Would replacing the crowns with dentures reduce the pain?

Q. Please could you give me some advice. I started having pain in my left cheek 3 months ago, the pain then radiated in my top left molar and across to my 3 front (top) crowns, then it went into the corner of my eye down the back of my head in my neck and in my left ear and around my jaw. I had the molar taken out then a tooth next to the 3 front top crowns towards left side, and then a wisdom tooth taken out top right hand side. This was all in the space of a week. The pain after the extractions hasn’t changed. I was told by one dentist that I have grinded my teeth quite severly. I was then diagnosed as having TMJ by a prof who to be fair has been really good. She told me that when I talk I push my chin forwards and said my bite isn’t bad but not great. I think this is because my 3 front crowns don’t meet my bottom teeth anymore and they feel really uncomfortable, they haven’t done for a while. I have been given a splint only a week ago which i know takes time. The pain is still the same it seems to becoming from My 3 front crowns (had them in for 12 Years)had lots of problems with them in the past had a root canal etc, and for a while now the crowns have been petruding forwards and the pressure I feel is horrible I feel like I just want to rip them out. The pain then radiates in all my teeth. I know this is quite a lengthy question but I am reaaly tired of being in pain as it wakes me from my sleep I also find myself having to constantly bite down all the time especially in my sleep. I really need to get sorted as I hate my 3 young children and husband seeing me in pain all the time. I was really thinking of having the 3 crowns removed and replacing with dentures would this be the right move?. Any advice would be much appreciated. Thank you

A. There is a possibility that you have trigeminal neuralgia as I would have expected your pain to have at least improved from the splint.  The first treatment of choice is using carbamezipine and you may suggest this to your dentist or specialist. 

Dr Julian Caplan – Director on the board of the BACD View My Profile Dr Caplan

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