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Question:
New Crown causing pain in upper jaw: Since having a crown replaced on a lower molar 8 months ago I have had a strange, very annoying feeling centering in the molar above which had a root canal and crown a few years ago.

I have avoided chewing on this side ever since. X-rays of the upper tooth look normal although the roots are close to the sinuses.

I have had no colds or reason to believe I have a sinus infection. I am not clenching or grinding.

I've been back to have the teeth ground down 4 times with no improvement.

Cold and tapping don't cause pain. Sometimes the ususual feeling seems to be in the gums at the back of the jaw. Lately, the upper incisors on that side sometimes bother me too. Where do I go from here? ...Visitor from WI

Answer:
Great questions - but I can't answer without a thorough exam. At first blush, I would suspect your bite to be the problem as your discomfort started with the opposing crown placement.

If it needed grinding down 4 times... then there is a problem with the bite. If you have sensations in your gums - perhaps you have a gum issue as well.

The dying of a nerve is not always associated with an abcess viewable on x-ray. So the short answer is to consult with an endodontist and periodontist if you can't get a definitive answer from your dentist.

Wisconsin Reconstructive Implant Dentistry
Richard Winter, DDS MAGD
Winter Dental Associates
5323 W. Hampton Avenue
Milwaukee Wisconsin WI 53218
(414) 464-9021

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