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Pain in lower left 1st molar
The crown has discolored in lower left 1st molar in buccal area and hurts on biting and chewing since yesterday. It's been few months since crown and rct
Answers (4)
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You need to consult your dentist who performed rct and capping . Pain can be due to failed rct / re infection in the pulp or gum infection.
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Dr. Inavolu Shamini
Dentist
10 yrs exp
Hyderabad
Hello
Please get it evaluated by the dentist
The pain might be due to re infection or failed RCT
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Dr. Sharwari Pawale
Dental Surgeon
5 yrs exp
Pune
Hello
Need to take xray and needs retreatment for the tooth
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Dr. Aastha Mehta
Dentist
8 yrs exp
Dehradun
The blackish metal display of the buccal area of the first molar is due to chipped off ceramic of the crown. The crown has an underlying metal coping and on top is covered with acrylic/ceramic. Due to improper fabrication/ trimming for adjustment/ strong masticatory forces, it is sometimes possible that the ceramic does get chipped off.
Next Steps
In case there is no pain, you can continue with the bridge spanning the second premolar, first molar and second molar as only changing the crown of the first molar is not feasible.
But as you are suggesting that there is pain, then a proper evaluation which includes taking an XRAY of the involved teeth is also needed to know the status of the endodontic treatment/ RCT carried out. Sometimes the metal margin impinging on the mucosa can also lead to pain. In that case also, changing the entire bridge would have to be carried out and replacing it with an all ceramic/ zirconia would be a more feasible option.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.