The Temporary Cement For My Crown Is Causing Me Unbelievable Pain. Should I Keep The Crown?

Q.
Hi, I had a crown fitted about 6 years ago but it was fitted with temporary cement, the nature of which has not been recorded by my old UK dentist.
It’s now causing me unbelievable pain and swelling and it needs to come out. Only thing is, I would like to keep the crown as it was expensive but need to dissolve the cement and and cap the nerve which I can only guess wasn’t done at the time. I have had to adjust my speech thanks to the incompetence of the dentist and my ill fitted front tooth.
Living in France makes it tricky to get all this done but wondered if you had any advice for me? Can I keep the old crown or shall I just rip it out and get another one or is there an easier, quicker and cheaper solution?
Any help gratefully received.
A.
Hello and thank you for your question. If you are getting pain from under the crown then it is likely that you will require root canal therapy. It is not uncommon to require root canal after having a crown and is unlikely to be due to any thing your previous dentist has done wrong. In fact approximately 10% of all teeth prepared for crowns will require root canal therapy as a consequence of the treatment.
If you are happy with the crown my suggestion would be to try and remove it before having any further treatment. If this proves difficult to remove then I would simply drill through the back of the crown and carry out any necessary treatment. This hole can be sealed over at the end of the treatment and the crown can be left as it is. Sometimes, making a hole in the back of a crown can compromise its integrity, in which case it will need to be replaced.
I hope this helps. Regards, Marcus Gambroudes.
Dr Marcus Gambroudes Changing Faces Dentistry & Facial Rejuvenation, 51 Station Road Knowle House Knowle Solihull B93 0HN Web: www.changingfacesandsmiles.co.uk Tel: 01564 320 024 View My Profile Dr Gambroudes

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