to make the pain under the crown lessened or even completely gone. And, perhaps, the most popular method for home use is rinsing, although not everyone knows what means to choose, how to brew decoctions and how to rinse your mouth.

The first place in terms of efficiency and ease of use is occupied by sage.

It is interesting

Sage has long been used by healers, considering it the best green "healer". Even the name "sage" is translated from ancient Greek as "sun", "health". Sage leaves contain flavonoids and phytoncides. Significant content is organic acids, as well as vitamins P and PP. Sage has anti-inflammatory, hemostatic and antimicrobial effects, which is great for relieving toothache and gum pain.

To prepare the infusion, you need to measure one tablespoon of sage herb, pour one glass of boiling water from the kettle and leave the resulting solution for 15 minutes. After that, you should rinse your mouth with warm infusion at least 5 times for 30 minutes. Most quickly, the pain disappears if its cause is the gum inflamed from the crown.

An infusion of oregano is also sometimes quite good for soothing a toothache under a crown, especially if it irritates the gums.

To prepare an infusion of oregano, one and a half tablespoons of herbs should be poured with a glass of boiling water and allowed to cool. To relieve pain, rinse should be carried out 5-7 times within an hour.

However, perhaps the most popular in application are soda rinse. Benefits of baking soda as a folk remedy, consists in the fact that during rinsing with its solution, inflammation of the gums decreases, and the number of viable microbes is significantly reduced, as a result of which the pain gradually subsides.

Preparing a solution of soda for rinsing your mouth is not difficult: just dissolve a teaspoon of soda powder in a glass of warm water. But rinsing, aimed at relieving toothache under the crown, is almost a whole art.

You need to take a little warm in your mouth soda solution and place it in the mouth so that its main part is near the diseased tooth. It is worth holding a portion for a few seconds, and then spit it out and rinse again in the same way, until all the prepared solution is used up. Usually, the tooth gradually stops hurting under the crown within a few minutes after the start of rinsing.

Home remedy for toothache

As noted above, after placing a crown on a tooth, pain of various etiologies may occur. However, whatever its causes, it is natural to want to get rid of discomfort as soon as possible, so you can turn to modern painkillers, which are in almost every home first aid kit.

Dentists are most often prescribed as additional therapy after dental treatment and fixation of crowns, the following drugs are used as painkillers:

• Ketanov;
• Ketorol;
• Ketorolac;
• Tempalgin;
• Nurofen.

The first three of them are sold in pharmacies only by prescription.

It is interesting

Analgin is perhaps the most controversial painkiller, which, however, is in almost every Russian home, which cannot be said about dozens of developed countries that have long abandoned it because of the possibility of dangerous complications. Back in 1970, the World Health Organization recommended that this pain reliever be abandoned. In Canada, Great Britain, Austria, Denmark, the USA, Japan and some other countries, analgin is not sold due to the risk of developing agranulocytosis, a disease associated with a decrease in neutrophils in the blood, which makes the body susceptible to bacterial and fungal infections.

Antihistamines are drugs that reduce hypersensitivity the human body for damage and infectious processes. During inflammation, the so-called “germ allergy” occurs, and histamine enhances it. To keep inflammation under control, antihistamines were created, which are also often prescribed by dentists.

The pain that occurs under the crown is most often the result of inflammation. Histamine is a substance that provokes mechanisms that lead to pain, and an antihistamine drug allows you to influence the receptors that perceive histamine.

If a tooth hurts under the crown, then as an additional therapy, sometimes course treatment is effective such antihistamines, how:

• Diazolin;
• Tavegil;
• Suprastin;
• Diphenhydramine;
• Claritin;
• Zyrtec

Before using any medicines a consultation with a doctor (maybe not a dentist) is required. It must be remembered that many antihistamines and painkillers have a hypnotic effect or reduce concentration.

Treatment of a tooth under a crown at the dentist: what can you expect in the clinic

Each type of crown has its own expiration date, so it is important to soberly assess the situation when pain under a stamped (“golden”) crown arose after 10-15 years of its operation, and under a metal-ceramic one after 15-20 years. That is, one should not rely on the fact that nothing will happen to the tooth under the crown for a long period of time, and it will not hurt.

Another thing is if the tooth under the crown starts to hurt immediately or shortly after its installation, then it is important to understand real reasons this. Of course, it can be difficult to determine the problem on your own at home. Therefore, it is still useful to rely on the conscience and honor of your doctor, consult with him, take pictures of your teeth, if necessary, and determine what exactly is the cause of the pain.

