How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Mark Bornfeld, DDS Your Own Question

Mark Bornfeld, DDS
Mark Bornfeld, DDS, Dentist
Category: Dental
Satisfied Customers: 5788
Experience:  Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
2883465
Type Your Dental Question Here...
Mark Bornfeld, DDS is online now
A new question is answered every 9 seconds

Severe Pain after temporary crown placement

Resolved Question:

No Comment Added
Submitted: 6 years ago.
Category: Dental
Expert:  Mark Bornfeld, DDS replied 6 years ago.
DearCustomer

In order to provide a more appropriate reply to your question, please provide a little more information...

-I infer that you want to know something about this pain-- whether it is normal, what can be done to manage it, etc. Please specify precisely what you wish to ask, so that I can touch on all the significant issues

-Please elaborate more on the treatment-- the number of crown(s) being fabricated, what/when was last done by your dentist, whether your dentist was consulted with about your problem, whether the tooth had any additional treatment/problem, such as physical injury, root canal therapy, etc.

-Also, please describe the time line so that I can get a sense of the chronology of the events-- i.e. what was done, how long afterwards the symptoms began, etc.

The more information I have to consider, the more accurate and appropriate will be my response...
Customer: replied 6 years ago.

Yes, I would like to know why it is happening and what I can to relieve the pain. I will clarify more about thwat happened. I had a filling in that tooth that broke and came out about 3 months ago. He felt that it came out because of a faulty job because others came out done by this pevious dentst. The dentist then x-rayed the tooth can said that they decay wasn't to the root but he would have to put a crown on it to protect it from further decay. Last Friday, I went in and he clean out the decay and drilled it down. He then put on one temporary crown on that back tooth. That was all the work that was done on that tooth. Three days later, I started having severe pain in the front teeth on that same side of my mouth. I thought it was just from bighting on the treated tooth but the pain has gotten worse. Yesterday, I went and he adjusted the crown because he thought it was because it was too large and I was hitting it when I bite. Last night the pain became so severe that I couldn't sleep. I took tylenol which was no relief and applied ice packs and so on. Also, on they front tooth it hurt when I bite on it. I hope that is more understanding. The pain is terrible! Frown

Expert:  replied 6 years ago.
Dear DearCustomer

Unfortunately, the symptoms you describe are non-specific, and it is not possible to reliably infer what is going on in your tooth. While I would like to take your dentist at his word that "decay wasn't to the root", I have personally witnessed quite a few teeth go on to show definite signs of pulp infection which required root canal therapy DESPITE only modest amounts of tooth decay. So, although there may be no discernible reason why the pulp in your tooth may be infected, one cannot yet rule out that possibility.

Regardless of the status of your dental pulp, there are quite a few other things that could be to blame for your symptoms. For example, if the temporary crown was too high as your dentist asserted, this could definitely contribute to your pain-- and even if your dentist sufficiently reduced the bite to eliminate this factor, it may take several days for your tooth to accrue the benefit of this adjustment. Also, if your dentist "prepared" (i.e., drilled) the tooth to a level below the gum line (as is customary), this can unavoidably inflict injury on the gum tissues and cause pain. Additional contributory factors that may be playing a role in your pain include a sensitivity reaction to either the acrylic composition of the temporary crown or the temporary cement.

In any case, the diagnostic process often cannot distinguish reliably between the many factors that may be contributing to your symptoms. Your dentist has addressed one of those factors by adjusting the temporary crown contours, and you may need to wait a few days to get a sense of whether any inroads have been made against your pain. If not, your dentist may need to address the other possibilities, one by one, until he hits on the root of the problem. In the meantime, you should prevail upon your dentist for assistance in controlling your pain. Even if the cause for the pain is eluding him, he should be able to provide you with some manner of pain relief, whether that consists of local measures or prescription-strength pain medication-- especially going into the weekend when he will probably not want to obligate either you or himself to make an unscheduled emergency visit to his office.

If all else fails, you may ultimately need to have a root canal in that tooth. I would discourage you from doing so unless or until there is good evidence that a root canal is an appropriate treatment. If you need additional corroboration, you may wish to request a referral to an endodontist (root canal specialist) for a more aggressive assessment of your tooth.

I caution you to wait until this pain issue is resolved before you move forward with your crown. If root canal is ultimately determined to be necessary, it will be easier to do if your crown has not yet been permanently cemented on the tooth.

Hope this helps...
Mark Bornfeld, DDS, Dentist
Category: Dental
Satisfied Customers: 5788
Experience: Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
Mark Bornfeld, DDS and other Dental Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Mark Bornfeld, DDS

    Dentist

    Satisfied Customers:

    5437
    Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
< Last | Next >
  • http://ww2.justanswer.com/uploads/GE/gemini132/2012-6-7_14143_MarkPic.64x64.jpg Mark Bornfeld, DDS's Avatar

    Mark Bornfeld, DDS

    Dentist

    Satisfied Customers:

    5437
    Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
  • http://ww2.justanswer.com/uploads/drbehere/2010-04-11_192833_IMG_055575.jpg Dr. Behere's Avatar

    Dr. Behere

    Dentist

    Satisfied Customers:

    1850
    Masters degree, years of experience with all kinds of dental problems.
  • http://ww2.justanswer.com/uploads/knecht522/2008-12-17_154020_alex22.jpg Dr. Alex's Avatar

    Dr. Alex

    Dentist

    Satisfied Customers:

    1607
    I am a General Dentist and founder of the American School of Dental Assisting
  • http://ww2.justanswer.com/uploads/doclagoa/2008-10-01_163313_geosmall.jpg Dr. George McKee's Avatar

    Dr. George McKee

    Dentist

    Satisfied Customers:

    1392
    Licensed dentist with 30 years clinical experience in general practice and cosmetic reconstruction.
  • http://ww2.justanswer.com/uploads/slodentistry/2009-05-25_004702_h.jpg Dr. Girish's Avatar

    Dr. Girish

    Dentist

    Satisfied Customers:

    788
    19 years of clinical experience in all phases of Dentistry.
  • http://ww2.justanswer.com/uploads/jwcdds/2009-05-09_190942_portrait.gif Julian Chen's Avatar

    Julian Chen

    Dentist

    Satisfied Customers:

    558
    Practicing General Dentist since 2002
  • http://ww2.justanswer.com/uploads/drwilldds/2009-10-29_201512_justanswer.jpg Dr. Winterholler's Avatar

    Dr. Winterholler

    Dentist

    Satisfied Customers:

    266
    4 years Private Practice, Heavy emphasis on Cosmetic Dentistry and Implants, Top 10% of Dental Class