Two months ago, my dentist placed crowns on my top left second bicuspid, first molar, and second molar. I do not have any wisdom teeth left. I had deep decay and old fillings on all three teeth. At least two of the teeth hurt when I chew on that side of my mouth.
New crowns on three teeth in a row make it hard to tell where the pain is coming from. When I put pressure on the three teeth with my finger, two seem to hurt more than the others.
My dentist adjusted the crowns twice but said that I have an aggressive bite when I chew. He suggested alternating chewing on the left and right sides of my mouth. I disagree with him because I did not have the problem before getting new crowns. The pain almost feels like nerve exposure. Should I ask for new crowns?
Thank you for your question.
Based on your description, it does not seem that the problem may be related to your bite (the way your upper and lower teeth fit together) rather than the new crowns.
Why Do Your New Back-Teeth Crowns Hurt?
If your new back-teeth crowns hurt when chewing, two possible causes are the bite is too high or one or more teeth are infected.
- Adjusting your bite – When your bite is too high, the lower teeth hit the crowned teeth harder than the other. The repetitive wills make the teeth sensitive. Over time, your jaw muscles and joints can become irritated and sore. You may also experience neck pain, earaches, or headaches. These symptoms are related to TMJ disorder. But if your dentist adjusted your bite twice, an infection may be the issue.
- Tooth infection – Your dentist can take x-rays to see if any of your problem teeth are infected. Sometimes signs of tooth infection are subtle and require a root canal specialist’s skill (endodontist). The intensity of your pain sounds like you may need root canal treatment.
Will You Need New Crowns After Root Canal Treatment?
An endodontist can make an opening through your new crowns to perform root canal treatment. You will only need new crowns if your current crowns are defective or contributing to your tooth irritation.
Cosmetic dentists Dr. Randy Burba and Dr. Stanley Burba in Salem, Massachusetts, sponsor this post.