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How is aching pain underneath a dental crown treated?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have a constant aching pain below one of my crowns for two weeks. I have done a root canal treatment before four years. It occurred due to a dead nerve and resulted in chipped teeth and so root canal treatment was done. As this throbbing pain got worse before bed, I consulted the dentist on three separate occasions and the doctor prescribed me antibiotics.

On the first time, Amoxicillin was prescribed with Metronidazole and I took it for five days. The second time, I have been prescribed Metronidazole and I took it for five days. Now I have pain in the same state. How to fix this issue? I am worried about the extraction as it is one of my front teeth. Will this come under emergency dental issues?

Kindly help.

Answered by Dr. Akmal Albert Asham Abdelmalek

Education:

BDS

Professional Bio:

Dr. Akmal Albert Asham Abdelmalek is a Dental Surgeon skilled in preventive dentistry, oral and maxillofacial care, tooth extractions, root canal therapy, restorative and cosmetic dental procedures, and patient education to promote long-term oral health.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

It seems that your infection in the crowned tooth has come back again. You can confirm it by palpating the gums above the tooth where the root is located inside the bones and tap with your fingers on the tips of the tooth.

If you have pain, then it occurs as a recurring infection called apical periodontitis and so it requires treatment. Antibiotics can help for a short period of time. Your case is an emergency endodontic problem and it requires prompt intervention. You need to consult a dentist as soon as possible to resolve it as it can develop into swelling and dentoalveolar abscess.

Hope I have solved your query. I will be happy to help you further.

Thank you.

Medically reviewed by Dr. Sneha Kannan
Published At June 25, 2020
Reviewed At November 28, 2024

Education:

BDS

Professional Bio:

Dr. Akmal Albert Asham Abdelmalek is a Dental Surgeon skilled in preventive dentistry, oral and maxillofacial care, tooth extractions, root canal therapy, restorative and cosmetic dental procedures, and patient education to promote long-term oral health.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

BDS

Professional Bio:

Dr. Akmal Albert Asham Abdelmalek is a Dental Surgeon skilled in preventive dentistry, oral and maxillofacial care, tooth extractions, root canal therapy, restorative and cosmetic dental procedures, and patient education to promote long-term oral health.

This doctor is not available for online consultations on the platform anymore.

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