A professional doctor will not only find the causative factor of the pain that has arisen in the tooth under the crown, but will also outline a retreatment plan if there are errors: starting from replacing an injuring or overestimating crown, and ending with re-filling the canals.

The last option is to remove the damaged tooth and draw up a plan for a new prosthesis, taking into account new data.

Clinical case

A 35-year-old man addressed a dentist with complaints of swelling of the gums in the region of the left tooth from below, which periodically disappears by itself. From the history of the disease: the tooth was previously treated in the canals, metal-ceramic crown installed about 2 years ago. Data visual inspection, percussion, EDI and X-ray diagnostics showed that the tooth is under the crown with the nerve removed, and in the region of the apex of the anterior root of the 3.6 tooth (lower left, sixth in a row), a granuloma is visible, representing a rounded dark area in the picture. Surrounding tissues near the posterior root are within normal limits.

The causes of pain are quite obvious: in the anterior root, the filling material passed only a little more than 50% of the canal, so it can be assumed that during work there were a number of problems associated with the passage of the canal, its expansion, washing and filling, which subsequently led to reproduction bacteria in the unsealed area.

The posterior root is sealed almost to the apex, that is, not reaching the visible radiographic apex by about 1 mm. Therefore, it is not a serious problem.

Treatment tactics. To eliminate direct sources of pain in the form of inflammation of the root at the apex, a phased treatment was carried out:

1. Boron preparation through the crown;
2. Opening the mouth of the canal in the problematic anterior root;
3. Passage of the channel and expansion, not reaching the apex by 20-30%;
4. Filling with soft-core obturators to the required length;
5. Resection (cutting off) of the apex of the anterior root;
6. Control pictures after treatment and one year later;
7. Crown replacement.

Prevention of toothache under a crown

So that the tooth under the crown does not hurt, it is enough to follow the doctor's recommendations for caring for it. Crowns should be cleaned regularly and at least 2 times a day, just like your own teeth. It is especially important to clean plaque from the spaces between the teeth and near the gingival margin - the place most likely accumulation of food debris.

For this, hygiene products such as: Toothbrush, dental floss (floss), and on extreme case- a toothpick. It is strictly forbidden to gnaw seeds, mosses, hard nuts, fruit stones, etc. with crowns, as this often leads to breakage of the crown and provokes further severe pain under it.

Even if there is no pain in the tooth under the installed crown, nevertheless, you should visit your doctor at least 2 times a year to control the quality of prosthetics.

Useful video: why there is pain in the tooth under the crown and how is the treatment in this situation

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Causes of the inflammatory process

Inflammation of the tooth root is a complication of pulpitis, which some patients prefer to ignore despite the accompanying pain. When the infection completely destroys the pulp, there is no protection left at the roots, the result is the appearance of a periapical abscess, the formation of cysts.

The roots of the teeth can become inflamed for several reasons - in addition to the infection that got inside due to caries, this is an illiterate hygiene of the cavity and mouth, as well as mechanical injury different nature(blow, bruise, dislocation of the jawbone, other injuries).

Causes of infectious periodontitis

Separately, we will consider why inflammation of the tooth root of an infectious nature occurs, and this is due to the following factors:

In this case, inflammation of the tooth root can be provoked poor quality filling, because of which the load on the molar is distributed unevenly. Also found the following reasons diseases:

1. Tearing of the neurovascular bundle. As a result of injury, mobility of the molars occurs;
2. Dislocation of the tooth. This usually happens during active sports, due to the risk of injury at work;
3. Root fracture. The reason may be the negligent handling of dental instruments by a specialist;
4. mechanical injury.

Symptoms

You can understand that your tooth has become inflamed, first of all, by painful sensations in the area of ​​​​a particular molar. Usually they are characterized by a gradual increase in intensity, then there is a temporary relief. Additional symptoms depending on the form of the disease, the degree of periodontal damage and some other factors, the following are considered:

• Constant pain in the tooth. When exposed to it (pressure, tapping), sensations intensify, there is a reaction to cold, hot temperature;
• Bleeding gums and swelling is a consequence of poor-quality gingivitis therapy;
• Bad breath, which is provoked by microorganisms that have penetrated into the bone and gum tissue;
• Pus inside the canal of the tooth. Such a picture is observed in a neglected state - an inflamed molar must be urgently opened;
• The beginning of the inflammatory process of the bone tissue of the tooth.

However, sometimes when it is necessary to diagnose inflammation of the tooth root, the symptoms can for a long time don't announce yourself at all. It is also possible an increase in body temperature, an increase in submandibular, facial lymph nodes.

