Why does a tooth hurt without a nerve under a crown ? We will examine in more detail in this matter. Sometimes it happens that a person begins to hurt a tooth under a crown. When this happens, the only thing that bothers at such a moment is the question of how to relieve a bothering pain? At first glance, it seems that a depulped tooth cannot give a person pain, but not everything is so simple. Of course, the only sure way out of this situation is to visit a dentist. So, if a tooth hurts under the crown, what should I do?
Causes of pain
As a rule, before installing the crown, the nerve is removed. An artificial cap is fixed on the area devoid of sensitivity, which performs the functional, and, in addition, aesthetic properties of the missing tooth.
But often the patient has a toothache under the crown, the nerve is removed. What does this mean?
There are situations in which the dentist does not perform a depulpation before the procedure. There are certain indications for this, which depend on the type of design chosen to replace the tooth. It also depends on age or health status. Sometimes a person may develop inflammation of the nerve bundle called pulpitis. Therefore, you should find out in advance which are the best crowns for teeth to choose.
It happens so that a dead tooth, in which the nerve was previously removed, begins to ache severely under the crown. The cause of this complication must be sought in the tissues that surround the tooth. Why do they begin to bother a person? This happens in the following cases:
- the presence of a gap between the stump and the crown;
- low-quality endodontic treatment;
- the presence of gum disease or periodontitis;
- the presence of pathological changes in the root of the tooth.
The tooth itself does not hurt
A depulped tooth (during a quality treatment) does not have sensitivity, which is why it is not able to bring any pain. Often, pain can occur due to periapical tissues, which are located deep in the jawbone. This occurs for the following reasons:
- Not all the nerve was removed from the canal. It sometimes happens that the root system sometimes has an atypical structure, while it can consist of small branches or be curved. With this arrangement, the nerve is difficult to reach to the end and therefore end fibers in the channel may remain. It is this tissue that can give soreness.
- The filling is of poor quality. As a result of leaky filling of the root canal from the oral cavity or near-root tissue, pathogenic microorganisms penetrate into it, which provoke inflammatory processes.
- Tool breakage. Tools can break due to careless work in the tooth canal. It may not be possible to extract such a fragment; a foreign body will not allow the root system to be densely filled. As a result of this, when you click on a tooth, pain will occur. Directly in a calm state of a person, nothing will bother.
- Perforation process. If there are excessively curved channels, the integrity of the wall is often violated. This can happen if the doctor uses the wrong tools for work, uses them without observing the prescribed recommendations.
- When a tooth hurts under the crown and the gum swells, this may indicate the presence of periodontitis. The presence of a source of infection leads to the fact that harmful microbes penetrate the inside of the tooth over the gingival margin. The patient may complain that the gum is itching. If appropriate measures are not taken in this situation, then after a while the patient's cheek may swell significantly.
- The presence of cysts on the root. Education at the root can give a painful reaction in cases of exacerbation, and, in addition, the development of a purulent infection.
It is also worth knowing how to remove the crown, because in the process of this manipulation something may also go wrong, and then the tooth will hurt.
Next, we consider how to get rid of toothache that occurs under the crown.
A tooth aches under a crown: what to do?
Often, in a relaxed state, a person may not bother anything, and immediately when chewing, an unpleasant pain reaction appears. The following remedies will help to eliminate the aching pain in the tooth:
- medications;
- conducting herbal medicine;
- performing medical manipulations.
Great difficulties in particular arise during pregnancy, since many medicines are forbidden to the expectant mother. Alternative methods that are based on the anti-inflammatory and analgesic effects of certain plants can come to the rescue. Be that as it may, the position of the woman is not a contraindication for installing crowns on the front teeth, and the qualified measures of the dentist will remove the source of pain without harming the child.
What if a person feels pain when pressed?
The most correct decision in such a situation would be to visit a dentist, who will appoint the patient to take a panoramic picture of the affected area. After a detailed examination of the x-ray image, the doctor will be able to determine what exactly caused the appearance of pain of this nature, after which he will carry out the required treatment.
Need to be patient
It should be borne in mind that treating a tooth is not an easy and lengthy process, so you have to stock up on a certain amount of patience. In that case, if you leave the tooth, which is covered with a crown, without medical intervention, then you can not only lose it, but even provoke the subsequent development of a purulent process, which will lead to serious problems. So, if a tooth hurts under the crown - what to do?
Measures for periodontitis
In most situations, a feeling of pain with pressure indicates the formation of periodontitis, that is, the process of inflammation, which is localized at the apex of the root. In this case, the following measures are taken:
- Filling the tooth canal. The affected area is thoroughly cleaned of necrotic masses, after which the dentist re-seals the tooth cavity. As soon as the quality of treatment is confirmed by x-ray, you should proceed to the manufacture and turning of a new crown.
- Resection of the apex of the root is carried out if a cyst is present. In addition, this is done when there is a cavity with purulent contents that surrounds the apical opening. The advantage of this treatment option is the preservation of the overall integrity of the crown.
- Removal of a tooth. A similar measure is possible in complex or neglected cases, against which the treatment does not bring any result. For example, the crown has been located on the tooth for many years, and the person did not timely contact the dentist for treatment.
