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Dentistry/Pain in recently crowned tooth; old RCT



I have a tooth that had RCT many years ago. Recently I managed to break off a cusp eating something hard. (it's a bicuspid, first back from the canine#

This tooth has never given me any trouble, and indeed, the break didn't hurt at all, other than some sharp edges left behind.

My dentist recommended and crown to strengthen the tooth and I agreed.

He filed it down and placed a temporary, which didn't hurt, despite falling apart within days.

He then placed the permanent crown, and it felt fine at first, but within days it hurt. It felt too high, and too big.

I went back and he adjusted the bite #which wasn't checked when the crown was placed# by grinding away some of it, and it feels a bit better. It's a metal crown with a porcelain cover.

The problem I'm left with is that it's still slightly sensitive, and painful to percuss laterally with a fingernail. No sensitivity to either cold or heat.

Will this tooth settle down #it's been over a week since the adjustment) or is something else wrong?

I'm thinking maybe the bite still isn't right, irritating the PDL, but I'm not a dentist!

I tend to grind my teeth at night, so in the morning it can hurt.


Dear Andy,

I believe you are correct.  The tooth is still high in your bite and is irritating your PDL.  I would go back to the dentist with your concern.  It may be that this crown needs to be ground down a bit more to relieve the sensitivity.  This is especially true if you tend to grind your teeth.  The PDL will never heal if this tooth is touching in your bite at all.

It probably needs to be relieved of all occlusal stresses to allow your PDL to heal.

Once this is corrected, you may want to consider getting a bite guard.

Let me know how this goes.


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Howard Finnk, D.D.S., P.A., CEO


I am a Family, Implant and Cosmetic dentist. I will answer questions on any aspect of dentistry and matters relating to the smile, gums, jaws and lower face. Member American Dental Association, Florida Dental Association, Broward County Dental Association, and Atlantic Coast District Dental Association. I have served as District Council Member of Alpha Omega, as well as serving for one term as its President. I am also a member of The Vedder Honors Society, Broward Dental Research Clinic, and Mount Sinai Hospital Guild. I have served as a Volunteer for Project Dental Health and The Tri-County Dental Health Council.


Having attained over 30 years of clinical experience in private practice in Michigan, in 2001 I was re-certified by taking and passing the Florida State Dental Board Examination. After moving to Florida, I spent nearly 10 years re-honing my skills while working as an Associate Dentist for several large dental groups. In September, 2004, I was appointed Adjunct Clinical Professor at Nova University's College of Dental Medicine. I am certified in placement of Mini Dental Implants, and I am Director of The Florida Implant Center ( On March 1, 2010, at the age of 62, I began all over again by buying a dental practice near my home in the Fort Lauderdale area. As sole owner and Chief Dental Officer of the new Nob Hill Dental Center (, I can now carefully provide dental care to patients who care, all within a caring, joyful environment. Over my career lifetime, I have provided thousands of diagnoses, fillings, crowns, bridges, root canals, periodontal treatments, TMJ therapies, partials, dentures and extractions, and dozens of implants for my patients. The only aspect of dentistry with which I have very little experience is orthodontics.

American Dental Association, Florida Dental Association, Broward County Dental Association, Atlantic Coast District Dental Society, Vedder Honors Society, Broward Dental Research Clinic, Alpha Omega Alumni Association, and American Association of Dental Implantologists. Formerly, American Academy of General Dentistry, Michigan Dental Association, Macomb Dental Society, Detroit District Dental Society, Tri-County Dental Health Council (a charitable dental care organization)

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Bachelor of Arts and Sciences in Psychology from Wayne State University Doctor of Dental Surgery from University of Detroit College of Dentistry Adjunct Clinical Professor, Special Needs Department, Nova Southeastern University College of Dental Medicine, Fort Lauderdale, Florida

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