Forms of the disease

There are two forms of this condition and the treatment of inflammation of the tooth root depends on how much this process has developed. On the acute stage there is good opportunity start therapy and prevent in time Negative consequences, but it is impossible to determine the presence of cysts, abscesses using x-rays. It is important to prevent the transition of the disease into a chronic form when there is high risk loss of molars, as well as more serious troubles for the patient's body.

The acute form is characterized by sharp spasmodic pain, it is necessary to relieve pain with strong analgesics, but they bring short-term relief.

At chronic form soreness and discomfort cause not so much anxiety, there is a false sense of improvement. If inflammation is not treated, cysts, fistulas, abscesses, and other purulent formations, there is a corresponding unpleasant odor, taste in the mouth.

Basic therapeutic measures

Depending on how much inflammation has developed at the root of the tooth, the appropriate treatment is selected. You will not be able to cope with the disease on your own, you need qualified help, at home, you can only temporarily relieve pain and slightly alleviate your condition.

Treatment for acute inflammation

Acute inflammation of the tooth root requires immediate professional help. For anesthesia, first enter:

1. anesthetic drug;
2. then the areas of the molar affected by caries are removed;
3. if the inflammatory process has managed to affect the pulp, it must be removed around the root part;
4. then it is necessary to thoroughly clean the canal, rinse it with special solutions, put the medicine, put a temporary filling on top.

If after all the manipulations the root of the tooth no longer hurts and the inflammation subsides, after three days you can put permanent filling. An x-ray is taken to monitor the condition.

Treatment of chronic inflammation

When it is necessary to eliminate chronic inflammation of the tooth, treatment is in many ways similar to therapy acute form. Mandatory local anesthesia, the channels are cleaned, washed antiseptic solution. Further, the medicine is also laid, a temporary filling is installed. A few days later, an x-ray is taken to understand what to do in the next step.

If confirmed positive result therapy, the canal is cleaned again, then a preparation containing calcium hydroxide is placed in it.

After a few months, a check is carried out, if the treatment does not help, the damaged areas of the root and surrounding tissues are removed. Sometimes, if the tooth continues to become inflamed, it is necessary to resort to a complete extraction of the molar.

When a patient has an inflamed tooth root, a specialist in any form of the disease prescribes treatment with antibiotics. This is done in order to quickly eliminate the infection in the body and restore. The specific drug and dosage is selected by the dentist individually, you cannot do it yourself.

Quite often, with inflammation of the apex of the tooth root, Metronidazole is prescribed, the course of treatment averages two weeks. Additionally, another antibiotic is prescribed, it may be Clindamycin.

Home Recipes to Relieve Inflammation

If at the moment you cannot visit a dentist, you need to know how to relieve tooth inflammation at home and alleviate your condition. To help stop aching teeth and other symptoms of periodontitis, try the following safe remedies.

Home Recipes:

Also, if you have pain in the roots of your teeth, try alcohol tinctures on propolis, garlic or aloe, herbal decoctions.

How to behave after treatment

In how to treat periodontitis, you must completely rely on a specialist and follow the instructions. But this is a complex disease, and not everything depends on the professionalism of the dentist. For example, if the roots are at least slightly twisted, it will be impossible to carry out a full cleaning, which means that there is a risk of a repetition of the situation.

And to prevent this from happening, be sure to carefully monitor oral hygiene, protect the molars from any damage. If any injury has occurred, be sure to visit a specialist to rule out the worst-case scenario.

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A toothache under a crown. The reasons.

There can be several reasons for pain under the crown of the tooth, consider the most common of them:

The tooth was poorly prepared for a crown

This is a fairly common problem, usually before installing the crown, the doctor depulps the tooth (the nerve bundle is removed with a special tool and the canals are cleaned), the canals are filled, the tooth loses its blood supply and becomes dead, but can still perform its function. In case of poor-quality filling, in any part of the canal, in the absence of filling material there, active development bacteria, which leads to the appearance of periodontitis (inflammatory purulent process). Diagnosis of periodontitis is carried out using an x-ray of the tooth.

Also, in the case when the doctor decided to leave the tooth alive and did not remove all caries well enough in preparation for the crown, or grinded the tooth without cooling, inflammation of the dental nerve (pulpitis) may develop.