If the tooth hurts under the crown, what to do at home?
Alternative methods of treatment
In the event that a tooth hurts under the crown, you can get rid of the pain at home. To be more precise, unpleasant sensations on their own can be alleviated through the use of folk remedies. Tooth ache under the crown, of course, is different for everyone, but with mild pain it can help. In this case, you can use the following recipes for the preparation of lotions and rinses:
- Soda and salt rinses. 10 grams of salt and soda are poured into a glass and poured with 250 milliliters of warm boiled water. Further, the mass must be mixed well in order to achieve dissolution. You can use the drug as necessary, but this should be done at least three times a day.
- Herbal decoctions. Shredded chamomile flowers are poured with boiling water at the rate of one spoon per 250 milliliters of liquid. Next, the mass must be allowed to infuse for an hour. Then the product is filtered through a sieve to remove the precipitate. By the same analogy, you can make a decoction of sage. Apply the resulting rinse or as part of the oral baths. When a tooth hurts under the crown, how to relieve pain is interesting to many. This is one way.
- Kalanchoe juice. Kalanchoe leaves are pre-washed, and then juice is squeezed out of them. To squeeze out juice, you can use the garlic. In the resulting liquid, a piece of bandage is moistened, which is then applied to the diseased gum.
- Aloe leaves. The leaf of the plant needs to be cut in half, after which a moist surface is applied to the affected area.
- The use of carnations. A gauze swab is moistened in the oil of the plant and applied to the inflamed mucosa. In the event that there is no oil, you can chew the fruits of this spice, which will also help reduce pain.
It is important to note that all the described alternative methods of treatment only temporarily solve the problem, but do not guarantee a complete cure of the disease. To obtain effective dental care, you should definitely consult a doctor.
The use of painkillers
To relieve the pain that arose under the crown on the front teeth, medications are great, nonsteroidal medications aimed at eliminating inflammation are best used. But the uncontrolled intake of such drugs is extremely dangerous, since a wide range of side effects can cause additional harm to the entire body. Particularly negatively, the use of these drugs can affect the stomach, and, in addition, the entire digestive system as a whole.
As a rule, against the background of moderate pain, the following drugs are taken: Paracetamol, acetylsalicylic acid, or Metamizole. In the case of severe and even more paroxysmal pain, it should be stopped with Ibuprofen, Nise, or Ketorolac.
Antibiotics
In the event that the tooth hurts under the crown when pressed, and during the examination the dentist detects the presence of pus, then antibiotics will be prescribed for treatment. Most often, antibacterial agents are used, characterized by a wide range of effects from the penicillin group.
Preventative measures
To get rid of the pain when it occurs under the crown, you need to carefully consider the choice of the attending dentist. A specialist in whose professionalism there is no doubt, and also if he has good qualifications, will be interested in a positive and successful outcome of treatment. In situations where pain arises due to the fault of the patient himself, it is necessary to change the hygienic habits of oral care, taking into account all your mistakes:
- Brushing your teeth is important twice a day. And after eating, you must rinse your mouth with water, which will provide the required care for the artificial structure.
- The correct irrigator should be selected. Its use will allow you to remove food debris from those areas in which the toothbrush simply can not penetrate. In the event that there is a bridge in the mouth, the area that is located between two abutments will be considered the dirtiest place. The use of a powerful air-water jet allows you to qualitatively flush the area under the prosthesis.
- Rinsing the oral cavity with herbal decoction or rinse aid, and in addition, the use of flosses (along with brushes for the tongue) will help reduce microbial contamination, thereby reducing the likelihood of pathogenic organisms penetrating the crown.
- Regular observation by a specialist will make it possible to notice the emerging changes in time. This is necessary in order to take the required actions in time.
It is important to remember that any crowns have a limited service life of about five years, which depends on the type of design chosen. A loose fitting crown that has a defect and signs of wear increases the likelihood that the infection can get inside the tooth and lead to pain.
Exciting questions
People are often interested in why a tooth under the crown hurts when pressed a year after its installation?
As a rule, pressure pain can occur due to a periapical change affecting the top of the tooth. In order to accurately determine the cause of this condition, you should consult a dentist who will perform an examination and refer the patient to an X-ray, after which he will be able to conduct the appropriate treatment.
For what reasons does the tooth ache under the crown from eating hot food or drinks?
In most situations, this indicates the development of periodontitis, which, most likely, has a chronic character. In this case, it is also necessary to seek the help of a specialist, since such pains do not go away on their own, and in advanced situations they can lead to serious complications.
What are the best crowns to put on your teeth?
Today, dentists use a wide range of materials to make dentures. This is cermet, and metal cast crowns, and combined. But what to choose? As a rule, crowns made of cermet and metal-free ceramics are placed on the front teeth. The latter are made of porcelain or zirconia.
Such prostheses have various indicators of durability, strength, aesthetics, and compatibility. With the help of a correctly selected crown on the tooth, you can again acquire an attractive smile. This is a good recipe for getting rid of complexes. Moreover, this does not depend on the material wealth of a person, because there are options for a different wallet. The final decision on choosing a crown is best made with your doctor. The specialist will choose the option that is right for you.