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FAQ:  Bridges



Crown and Bridgework - Getting it Right the First Time
Advancements in Cantilever Bridges
Cemented vs Screw Mount Implant Bridges
Pictures: Bad Bridgework
Dental Bridges - Pros and Cons
Super Glue Bridge Fix?

Procedure Videos
Bridgework and Disappearing Gums
Cantilevered Bridges: Most Teeth - Fewest Implants
Immediate Function: Bridge In A Day
Anterior Bridge Failure
Temporary Bridge Failure
How Bridges are Cemented - Ivoclar Demonstration
Marius Bridge: Edentulous Treatment Animation
Total Tooth Replacement:Treatment Example

Question:
Pain after Anchor Teeth Preparation: I am having a permanent bridge put in but after my dentist ground down 4 of my permanent teeth (I have a temporary in now) I have been in severe pain.

The pain started about 4 or 5 days after this though. The area he worked on feels very sensitive. He took a look and blew air on the area to see how much sensitivity was there. Not much, but now I am in so much pain.

Is this the cause of my pain or could I also have a sinus infection? I saw my ENT a couple of days ago and he started me on atibiotics just to be sure. ...Visitor from CA

Answer:
If pain starts 4 to 5 days after dental work, it is possible that one or more of the teeth are infected. If the teeth involved had previous restorations with decay, it is possible that one or more of them has a problem with the nerve inside the tooth.

This can happen even though the dentist did not do anything wrong. The problem is the condition of the teeth before the work was started. Most patients will say that they were not in pain before the treatment but now are in pain afterwards. The patient may conclude that the dentist did something wrong.

However, sometimes the teeth are already infected but they do not hurt. Treatment is necessary and the dentist starts working on a tooth that is just waiting to erupt.

It is important to try to deternine which of the four teeth hurt, your dentist can look at the x-ray and see if there were previous deep fillings or a large amount of decay in any of the teeth. Your dentist may be able to locate the problem tooth and treat the nerve.

Another possibility is that the temporary bridge has thrown off your bite. The bridge may need to be adjusted. When pain starts days after treatment, it is possible that it took days for the bite to cause the pain. The teeth are generally fine in this scenario, the bite may be too hard on the temporary bridge.

A simple bite adjustment can be very relieving. When the temporary bridge was originally made, you were anesthetized and most likely did not close down normally. However, when you go back to get it checked, you should be able to close normally and the dentist may be able to determine if the bite is the problem.

Editorial Staff

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