Crown placement is the most common and cheap method reconstruction of teeth. The materials used in this type of prosthetics are characterized by resistance to mechanical stress and temperature extremes, and reliably protect the tooth from further destruction. After the installation of crowns, some people experience pain. Sometimes an unpleasant symptom goes away on its own. Sometimes the pain persists for a long time. Then ignoring the problem leads to bad consequences. Therefore, it is useful to know why a tooth aches under a crown, what to do in such a situation?

Why does the tooth ache under the crown

Dentists are often treated by patients who feel. An unpleasant symptom occurs when biting. The degree of pain varies. Sometimes the cheek swells. To understand why the tooth aches under the crown, the dentist conducts an examination, finds out if it was.

With a live nerve

If the doctor has kept the nerve in the tooth, then the cause of the pain may be in.

Often an unpleasant sensation occurs before. It's connected with mishandling tooth.

Some dentists do not use water cooling in the drill handpiece.

Because of this, during the processing of hard tissues, a nerve burn occurs. This leads to pulp necrosis, inflammation. Less often, pain develops some time after prosthetics due to,.

If the nerve is removed

In a tooth with a removed nerve, pain may also occur. It happens that the root system has an atypical structure, consists of small branches. Then it is difficult to completely extract the nerve; end fibers may remain in the canal. This tissue often becomes inflamed and painful.

Other causes of aching pain in the tooth under the crown:

• Tool break. Dental appliances break due to carelessness and inexperience of the doctor. If a foreign body gets into the dental canal, then the doctor will not be able to tightly fill the measles system. This will cause aching pain when you press the crown.
• . pathogenic microorganisms able to penetrate through the edge of the gums into the tooth and cause an inflammatory process in the root. In this case, itching first appears in the gums, and then pain. With advanced periodontitis, the cheek swells.
• Low quality filling. If the root canal is not filled tightly, then pathogens that provoke inflammation can enter it from the oral cavity.
• . Cysts can cause pain and the development of a purulent infection.
• Perforation in the wall of the tooth. Occurs when carious lesion or in case of inept prosthetics.
• Incorrectly placed crown. If the prosthesis is higher neighboring teeth, there may be problems with the temporomandibular joint, traumatic inflammation of the root. If the crown does not fit snugly, food particles will enter the space between the prosthesis and the tooth, provoking the growth of bacteria.

A competent doctor is able to determine the cause of the aching pain in the tooth under the crown. But unscrupulous dentists can hide true information (especially when the cause of pain is a medical error).

If a tooth aches under a crown, what to do

When a person began to ache a tooth under the crown, you should understand the cause of the symptom. If the pain occurs immediately or a day after prosthetics, you should not worry. This happens as a result residual inflammation or gum injury. After a few days, the discomfort will pass.

If pain occurs a week or a month after prosthetics, it is better to consult a doctor. If it is impossible to get an appointment with a dentist, you should use the means traditional medicine or take painkillers.

Taking painkillers

Pharmacies sell various remedies for stopping aching toothache. If the unpleasant symptom is mild, you can take:

If these drugs do not help, you should use stronger drugs:

Before using a pharmacy product, it is important to read the instructions. Many medicines should not be taken more than three times a day. The duration of use is also limited. All drugs have contraindications and can cause adverse reactions, they should be taken carefully, observing the dosage.

Help to remove discomfort but they do not remove the inflammation. To eliminate the cause of an antipathetic symptom, you need to contact your dentist.

Folk remedies for aching toothache

If the tooth under the crown hurts a lot and there are contraindications to the use of pharmaceutical preparations, then you can stop the unpleasant symptom at home by means alternative medicine. Effective include: soda, decoctions and infusions of sage, calamus root, oregano.

Sage

To remove the aching pain, you should make a decoction of sage and rinse your mouth with it.

To prepare it, a tablespoon of dry crushed raw materials is poured into a glass of boiling water and insisted for half an hour.

Rinse your mouth with a solution should be a whole day with an interval of 30 minutes.

The remedy helps if the cause of discomfort is inflammation of the gums.

Oregano

Pain relieves and infusion of oregano. The plant has a pronounced anti-inflammatory effect. To prepare the remedy, two tablespoons of the plant are poured with a glass of boiling water. After cooling, the medicine is filtered. Rinse your mouth for an hour every 10 minutes.

Soda

You can anesthetize the affected tooth and. Baking soda kills pathogens, reduces inflammation. To prepare the product, dissolve a tablespoon of soda in a glass of warm water. The composition is kept in the mouth (in painful area) A couple of minutes. The procedure is repeated every hour until the condition improves. Soda is allowed to be used to prevent inflammation of the gums.

calamus root

Calamus root also helps to reduce pain.

