All paid DoctorBase customers will be migrated to Kareo Marketing on December 15, 2016. Read how to get your practice ready for the transition.
×

4 Reasons Why Ask DoctorBase is the Most Efficient Way to SEO and Establish Your Brand Online

  1. Ask DoctorBase is a free service for patients on the DoctorBase platform - currently servicing over 6 million American patients of record.
  2. All answers submitted by healthcare professionals (you) are for entertainment purposes only and do not constitute doctor-patient relationships. All patients must agree to this before using Ask DoctorBase.
  3. Our software and our Marketing Engineering staff review each answer and optimize your answers for keywords valuable to your specialty. It is a well kept secret that doctors (you) - not SEO consultants - are the ones who have the most valuable content prized by search engines. Ask DoctorBase "unlocks and optimizes" your content in the most efficient manner possible with today's technology.
  4. Finally, the doctor who provides the most popular answer - "the Featured Answer," gets an added benefit by allowing patients to write rave reviews about your expertise - reviews that are submitted to both Google and Google Local through our Preferred Data Provider relationship.

Ask Dr. Molly if you have questions or want a personal session on how to best use Ask DoctorBase for maximum marketing impact.

...

Molly Maloof, MD

Director of Clinical Content
@DoctorBase

Crown

I had a crown put in my back , lower,left side of my mouth. It started to hurt after a couple days, very badly. Went back to the dentist he said that it was the bite; drilled, threw cold water on it, and the pain was unbearable. Went to ER with infection on the mouth that night; it was prescribed Penicillin 500mg. After 5 days there is still sensitivity on it. What happened? Obs. Dentist never gave me antibiotics.
Poster
  • Female | 54 years old
  • Ethnicity: African American/Black
  • Height: 5.6
  • Weight: 148lbs
  • Medications: none

Find low drug prices at local & online pharmacies

Find low drug prices at local & online pharmacies

Featured Answer

5 UpVoted this answer Arlene Messer, DDS Dentist, Rochester Negin Badr, DDS Dentist, Redmond Gerald M. Waxman, DDS Dentist, Beachwood San Clemente Dental Associates Dentist, San Clemente
This sounds like the nerve of the tooth has been significantly irritated and may require a root canal to resolve this problem. When a crown is sensitive after being placed the first thing we do check is to make sure that the bite is correct. If the bite is off that can irritate the nerve of the tooth and cause discomfort. If a bite adjustment does not resolve the problem, then the most likely scenario is irreversible nerve irritation requiring a root canal to resolve. A remote possibility is tooth or root fracture. In either case, antibiotics will not correct the problem and are usually not prescribed. Prescribing antibiotics unnecessarily can contribute to bacteria resistance, and is generally to be avoided. Only a dentist is qualified to determine the cause and treatment, so please visit your dentist as soon as possible so your discomfort can be treated effectively.
3 UpVoted this answer Arlene Messer, DDS Dentist, Rochester
During to preparation stage of the crown procedure, the dentist may have drilled into a pulp horn, the nerve, or the tooth nerve could have been dying over time and the procedure just exacerbating the death of the nerve. The bacteria in the tooth produces a gas pressure which tries to find a point of release. With the tooth covered by the crown the gas from bacteria in the pulp is blocked and the result is dental psin. Cclindamycin is the antibiotics of choice and these things do happen. You may require root canal therapy.
2 UpVoted this answer
So very sorry to hear. There are times when preparing a broken down vital tooth, the tooth gets so traumatized that it does not recover, and unfortunately, it will require root canal therapy.
Peter Sabolch
2 UpVoted this answer
When the tooth was prepared for the crown,it may have been taken down and may be close to the nerve or some kind of nerve involvement to have caused the unbearable pain.Most likely if the bite adjustment did not help or it was more sensitive to cold then there is a possibility that the tooth may need a root canal which can be done through the crown if the crown is a good fit and is well sealed.
Neela Gandhi
2 UpVoted this answer
These stories really irritate me, because it gives all dentists a bad name. Treat patients as your family and most of these issues would never occur. Your dentist should go out of his way to ensure you are comfortable. Obviously, something occurred to interrupt the comunication. If you feel your dentist was not willing to provide you thorough dental care, seek out an empathetic dentist to help you out...urgent care will treat you as a number and further your frustration. Good luck.
David M. Konys
1 UpVoted this answer
Some times when a crown is prepared and if the preparation is a bit aggressive there is a chance that the pulp will be affected even if there is no direct pulp exposure .

From what I read I think that the pulp is affected so if the pain is continuous you will need root canal treatment, but if the pain is just a reaction to a stimulus this indicates that you need a sedative dressing for some time to calm the tooth and then put the permanent crown back.

I am very sorry for this bad experience but you need to go back to your dentist for solving this problem.
1 UpVoted this answer
Most of the time when pain starts after a crown prep and it becomes that sever this means that the nerve is irreversibly inflamed and the only way to get out of pain is to do root canal treatment . So we. Remove the nerve and place a root canal filling after we clean this canals
Randa Nasr
1 UpVoted this answer
When a crown is put on a tooth, there is a 50/50 chance that the nerve will die. Putting a crown on a tooth sometimes wakes up a traumatized nerve. A large filling can traumatize a nerve as well as weaken the tooth. Then when a crown is done to save the tooth, the nerve can die and cause the pain you were feeling.
Kathryn L. Kennedy
1 UpVoted this answer
If your dental crown is sensitive to cold or heat temperature, you might be needing a root canal treatment, specially if the bite was adjusted couple of times. Your best bet is to see an Endodontist ( dentist who specialize in root canal) as soon as possible. We usually do not prescribe antibiotics for pain, unless there is clear infection, from the way you described your temperature sensitivity, it is most likely you have nerve inflammation, in which you must see the specialist dentist as soon as possible. In order to do the root canal, a hole must be drilled through the crown to get to the nerve, after completion of the root canal, depending on your cosmetic needs, you can either bond the top of the hole with tooth colored material, or if you do not like the patch work, unfortunately get a new crown.

Best of luck.
1 UpVoted this answer
Antibiotics help resolve infection. They sometimes help manage inflammation too. Although you had no symptoms before the tooth was drilled on for the crown, the pulp (blood vessels and nerve tissue in the root canals) was chronically inflammed. This chronic inflammation may have been going on for years, ever since your first cavity. That was when bacteria entered the tooth and got close enough to the pulp to cause defense cells in the blood stream to enter the pulp. You didn't feel anything then, but the pulp's health suffered without informing you. Chronic inflammation.

By the time the old filling needed replacement, or the crack in your tooth was significant enough to need protection via a crown, the chronic inflammation was working behind the scenes. Drilling for the crown changes the type of defense cells that help with inflammation. Acute inflammatory cells enter the pulp and we are finally informed that the pulp has a problem. When the tooth hurts on its own or lingers to hot or cold fluids, you have irreversible pulpitis, acute inflammation of the pulp. You need root canal treatment to resolve your pain. Until you get this endodontic treatment, ibuprofen will help manage the discomfort. Antibiotics are not needed unless you have signs of infection like swelling.
Peter Cancellier