Q. I have been experiencing an aching pain underneath one of my dental crowns. What to do?

Answered by
Dr. Akmal Abdelmalek
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Jun 25, 2020 and last reviewed on: Apr 12, 2021

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?

#

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.


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