It is poured hot water and insist.

The resulting decoction is kept in the oral cavity for a quarter of an hour.

Calamus root effectively relieves inflammation, pain and strengthens the gums.

The advantage of folk methods is that in addition to relieving pain, they reduce inflammation.

Use decoctions medicinal herbs be careful: there is a risk of an allergic reaction.

What not to do

If a It's a dull pain does not pass in the tooth under the crown, you need to contact the doctor. If the problem is ignored, there is a risk that due to inflammation, the bone tissue will atrophy and tooth extraction will be required. If the disease is not treated, a purulent process will develop, which will spread to nearby structures.

To avoid aggravating the situation, it is prohibited:

• Don't go to the dentist.
• Remove the crown yourself. This can lead to: a fracture, a split of the tooth.
• Ignore medication prescribed by the doctor.
• Use folk methods with severe inflammation.
• Remove a diseased tooth on your own.
• Change the prescribed drug without the consent of the doctor.
• Apply . There is a possibility of injury to the inflamed gums.
• Rinse your mouth with running water. Unboiled liquid contains harmful microorganisms that increase inflammation.
• Eat sweets, spicy, salty food, muffin. Products with dyes, preservatives, sweet soda worsen the condition.

In order for the pain and inflammation to pass quickly, you should make an appointment with the dentist and clearly follow the doctor's recommendations.

Thus, aching pain in the tooth under the crown occurs different reasons. It can be a symptom of residual inflammation, gum injury, infection, caries, incorrect prosthetics. If pain persists longer than a week better to visit a dentist. Self-medication is fraught with deterioration.

09.09.16 Clinic "Don't Hurt!"

Not all patients know that it is often possible to treat a tooth under a crown without removing the crown. Capabilities modern dentistry in some cases, they allow the treatment of the tooth, while maintaining the prosthesis.

How does this happen

A hole is drilled in the material of the crown to access the canals of the tooth and repeated treatment and filling of the canals of the tooth is performed. The tool for work is used the same as for working on a tooth. After completion of the treatment of the tooth under the crown, the hole in the crown is sealed in the same way as for a simple tooth.

Watch a short video in which the head doctor of our clinic Korostelev Egor Dmitrievich answers the main questions on the topic "Treatment of a tooth through a crown"

When is the method of treating a tooth under a crown without removing the prosthesis used?

If the crown is good, recently placed, functional, correctly installed, then it makes sense to keep the prosthesis.

The material of the crown is not of fundamental importance: it can be cermet, zirconium oxide, or metal.

Pros and cons of treating a tooth under a crown without removing the prosthesis

• The price of treating a tooth under a crown without removing the prosthesis will be comparable to the usual repeated endodontic treatment.
• However, there is some risk that the crown may be damaged more than it should be: enamel on metal-ceramic or enamel on zirconium oxide may break off.
• With the crown material itself (zirconium oxide or metal), there will be no problems when drilling a hole.
• But if the ceramic coating of the crown - enamel - is damaged, enamel restoration will be required, which means that additional costs may arise.
• The use of this method violates the integrity of the crown, which reduces its service life.
• But at the same time, the patient has the opportunity to use the old prosthesis for several more years and not spend money on installing new dental crowns.

Dear readers of our site! In this article, you will learn about one of the classic problems of dentures. Very often, patients come to dentists who have a toothache under the crown. Pain may appear immediately and then pass. But sometimes discomfort worries the patient for years, and doctors only shrug their shoulders, inventing excuses so as not to redo the tooth.

But do not underestimate the danger of such a situation. Very often this can lead to complications. Also, do not rely on recipes on the Internet. So you delay the trip to the doctor, but you can aggravate the condition.

In this article, we will talk about why pain occurs, how to treat its causes and, most importantly, how not to harm yourself. It is customary to think that in such circumstances, only the doctor who put the crown can be the culprit of the problems. But it is not always the case. It often turns out that the patient himself is to blame for the situation. It's hard to figure this out, but it's possible.

About the causes of pain

• put on the processed tooth stump separately;
• used in bridge prostheses.

The main task of this product is to protect the processed tooth remains from further destruction and ensure a normal chewing load. Immediately after installation, soreness is normal. The patient needs to go through an adaptation period. Pain under the crown is associated with the process of processing the tooth with special nozzles. Another question is if the discomfort does not go away in a week or a month. This suggests that there are some processes that require the intervention of a specialist.

Therefore, if a tooth hurts under a crown, you need to figure out what causes pain.

