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Dental bridge sensitivity and dull pain
My 15-year-old dental bridge was replaced as the last abutment tooth had sensitivity. It has undergone RCT and the permanent bridge was fixed last Saturday. The last tooth in the dental bridge still has pain and sensitivity. The pain was unbearable on Monday so I took naproxen 250 mg on Monday. On Tuesday, I felt almost 95% better with no symptoms. Again yesterday the pain started and progressed throughout the day and towards the end of the day there was mild sensitivity as well. I took another naproxen 250 mg last night. And this morning the pain has reduced but the mild sensitivity continues. I'm seriously panicking.
P.S: I am also afraid removing the permanent bridge again now will be impossible as the dentist used a bonding cement to seal it well. This whole ordeal has taken a great deal of toll on my mental health.
Answers (4)
A physical examination is required. Ideally it should not be sensitive. But often the pain and sensitivity continue ms a little after RCT as well. You can wait for 7 days and see. If you are needing medication everyday to manage the situation then do not wait and visit and dentist immediately for a resolution.
Next Steps
Wait and watch only if you are not needing medication to manage the pain.
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I understand why you are worried. Some pain or sensitivity can occur for a short time after RCT and after fixing a new bridge, especially if the tooth and surrounding tissues were already irritated. However, pain that becomes severe again after initially improving should be checked rather than assumed to be normal. It does not necessarily mean that the RCT or bridge has failed.
Next Steps
Please contact your dentist for a review, preferably soon. The dentist should check the tooth for biting/occlusal pressure, tenderness and the quality of the RCT, and take an X-ray if required. Sometimes a tooth can hurt because the new bridge is slightly high and putting extra pressure on it; this can usually be corrected if confirmed by the dentist.
Do not remove the permanent bridge yourself. If the pain continues or keeps returning, your dentist can decide whether any further treatment is needed
Health Tips
Try to avoid chewing hard foods on that side until the tooth is reviewed. Take pain medication only as advised by your dentist and according to the prescribed dose.
Please seek an earlier review if you develop swelling, fever, pus, severe worsening pain, or difficulty opening your mouth/swallowing.
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Hlo mam……pain and sensitivity in recently placed bride cases can happen because of several reasons:-
1)if occlusal high points present:-visit your dentist get it evaluated by articulating paper and get it corrected.
2)if the bridge is not placed properly and there is a gap left between the crown placed and the prepared tooth:-get it evaluated and if there is gap present get it corrected
3)RCT not done properly on the last molar tooth:-get an x ray done and get it evaluated and if this will be the case then u will have to get the bridge removed and re-rct done.
Next Steps
Consult your dentist and get it evaluated and get appropriate treatment done.
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