since having #8,9 veneers, have had phantom pain all along upper jaw with tooth sensitivity. No xray evidence of infection. subsequently underwent root canal in both 8 and 9. Pain ranges from 4-9 on pain scale. Teeth in upper jaw 'seem' sensitive but can eat without undue pain. Ibuprophen 800 mg tid no help. pain seems centered on 8 and 9 but radiates back bilaterally all the way back to molars. Sometimes pain seems to affect lower teeth too. Have had the pain for over one month since veneers were installed. Any suggestions will be appreciated. I am ready to kill myself over this.
Person's Gender: Female
Person's Age: 64
Root canal 8,9
Ibuprophen 800 mg tid
antibiotics (two rounds)
Welcome to Justanswer.I will do my best to answer your question.I am not a great typist,be patient and feel free to ask if anything is unclear.When you bite your teeth together or extend your lower jaw forward..do you hit these veneers before hitting the other teeth?
No. the dentist used a drill to file down the veneers. He said that they might be too long for me. He did numerous adjustments on the veneers. Periodically it feels like there are bubbles popping inside the veneers. Eventhough they've had root canals done they are sensitive to pressure, such as when I'm drinking out of a water bottle & it hits them.
Do you think I can cause more problems by having the veneers removed?
It seems like, from your posting that all of the problems started after the veneers were placed.That is a strong indication that the veneers themselves may be the problem..These veneers are supposed to be custom made..and to have to make numerous adjustments on them ..is an indication that something is wrong.Root canalled teeth cannot transmit temperature..but the ligament surrounding the teeth can become inflammed from too much pressure and make them sensitive to hot,cold and biting pressure.Personally ,I would never have put veneers on root canalled teeth.They are brittle and should have full coverage with a crown in my opinion.Having them removed should really not cause any more problems.Suffering for a month..I consider already to be a very big problem.I would have no hesitation asking the dentist to remove the veneers and place full crowns.In the interim..you will have temporary crowns..and if nothing else happens but the pain ceases from having the veneers removed..You will already be ahead.I am still getting the feeling like at some point..possibly when you are sleeping that your lower teeth are pushing on the edges of these veneers causing the ligament inflammation.Without seeing you ..I cannot be sure..and I may be wrong..but from the information that you have given me ..something is clearly wrong..and again..it started as soon as the veneers were placed.Does any of that make any sense?
The veneers were placed on the teeth prior to the root canals. They were placed on the front teeth because they had been previously bonded & the bonding was cracking. The root canals were done because the roots were badly inflamed. Before the endodontist did the root canals he gave me a brief dose of steroids which did nothing for the pain & also antibiotics. The xrays show the veneers look good & also the root canals look good.
How do you correct ligament inflammation? What is involved in putting on crowns? Does it require more drilling to the teeth? Do you know of any specialty dentists in the Los Angeles area who are equipped to handle this problem? Thank you.
The ligament or the periodontal ligament can get inflammed from pressure or from leakage of necrotic material from inside the canal.The root canal treatment took care of the necrotic pulp..which really only leaves pressure..and that Is why I was concerned with how the bottom teeth contact these veneers.The veneers can be cut off and a crown prep is easily done by reducing a bit of the tooth on all sides until they are all parallel.There should be no pain in the teeth because they are dead.The only one that i know who is actually in the Beverly Hills area is a dentist named Brian La Sage...but almost any experienced dentist can do this work.The first appointment may take an hour..the second appointment two weeks later..to cement them. and.that only takes fifteen minutes.
How can we tell if there is pressure? The dentist used carbon paper at the last adjustment a week ago when he reduced the length of the tooth & said it looked good.Since the pain travels the length of my mouth, maybe the ligaments in other teeth could be aggrevated. Have you heard of atypical tooth pain? Could I have developed this condition? I'm just concerned by removing the veneers I'll further inflame the teeth. Sorry, if I'm rambling, but I've never had so much continuous pain. It seems like the dentists have stopped trying to help me & now are referring me to pain specialists. Thank you for your expert adivice. I feel like I opened up a can of worms by getting veneers. Will I ever be pain free?
I think that your best bet would to get an fresh opinion from an experienced prosthodontist.Get copies of your xrays sent to his office and ask for an opinion.This way nothing really drastic has to happen but sometimes having someone give a fresh an unbiased opinion can reveal some overlooked entity.Atypical tooth pain is just a name given to pain in the teeth that no one can figure out.In all of my years practicing..there always seems to be a cause.Pain from multiple teeth upper and lower..and to hot and cold..still rings in my head as a bite problem.A night gaurd may be all you need for an undetected grinding habit.
Dentist and Anesthesiologist for 33 years
Have you been able to get your veneer problem resolved?
Thank you so much for caring & following through. I went to the dentist on Tues. & he made up a soft plastic nightguard. I wore it for 2 nights & it made the pain worst. Instead of the pain being in the veneers & traveling to the jaw, the pain was concentrated in the canines & traveling. I did mention the ligaments to the dentist & he said it could be a possibility even though all the xrays look fine. Mon. we're removing the veneers & will put on temporaries. Hopefully, that will help. He's going to make the new veneers the exact shape & size of the original teeth. If that doesn't work I don't know where to go. The advil is starting to cause pain in my upper stomach. Would tylenol work as well? Do you think another dose of steroids might help? The dentist did not think a prosthodontist would help. Have you ever heard of anyone having this type of problem?
Any more suggestions.
You can use tylenol for the pain.I do not think steroids should be taken at this point..the dentist needs to identify the problem.I am not a big fan of veneers but I would think that having them removed and keeping the temporaries out of occlusion should get some results.Let me know what happens.
In your opinion, should I get crowns or implants? Thank you.
If the teeth are solid get them crowned..Implants are used for missing teeth and you have your own teeth that just need to be covered.Implants are not foolproof items.It involves surgery to place them..and waiting several months before they can be loaded..they are expensive..and after the implants have seated..then you need crowns on top of them..You already have natural implants..they are the roots of your teeth.Implants should not even be considered as an option in your case.