A
Annie364
Member
- Joined
- Aug 15, 2021
- Messages
- 76
- Location
- UK
I had a very sore jaw after getting a crown preparation and temporary crown put on LR7 on Monday. The tooth is on it's own and tipped at an angle. I wasn't expecting any pain as it's a root canalled tooth, but afterwards it was extremely sore inside my jaw, just below the jaw and radiating out into my ear, and it was painful to move the jaw to eat. I had to take aspirin twice a day and it has slowly improved over the week but it's still quite sore now.
I think it might have been caused by a combination of things - mostly nerve pain set off by the strong pushing he had to do on the tooth (its roots are extremely close/next to the nerve bundle running along the jaw shown on CBCT), the pushing seemed to have caused my jaw to get pushed out of alignment a bit and it crunched back again about 3 days later, the tooth grinding itself, having to grind the tooth above as well (UR7), the temporary crown being necessarily big/bulky and rough and rubbing my tongue, possibly some kind of nerve irritation from the chlorhexidine digluconate in Corsodyl (I don't know if this is possible). I have a history of having had neuralgia in response to dental infection, and maybe the sudden physical trauma on those teeth caused neuralgia again. Possibly my body was already primed for neuralgia due to immune activation as well which has happened in the past. I'm assuming/hoping the tooth itself hasn't developed cracks from the crown preparation and guessing that cracks wouldn't cause a pain like this anyway.
I'm going back next week for the permanent crown. I like my dentist, and I'm relatively new with him. When I've seen him for work to be done, it's been very much an appointment just for the work, and he's focused on doing the job rather than having much time to talk and answer questions.
1 - Unless he asks me, should I actually volunteer to tell him about the very sore pain I had right after the crown prep and temporary crown? I kind of feel like it's not relevant, as the work he will do to put the permanent crown on will be the same anyway. Basically I feel like I only need to tell him if it will affect my treatment and what he does for me - I'm willing to put up with any pain in order to get to the end result of pain-free restored teeth in the end. I'm not complaining about having necessary pain as a result of procedures, as long as the pain will go away eventually.
2 - And I'm guessing that the amount of pain I had is maybe not usually expected in response to the relatively minor treatment I had doing crown prep?
3 - On other hand maybe I should be taking the initiative to inform him about it? And then, should I mention the things above, which takes up some time in a short appointment, or should I just say 'I had a bad sore jaw but it slowly improved'.
I don't want to be incorrectly typecast as someone who over-reacts to pain and is very sensitive to it, which is definitely not the case, and which would then affect my future treatments with him. It's more the opposite, that I ignore pain and tolerate it, and only pay attention in order to find out what's causing it so I can get the cause fixed, but of course the dentist wouldn't know that. I'm just very motivated to get fully healthy again to live my life.
I've also had to mention pain twice to him already, first the history of years of neuralgia from an undiscovered abscess on a different tooth that slowly went away after a root canal was done, and second requesting that he didn't poke the pocket of a cracked root canal on my 1st visit with him due to pain from probing before (the not-good dentist who I saw before him one time and decided not to see again, had pushed the probe into the crack and worsened the abscess pain and I didn't want the risk of this happening again, and I didn't know yet that this new dentist was a good one).
Thanks very much.
I think it might have been caused by a combination of things - mostly nerve pain set off by the strong pushing he had to do on the tooth (its roots are extremely close/next to the nerve bundle running along the jaw shown on CBCT), the pushing seemed to have caused my jaw to get pushed out of alignment a bit and it crunched back again about 3 days later, the tooth grinding itself, having to grind the tooth above as well (UR7), the temporary crown being necessarily big/bulky and rough and rubbing my tongue, possibly some kind of nerve irritation from the chlorhexidine digluconate in Corsodyl (I don't know if this is possible). I have a history of having had neuralgia in response to dental infection, and maybe the sudden physical trauma on those teeth caused neuralgia again. Possibly my body was already primed for neuralgia due to immune activation as well which has happened in the past. I'm assuming/hoping the tooth itself hasn't developed cracks from the crown preparation and guessing that cracks wouldn't cause a pain like this anyway.
I'm going back next week for the permanent crown. I like my dentist, and I'm relatively new with him. When I've seen him for work to be done, it's been very much an appointment just for the work, and he's focused on doing the job rather than having much time to talk and answer questions.
1 - Unless he asks me, should I actually volunteer to tell him about the very sore pain I had right after the crown prep and temporary crown? I kind of feel like it's not relevant, as the work he will do to put the permanent crown on will be the same anyway. Basically I feel like I only need to tell him if it will affect my treatment and what he does for me - I'm willing to put up with any pain in order to get to the end result of pain-free restored teeth in the end. I'm not complaining about having necessary pain as a result of procedures, as long as the pain will go away eventually.
2 - And I'm guessing that the amount of pain I had is maybe not usually expected in response to the relatively minor treatment I had doing crown prep?
3 - On other hand maybe I should be taking the initiative to inform him about it? And then, should I mention the things above, which takes up some time in a short appointment, or should I just say 'I had a bad sore jaw but it slowly improved'.
I don't want to be incorrectly typecast as someone who over-reacts to pain and is very sensitive to it, which is definitely not the case, and which would then affect my future treatments with him. It's more the opposite, that I ignore pain and tolerate it, and only pay attention in order to find out what's causing it so I can get the cause fixed, but of course the dentist wouldn't know that. I'm just very motivated to get fully healthy again to live my life.
I've also had to mention pain twice to him already, first the history of years of neuralgia from an undiscovered abscess on a different tooth that slowly went away after a root canal was done, and second requesting that he didn't poke the pocket of a cracked root canal on my 1st visit with him due to pain from probing before (the not-good dentist who I saw before him one time and decided not to see again, had pushed the probe into the crack and worsened the abscess pain and I didn't want the risk of this happening again, and I didn't know yet that this new dentist was a good one).
Thanks very much.
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