What could cause pain in my RCT treated crowned teeth?

Question

Hi doctor,

About 13 years ago, I had an abscess on the right upper first and second molars. The Endodontist has done root canal treatment in these teeth, and crowns were placed after the treatment. Recently, I experienced pain around the gums in the second molar, and there is a pain radiating to the head. I went to my dentist.

He examined and took an X-ray, which looked fine. The crown was removed and cleaned by the Hygienist with a Listerine or Peroxide mix. There were food particles, and they cleared the food particles present in the crown.

My dentist advised me to take a tablet of Zyrtec every day. The teeth still have a dull type of pain. Could it be an issue of the crown that has not been shown on the X-ray, or are there any allergies?

Answer 1

Hello,

Welcome to icliniq.com.

It could be mostly due to food impaction causing infection below the crown. So, the dentist might have tried to clean it. If you have an X-ray of the teeth, please attach it for examination. This pain is definitely not an allergy. Use a warm salt water gargle twice a day for a week or two. There will be relief.

If still, the pain persists or increases in the future, then you have an option, including the extraction of the teeth or the replacement of the crown with a new one, causing no food impaction below the crown. You need to take antibiotics for a week if the gums are irritated and if there is pain.

I hope this helps you.

Thank you.