my dental crown fitted over a year ago causes me pain

Q. I had a crown fitted over a year ago which had to be filed down to eventually fit the tooth. It looks to be much too big. I had pain as soon as the crown was fitted. I have experienced pain on and off ever since.The first time I went back to the dentist he drilled a hole in the crown and took out the nerves and filled the spaces and then filled the hole in the top of the crown. I am now experiencing pain on biting, nerve like pain with cold drinks,and an odour when I touch the sides of the crowned tooth. I have a dark line at the base of the crown. I saw the dentist today and he says there is nothing wrong with the crown or the root canal work and has given me antibiotics for a possible infection. He says the tooth will have to be removed if the problems persist. I feel that the crown was too big for my tooth and has caused the problems. How do I go about getting a second opinion and what are your thoughts on my symptoms.

A. To get a second opinion is easy, you do not need your dentists permission or to inform them. Choose someone by recommendation if possible & contact them direct.

Your symptoms should be investigated, it is not possible to give advice on what the dentist advised and you understood from the text. However either 1. the tooth is OK  2. it needs treatment 3. It is being monitored to decide 1 or 2. Treatment is not only extraction but also could be root tretment retreatment or crowning.

The appearance of the crown may be due to the grade of crown, NHS crowns are not unattractive by design, private crowns do tend to be of better appearance.

We are a private practice but offer a free preliminary assesment with a dentist ( to enquiries  from this weblink ) if you are near to Birmingham City Centre

Dr Rob Tennet St Johns Dental Practice 18 Bennett’s Hill, Birmingham, B2 5QJ Web: www.e-dentalpractice.co.uk

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