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Dental bridge pain
I have had a dental bridge for 15 years replacing the last 3 teeth on the left side, as the middle tooth (molar) was extracted. It developed sensitivity a few weeks ago. No infection was shown on the X-rays, but my dentist performed an RCT on my last abutment tooth. Post-RCT, I still had mild sensitivity lasting for 2 days which turned into pain on the 3rd day. I took Keterol DT for the pain and the pain subsided and didn't return for the next week. So he took measurements and fitted my new bridge the day before yesterday, telling me I should feel no pain, but I keep having pain in the tooth where the RCT was done and it aggravates even when food or the opposite tooth touches that part of the bridge. I am seriously devastated and scared.
Answers (3)
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Hlo mam….as the history given by u…in my opinion as the tooth in which you are having problem u are saying that rct was done and crown was fitted and still u are experiencing pain while having food or when opposite tooth touches it,most probably the crown that is fitted there might be having high occlusion,for this u should consult your dentist and get it checked with articulating paper and get the occlusion adjusted.That will help with your problem.
As there can be several reasons too for such problems that u r facing:-
1.Symptomatic apical periodontitis after rct
2.PDL inflammation or trauma
3.Inadequate or failed rct
4.Vertical root fracture/cracked abutment
5.periodontal problem around abutment
6.Bridge or cementation problem etc.
And to rule out all the problem you need to get an x ray done and physical examination also done.
If u have x ray kindly share it that will help us to guide u properly.
Next Steps
Visit your dentist again and get a x ray done and proper physical examination done.
Or if u want get a second opinion from other dentist.
Health Tips
Try to avoid chewing hard food items from that side until u get it checked and u should visit the dentist asap.
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A long standing dental bridge can sometimes lead to sensitivity to the supporting teeth, and the ideal treatment procedure is to perform root canal and desensitising the sensitive teeth. If you have any x rays it would be better assessed. Sometimes patient feel pain after the crown has been fixed bcz of high points.
Next Steps
Talk to your dentist. If there are high points the dentist would reduce them and you will be relieved of pain.
Health Tips
Please avoid external hot foods and beverages
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Pain in an RCT-treated tooth, especially pain triggered by biting or when the opposing tooth/bridge contacts it, does not automatically mean that the RCT has failed. Since the bridge was fitted only recently, one important possibility is that the bite is slightly high, putting excessive pressure on the treated tooth and its supporting tissues. This can cause significant tenderness on chewing.
Other possibilities include inflammation around the root after RCT, an incompletely treated/missed canal, or less commonly a crack or another problem with the abutment tooth. The fact that the X-ray did not show infection is reassuring, but it does not completely rule out early inflammation.
Next Steps
* Please return to your dentist for an occlusal/bite check. Ask them specifically to check whether the RCT-treated tooth is taking excessive contact when you bite.
* The tooth should also be examined for percussion and biting tenderness, and the surrounding gums/periodontal tissues should be checked.
* If the pain persists despite correcting the bite, consider an evaluation by an endodontist. A repeat periapical X-ray, and occasionally CBCT, may be needed depending on the clinical findings.
* Until it settles, avoid chewing hard or sticky foods on that side.
* If you develop swelling, fever, pus, increasing spontaneous pain, or difficulty opening the mouth/swallowing, seek dental care promptly.
Health Tips
A tooth that has recently undergone RCT can remain tender for several days, particularly if the tissues around the root were already inflamed. Pain on biting does not mean that the tooth has necessarily been lost or that the bridge has failed.
However, because your pain is specifically aggravated by contact, I would not simply wait indefinitely. Have the bite checked first—an adjustment, if the bridge is slightly high, can sometimes make a substantial difference.
Also, avoid repeatedly testing the tooth by biting on it, as this can keep the supporting tissues irritated. Ketorolac should be taken only as prescribed and for the recommended duration.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.