Pain In The Tooth. Have A Silver Crowning. Can I Gargle With Salt Water?
Recently a couple of months ago I had revieved a silver crown on my last tooth on my upper right jaw. This morning while I had brushed my teeth I felt a very unusual cold sensation this morning on the cap and as I brushed I bit down on my tooth brush and felt a horrible pain on the silver crown I can't even continue to eat my lunch and dinner without switching my position and chewing on my left side of mouth. Are there any suggestions to stop the pain? Gargle my mouth with salt water?
history provided shows that there is infection under the crowned tooth,but confirm diagnosis can be made by clinical examination and xray films
treatment includes crown removal and tooth evaluation
is the tooth root treated(rct)??if so then root canal has to be evaluated,if there is any missed canal or remained infected pulp then root canal treatment has to be repeated
sometimes food impaction around the crown cause local inflamation of gum (gingivitis) cause pain and discomfort
in such case maintain good oral hygiene,floss after every meal especially around crowned tooth,get your scaling done,gargle with saline water
take analgesics for pain relief and consult a dentist for further evaluation
Your clinical history and symptoms suggest that you have developed re-infection in the tooth.
A detailed clinical examination by the Dentist is required.
Take an x-ray of the tooth to look for the correct periapical condition of the tooth.
Based on clinical symptoms and x-ray treatment will be Root canal treatment.
Take tab amoxiclav 625mg and tab aceclofenac twice for three days.
Antibiotics and analgesic will give temporary relief, unless the tooth is devitalised and sealed you will face pain and infection.
Meanwhile you maintain a good oral hygiene, use antiseptic mouthwash gargles and lukewarm saline gargles.
your history shows that there is infection under the crowned tooth.an x ray is required here.
is the tooth treated ?there could be any unexplored canal which is causing pain now.
Food impaction around the crown can cause local inflammation of gum (gingivitis) resulting in pain.
I would suggest you to get clinical evaluation done by your dentist.
Hello,
Thanks for posting your query.
The pain and sensation with the silver crowning may be due to-
Gingival recession or periodontitis associated with the crowned tooth.
Get the crown removed and clinical and x-ray check-up has to be done.
Use desensitising toothpaste to brush your teeth.
Maintain good oral hygiene.
Brush your teeth twice daily using soft-bristled toothbrush.
Use chorhexidine mouthrinse to gargle.
Take care.
Hello,
Thanks for your query.
As you provided the detail it seems that you have infection in underlying tooth,because of that you have such sensation.
so i will suggest you please visit back to your dentist as soon as possible and get the examination done including x-ray of the same and take a proper treatment.
If there is infection in the same tooth you have two treatment options-
1.re-root canal treatment.
2.extraction.
Nothing to get worried.
Take Care.
Dr.Gunjan Gupta
Hello,
Your problem could be due to gingival recession in the region or high points in the occlusion. It would be better if the tooth can be Root canal treated by an Endodontist and a cap placed. This can relieve your problem. Consult your dentist at the earliest. Wishing you a speedy recovery.
Regards
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Orthopaedic Surgeon, Joint Replacement, Dr. Saurabh Gupta's Response
Hello and Welcome to HCM,
Thanks for writing to us.
A persistent tooth pain after having a dental filling should be considered as a sign of possible complications. Although a mild sensitivity after a filling is normal, if you experience a continued or/and intense pain you must visit your dentist for examination of the possible causes.
Warm salt water rinses for the next few days will help the gum to heal and will help relieve discomfort. You may experience some bleeding of the gum when brushing and flossing for the first few times. Continue brushing and flossing as usual and these symptoms should subside in a few days.
Hope this helps you.
Wishing you good health...
Regards.
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Pain In The Tooth. Have A Silver Crowning. Can I Gargle With Salt Water?
hi there thanks for asking your query history provided shows that there is infection under the crowned tooth,but confirm diagnosis can be made by clinical examination and xray films treatment includes crown removal and tooth evaluation is the tooth root treated(rct)??if so then root canal has to be evaluated,if there is any missed canal or remained infected pulp then root canal treatment has to be repeated sometimes food impaction around the crown cause local inflamation of gum (gingivitis) cause pain and discomfort in such case maintain good oral hygiene,floss after every meal especially around crowned tooth,get your scaling done,gargle with saline water take analgesics for pain relief and consult a dentist for further evaluation thanks