1. Option one - inflammation of the dental nerve (pulp), if the doctor left it. Why does it occur? Sometimes it happens that an infection has entered the chamber where the nerve is located, causing inflammation. Then the crown is removed, treated (the nerve is removed).
2. The second option is overheating. It is not uncommon when during the processing of a tooth (turning) its surface becomes very hot. This is due to the fact that not all dental clinics the procedure is carried out with water cooling. This leads to nerve burn. First it inflames and then dies.

Treating a tooth from all sides as carefully as possible is not an easy task. The doctor must be very careful to avoid overheating. To do this, it is important to provide water and / or air cooling, to know exactly how deep the bur can go without the risk of damaging the pulp.

If these two simple rules are not respected, overheating and subsequent pain in the tooth are guaranteed. In some cases, the problem does not go away on its own. The pain persists, aggravated at night and interfering with sleep.

1. Inflammation of the pulp can cause bacteria that provoke the development of caries. As long as there is enamel on the tooth, it protects it from caries. But after turning, the bacteria begin to actively destroy the stump. As soon as the last layers of dentin are passed, nerve damage begins.
2. The tooth may hurt even if the nerve is removed. This means that the endodontic procedures were not performed correctly.

Let's consider the second option in more detail. For example, the channels may have a complex specific shape. It is difficult to clean them qualitatively. Therefore, particles of necrotic pulp, bacteria often remain inside. It is not uncommon for a channeling tool to break off inside. Also, doctors often pierce the canal being cleaned (root perforation).

Another common problem is that many dentists cannot fill the canals with high quality. In some cases, the material does not completely fill the space, in others it shrinks after solidification. When perforated, the filling paste is within the periodontium. The result of such treatment is inflammation and. As a result, pain can be both constant and with pressure.

It should be understood that one doctor, the therapist, is engaged in the processing of the tooth, and another orthopedist is engaged in the installation of the crown. And they are not responsible for each other's mistakes. If the orthopedist is experienced, he can detect a colleague's mistake and send the patient to retreat the tooth. In some situations, the problem is so serious that you have to insist on removal.

Video - Toothache under the crown

Error when installing a crown

Orthopedists are not gods and, unfortunately, not perfect. They, like any person, are prone to mistakes. One of the most common is overbite. In this case, the patient simply cannot fully close his jaw. At the same time, the doctor refuses to admit his mistake and sends the person home to adapt to an artificial tooth.

This tactic is not only wrong, it is harmful to the patient. Indeed, over time, inflammation of the root or TMJ occurs. At first, pain may be felt when biting, then they become permanent. This symptom does not appear immediately. It often takes several months.

Video - Why does a dead tooth hurt without a nerve under a crown

If the gum hurts

Patients with a newly installed tooth often feel like a newly prosthetic tooth hurts. But in fact, this is a phantom sensation. After all, at this moment, the area of ​​\u200b\u200bthe gums, on which the edge of the crown presses, shows pain. There are two options.

1. The sharp edge of the product constantly damages the periodontium, causing inflammation and pain. The pain intensifies and begins to radiate to the tooth. Very often in such circumstances it is difficult to understand where the source of pain is actually located.
2. If the margin of the crown is higher than the margin of the gum, food debris will clog into the gaps. Over time, this leads to the decomposition of these particles, the mass reproduction of bacteria, and inflammation. The tooth really begins to collapse along the crown. It rots, pulpitis begins and, as a result,. Thermal and chemical reactions. So, if you couldn't figure out why a tooth might hurt from hot or cold, here's the logical answer.

Folk and pharmacy remedies to eliminate pain in a tooth under a crown

Let's talk about what safe folk remedies and medicines from a pharmacy exist that you can use without risk to yourself in order to save yourself from torment. The situation is simple, but at the same time complex. You don't know if your pain is temporary. If yes, then going to the doctor is a waste of time and effort in queues. Therefore, many think how to proceed further, how to relieve pain without outside help.

We are treated with herbs

Do not forget that immediately after the installation of the crown, pain may be part of the natural process of adaptation. But doctors warn that normally this can last no more than three days. Approximately so much the gum needs to get used to the presence of a foreign body. If the tooth under the crown hurts for a week or more, it is better not to postpone the visit to the doctor. But we will assume that everything is in order, and you just adapt to the installed prosthesis. So, how to rinse your mouth to relieve the condition?

