pain in upper jaw after crown preparation?

Nanazolie

Hi

I have another dental appointment on Tuesday, but would like to know if anyone knows what's causing pain in upper jaw after crown preparation. I had prep for 2 crowns on upper back molars after one broke. Both had very large fillings that were, according to x ray, not close to the nerve. No root canal was deemed necessary
I find it somewhat painful to chew on that side, but there is no sensitivity to hot or cold and no pain when I tap them with the handle of a knife. However, the most pain comes from the jaw itself, starting from above the teeth, but most painful at the joint ( the mandible, I think). The pain gets much worse during the day, and if I talk a lot. I feel no pain at night. The dentist checked the bite with the blue paper, and my bite doesn't feel off when I close my teeth together. Could it be that the bite is too high or could it be the nerve in the teeth?

Thanks

capnsparkles

Tell your Dentist. Maybe it is an issue with the joint , especially if you had your mouth open for a long time.
I would give them a ring and see what they recommend.

Nanazolie

capnsparkles wrote: »

Tell your Dentist. Maybe it is an issue with the joint , especially if you had your mouth open for a long time.
I would give them a ring and see what they recommend.

Thanks. I am planning to tell her exactly how the pain started and progressed during my appointment tomorrow afternoon. The joint was sore after the procedure, then that got better before starting again a few days later. It's now moved to my front teeth and the lower jaw too and the pain was so bad it woke me up last night. I clench an awful lot at night, the plan was to replace my worn out bite guard after the crowns were completed, so it could be due to that too.

Nanazolie

Update

I went to my dentist yesterday, she suggested the filling might be too high. She filled it down and tested it a few times.
She also asked me to wait for a week and see how it progresses, and if no improvement she would refer me to an endodontist

Now, the pain has not only not decreased, but moved down to my lower teeth as well?

Big_G

You should let your dentist know that there has been no change in your symptoms.

Nanazolie

An update:

I went back to the dentist on Saturday 13/06, the pain was so bad I couldn't eat even soft foods. My whole jaw and cheek, ear, temple were sore.
She put me on antibiotics. They did nothing
On the following Tuesday, she placed the crowns with temporary cement. Took another x ray that showed no infection but inflamed periodontal ligaments. She also gave me a slim temporary bite guard. The pain subsided a bit for 2 days, then came back again.

I went to the endodontist last Tuesday, who could see no definite signs of an infection. She said there could be some needs for root canals, but she would not perform them until we fixed the whole jaw tenderness issue. She was also not sure which tooth was causing the pain, if any.

I must say I much appreciate professionals who put their patients' needs before their profits. I have known of dentists who perform root canals without looking any further.

She referred me to a pain specialist whom I had seen 3 years ago for trigeminal neuralgia. He diagnosed atypical neuralgia and inflammation of the muscles and tendons. Put me on medication (Lyrica and Vimovo), and will see me again in 2 weeks to assess if there was also pain from the teeth themselves

I'm of course hoping I won't need a root canal. Not that I fear them, but there always is a risk of complications for me due to TMD.