How can I manage my upper left first molar crown pain?

Question

Hi doctor,

I have pain in the crown placed on the upper left first molar. I do not have pain while sleeping. Please tell me, what to do if my metal surface gets exposed?

Kindly help.

Answer 1

Hi,

Welcome to icliniq.com.

There is nothing to be worried about crown exposure. If it is a PFM crown (porcelain fused to metal crowns), it has a metal surface inside the ceramic layer of the crown, and it will become exposed with time. If it remains firm without any displacement, then there is nothing to worry about. You can take a painkiller for pain. You can take the tablet Nucoxia P (Etoricoxib and Paracetamol) twice daily for three to five days after taking food. Rarely, a root canal-treated tooth can get infected again, and so you can have acute pain symptoms. You can do scaling and gargling using an antiseptic solution if you have a gum infection, or you can do a root canal and capping again. It is called a re-root canal procedure.

I hope this information helps you.

Feel free to ask further queries.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Rinse your mouth using warm salt water five to six times a day.

If you have any queries, you can ask me at any time.

Thank you.

Answer 3

Hi,

Welcome back to icliniq.com.

You can take Pan-D (Pantoprazole) half an hour before breakfast while taking Augmentin and Nucoxia for three to five days until your infection is reduced. This is not a permanent solution. I suggest you remove your crown first to reduce your infection. It allows you to drain your pus, and you can either go for recapping or re-RCT (root canal treatment).

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.

Answer 4

Hi,

Welcome back to icliniq.com.

Thanks for consulting again. Do not take too much tension about the cap. As you have done cleaning, your gum inflammation has subsided there, and you have taken an antibiotic course as well, so do not bother about the cap pain. If it is a PFM or ceramic cap, then it floods regularly. Only when it breaks or cracks or when you find a dent or displacement from its position, then you should really worry about the cap's condition. For the ulcers, I suggest you start taking SM fibro tablets (multivitamins) every day for 30 days and then continue for the next two months. It helps to improve antioxidant levels in the body and prevents further gum issues. If you are taking multivitamins like Becosules, then continue taking them.

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.