It is no secret that sage has been the most popular remedy at all times. This medicinal plant was used by healers even before the baptism of Russia and remains an effective remedy even now, with the development of pharmaceutical technologies. Rinsing with a decoction and infusions of this herb helps eliminate bleeding, soreness, and other unpleasant symptoms. Also, sage contains vitamins, trace elements that are useful for periodontal tissues. To prepare the infusion, you will need 1 tbsp. l. dry grass (leaves), which can be bought at any pharmacy. Pour them with 200 ml of boiling water, cover and hold for 15 minutes. Rinse your mouth with the strained solution. If the problem is really inflamed gums, you can easily fix it.

The third popular remedy for pain and inflammation is baking soda. It not only helps to reduce inflammation, but also significantly reduces the amount of harmful bacteria in the oral cavity. Soda has no contraindications, it is in every home, it is cheap. It is versatile, practical and effective. For rinsing, you will need a glass of warm water and a teaspoon of baking soda. Stir the powder thoroughly and use for baths on the sore area in the mouth. You don't need to rinse your teeth with baking soda. Just hold warm water in your mouth over the place where you feel the pain. As soon as the water in your mouth cools down, spit it out and fill the glass with fresh water. Repeat until the pain subsides.

If the problem is in the gum, after 10-15 minutes you will feel relief.

Home first aid kit

If, after installing the crown, your tooth hurts, and rinsing does not give the desired result, you should take advantage of the achievements of modern pharmaceutical science. Fortunately, they are numerous and varied. The main thing at the same time is to read contraindications so as not to harm yourself.

Dentists themselves often prescribe various pills to patients that relieve pain after an intervention that is traumatic for the teeth and gums. These are Ketorolac and its derivatives - Ketorol and Ketanov, as well as Nurofen (Ibuprofen) or Tempalgin. In most cases, it is impossible to buy Ketorolac without a prescription. However, this drug is the most powerful tool from pain. It is prescribed even after bone fractures.

Some patients try to save themselves with analgin. But its efficiency is too low, and side effects too serious to use toothache tablets. The USA, Canada, Japan, Denmark and a number of other countries have long banned analgin, because it causes a decrease in neutrophils in the blood. Physiologically, this condition is manifested in a decrease in the body's resistance to bacteria and fungi.

Also, doctors often prescribe antiallergic drugs - antihistamines. The fact is that bacteria in the oral cavity, causing inflammation, secrete substances that the body perceives as strong allergen. Hence the swelling of the gums, pain, and other problems. There are many receptors in the human body. Each of them affects certain substances, types of exposure. One type of receptor senses histamines released by bacteria. In this case, the inflammatory process is the response of the immune system.

The most common remedy for these unpleasant symptoms- these are Suprastin, Diazolin, Tavegil, Claritin, Zirtek, Diphenhydramine, etc.

Some of these drugs have side effects or affect the reaction. For example, Diphenhydramine causes drowsiness, and is often considered a sleeping pill. It is also important to follow the dosages indicated by the drug manufacturer. If you buy a separate plate without instructions, ask your pharmacist how to drink the tablets correctly.

What you should definitely not do is buy antibiotics at the pharmacy. Not only will they not help relieve pain, but they will also lead to such a harmful phenomenon as dysbacteriosis. Restore the flora in the mouth and digestive tract will take a long time. In addition, candidiasis or can develop.

10 effective drugs if the tooth hurts under the crown

Name	Description	Price
Ketanov	An effective pain reliever different nature, relieves inflammation after 30 minutes, when pain is acute	110 rubles
nise	It has the ability to block pain, relieve inflammation and act as an antipyretic component.	220 rubles
Nurofen	Affects puffiness, inflammation, relieves fever. The main advantage of the anesthetic is fast action(15-20 minutes after taking)	110 rubles
Baralgin	The drug has an antispasmodic, anesthetic, antipyretic effect, it is prescribed from the age of 15. Helps relieve minor pain	255 rubles
Analgin	The drug is rational to use with a weak pain syndrome. The effect is noted 30 minutes after taking the pill.	28 rubles
Dexalgin	It is rational to use with mild pain. For toothache, it is recommended to take 1 tablet. The effect comes in half an hour, lasts 4-5 hours	319 rubles
Paracetamol	The action is not inferior to Analgin, but is considered less dangerous. Suitable in cases where you need to get rid of mild pain	50 rubles
Pentalgin	The composition of the drug is multicomponent, in addition to paracetamol contains: caffeine, naproxen, pheniramine. It helps to effectively eliminate severe toothache.	150 rubles
ibuprofen	The wide spectrum of action and properties of ibuprofen make the remedy effective for severe toothache.	20 rubles
	Effectively used for moderate or mild toothache. The tablet is taken before or after meals with an interval of at least 45 minutes. The drug begins to act in 30-40 minutes, the effect lasts about 1.5 hours	120 rubles

A tooth hurts under a crown - treatment in the clinic

Any, even the most expensive, is not eternal. Under it, the tooth may begin to deteriorate. This, unfortunately, natural process. The service life of crowns is from 10 to 20 years, depending on the material used. If after some time your teeth hurt under them, then you need to go to the dentist, take a picture, treat the tooth. Otherwise, you can easily lose it. And this means that you will have to put a bridge or implant a titanium rod into the bone. This prospect suits few.

