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Need help. Can I proceed with crown?
I have lower jaw pain under ear, neck pain , ear pain for 5 months now. Went to ENT and no ear infection. Went to dentist and he suspect a tooth fracture and told me to extract it. Went for second opinion. He said RCT can be done. Went to Endodontist. He couldn't find any root fracture and told me he could see some fracture lines on that tooth. And I have some cold and bite sensitivity on that tooth. So he told me to do RCT. I did RCT 4 weeks back. But still the same symptoms. Dentist feels like that tooth could be the culprit for my pain and symptoms. He also suspect tmjd. Since he feel that tooth fracture can be cause of my pain and symptoms, he didn't do the crown yet. He don't want to aggravate the fracture if that's the cause. I went back to Endo and he said he couldn't see any fracture during the procedure. He said to try temporary crown and see if it helps. He also said my pain could be from tmjd. Is it possible to miss the fracture during the rct? How long can wait to get crown
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Ur Rct treated tooth seems to be perfectly fine. Tell me whether u still have pain while biting on it . if no then u can go for d permanent crown . If yes then get done a cbct scan for d same tooth .
Second thought of TmJ disorder .
To rule out tmjd u need to consult Oral medicine and radiologist. I m an Oral medicine and radiologist will guide u for further investigations , xrays for tmj and as well as the treatment plan.U can consult me on my personal chat or can make a teleconsultation.
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A detailed examination of your TM joints needs to be done to rule of a possible origin of pain as experienced.
The Root canal treated tooth may not be the cause of pain because if it was fractured, you would have just experienced pain only while chewing or biting from that tooth.
You can go ahead and get it crowned permanently only to save it from fracturing. However crowning this tooth may not relieve your pain and discomfort related with your TMJoints
Next Steps
1. Get the crown for Root canal treated tooth.
2. Get TM joints examined thoroughly clinically as well as radiographically and get treated for possible TMD.
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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.