The question is when exactly the tooth got sick - immediately, after a while or after many years. In most cases, the prosthodontist will refer the patient to retreat the tooth to a therapist or, if the problem is in the crown, remake it.

It often turns out that while wearing the prosthesis, the stump began to collapse and developed. It is necessary to prepare the tooth, remove the destroyed nerve, and clean the canals. In some cases, it may turn out that during the time the crown was worn, purulent inflammation developed under the tooth, a granuloma / cyst appeared, which must be removed. Sometimes the problem can only be solved by removing the causative tooth. The plan of treatment and further prosthetics depends on the results of the diagnostics.

It is most difficult to eliminate such problems during pregnancy. Half of the drugs, including anesthesia, are contraindicated. It is necessary to use the least dangerous means for the fetus. It is often recommended to reschedule procedures to a later date.

Preventive measures

What to do so that the teeth under the crown do not hurt through your fault?

1. Clean your teeth well. Use a brush dental floss, conditioner. Remove food debris from spaces between teeth.
2. Avoid heavy loads on the crown. Gnawing on seeds, nuts is not worth it. As well as trying for strength, opening beer bottles.

If pain occurs, you need to go to the doctor immediately, and not when the cheek is swollen due to purulent inflammation in the tooth. However, the absence of pain is also no reason to relax. Regular inspection is carried out every six months. Don't neglect these simple advice. They will save you not only money, but also time, nerves and health!

This concludes the article. We hope that our material has allowed you to fully understand the issue and now you know exactly how to help yourself if you have a toothache under the crown. Do you have any questions? Write them in the comments to the text!

Video - A tooth hurts under a crown, should I remove it?

Despite the high quality dental services in modern clinics, there is still a risk of inflammation of the tooth after crown prosthetics. In such a situation, it is important to find out what exactly caused the inflammatory process, and how to get rid of it with minimal losses.

Causes of inflammation under dental crowns

The statistics of inflammatory processes that form under the crowns are disappointing. The main reasons for the formation of inflammatory processes are as follows:

• Poorly fixed prosthesis, allows pathogenic bacteria to penetrate under the crown and act on the turned and receptive stump.
• Insufficient fitting of the prosthesis to the stump is the presence of gaps between the edge of the crown and the base of the tooth. This is a "wonderful" place for collecting organic food residues, their decomposition and "transformation" into pathogenic flora.
• Poor quality of endodontic treatment, in which the canals are not completely sealed or there are root perforations.

Symptoms of the inflammatory process developing under the crown

After the prosthesis is installed on the prepared stump, each patient dreams of trouble-free operation of the restored tooth for years. However, cases when the inflammatory process under the crown makes itself felt is not uncommon. You can suspect a similar problem by the following symptoms:

• Tooth pain under the crown, especially when pressed;
• Swelling of the gums in the projection of the prosthetic tooth;
• The appearance of a fistula;
• Root cyst, which a doctor can recognize by x-ray or orthopantomogram.

What to do if a tooth hurts under a crown?

The unequivocal answer is to see a dentist as soon as possible. On the one hand, this way you can count on the maximum effective treatment, on the other hand, the ability to save the crown, which is especially important for expensive prostheses.

Treatment of the inflammatory process that has developed under the crown is possible different ways. Ideally, it is necessary to carefully remove the crown, preserving its integrity, treat the tooth, and then install the crown in place. However, this is not always the case, because it is very difficult to remove a well-cemented ceramic crown without damage.

After the crown is removed (regardless of whether it remains intact), it is necessary to determine the cause of the inflammation. Usually, we are talking about the need for unsealing and treatment of the focus of inflammation. At the same time, it is impossible to immediately install the “old” or new crown - it will take 2-3 months for treatment, after which you can start re-filling the root canals. If all the procedures are carried out with high quality, but the photo of the teeth that “survived” the treatment of the inflammatory process under the crown is completely invisible