Pain after dental prosthetics - reasons, how to get rid of it?

Modern solutions offered by clinics allow an individual approach to each patient and selection of the optimal method of restoring teeth in case of their destruction or absence. Prosthetics allows you to restore the aesthetics of the dentition and natural chewing functions, while prolonged absence of teeth always leads to serious health consequences - it affects the bite, jaw joints, and facial appearance. Therefore, it is so important to undergo prosthetics as soon as possible and enjoy the result. But what if instead of “pleasure” you get pain after dental prosthetics?

When is pain after prosthetics normal?

The causes of pain can be different. First of all, we will reassure those who have pain after prosthetics literally on the same day or not the next day that the prosthesis, be it a crown or a bridge, was installed. In 99.9% of cases, this is a normal situation that does not promise anything bad. The anesthesia (if it was used) has stopped working, you are gradually getting used to the new prosthesis, adaptation is required. Discomfort and even a semblance of pain in such conditions is normal. But you still need to carefully monitor your feelings – and consult a specialist if:

The pain does not go away within 7-10 days
The pain effect increases
The pain changes character - from aching it turns into throbbing, it occurs under certain conditions, for example, as a reaction to hot food, or worsens at night when a person takes a horizontal position.

Indications and contraindications for dental care immediately after the procedure

The most important stage in post-prosthetic care is the first days after the installation of temporary and permanent crowns. Basic recommendations from dentists for this period:

Do not eat for 2-3 hours after the procedure;
Avoid eating sticky, viscous, hard foods;
In the first days, if possible, do not load the crown - do not use it for chewing, chew on the other side of the jaw;
Avoid excessively hot or cold foods.

All of the listed points are recommendations, and you can find out an individual list of indications from your dentist at the clinic.

Causes of tooth pain under a crown or denture

If you have not had root canal treatment to remove the pulp before getting a crown, pressure on the damaged nerve may cause pain.

Patients with malocclusion and bruxism may experience pain at night from pressing on ridges or areas of the tooth that are higher than normal.
If the denture has shifted, exposing part of the tooth, or, worse, is pressing on the dental nerve, then the slightest pressure or change in temperature can send strong pain signals.
Teeth under a crown are also at risk for all the problems associated with regular teeth, meaning they can become infected, break, and become vulnerable if the enamel wears down. And this can cause pain.

Recommendations for nutrition and diet

In order for crowns or other types of dentures to retain their original appearance, you should not only carry out regular oral hygiene, but also monitor your diet. Basic recommendations to follow if possible:

Limit the consumption of black tea, coffee, sweet carbonated drinks - if these products are always present in the diet, they stain not only the enamel of natural teeth, but also the shell of dentures;
Be careful when eating too cold or too hot food and avoid cold-hot changes in one meal (for example, ice cream with coffee, hot dishes with a chilled drink, and so on);
Hard or tough foods (such as steaks) should be cut into small pieces to avoid prolonged chewing.

What to do if a tooth hurts under a denture?

If toothache occurs after dentures, the first priority is to identify the cause as soon as possible and apply appropriate therapeutic measures. This problem will not resolve on its own, and any home remedies will not be effective. Therefore, do not wait and contact your dentist for professional help.

If the dentist discovers a tooth infection under the crown, he or she may recommend root canal treatment, which usually requires removal of the denture. In some cases, a hole can be drilled into the crown, allowing the dentist to access the root canal without having to remove and install another crown. This is a complex operation, but it will save you money since the removed crowns are often no longer reusable.

Professional oral hygiene

To ensure that the denture or crown retains its color and natural appearance, it is recommended to regularly undergo professional oral hygiene. It allows you to get rid of plaque, which cannot be completely removed by brushing your teeth yourself. As a result, tooth enamel becomes lighter, and crowns restore their original appearance.

For teeth with crowns, professional ultrasonic teeth cleaning is used. But the popular Air Flow technique is contraindicated in this case, since the process uses abrasive particles that can damage the crown shell.

Prevention of pain after dental prosthetics

As with all dental procedures, the simplest and cheapest solution is to prevent the problem from occurring in the first place.

If you have dental crowns or bridges, you should have a dental checkup at least once every 6 months. The dentist will monitor the condition of the teeth under the dentures, since they are initially at risk.
Hardware cleaning of bacterial plaque and possible food debris will prevent the development of infections and caries; this procedure is mandatory along with normal home oral hygiene, including brushing teeth and using dental floss.
It is also important to monitor the integrity of the dentures - avoid hard foods and excessive loads so that the denture is not damaged or its tight fit to the stump of the supporting tooth is broken.

Don’t endure pain after dentures - contact the orthopedists at the ILATAN family dentistry closest to your home to get advice and help. Registration is available by phone +7 (495) 748-50-50.

Causes

Unprofessionalism of the doctor

The qualifications and experience of the implantologist play an important role in the success of implantation. If these levels are insufficient, the patient may face a number of problems:

violation of antiseptic rules during the installation of rods;
incorrect selection of implant models;
installation of low quality structures;
injury or overheating of bone tissue by a drill;
poor-quality preliminary preparation before surgery with the ensuing consequences.

The choice of dentistry and doctor should be taken seriously. Sometimes patients come to us with complications after unsuccessful implantation in other clinics. It takes a lot of effort to save installed implants, but it is not always possible to stop rejection. In some cases, it is necessary to undergo re-implantation, which is financially costly for the patient. Therefore, it is better to immediately contact experienced professionals who provide a guarantee for their work.

Patient negligence

After implantation, the patient is required to be fully conscious and follow the doctor’s recommendations. Among the most common causes of pain and other complications in the postoperative period:

neglect of regular oral hygiene;
failure to appear for preventive examinations with a doctor;
refusal to take prescribed medications;
smoking;
poor nutrition;
non-compliance with the temperature regime of food (eating too hot or cold foods).

Features of the body

The healing of implants occurs differently in each patient, depending on the tissue’s ability to regenerate, health status and other internal factors. Among the characteristics of the body, the cause of the development of pain syndrome can be:

weakened immune system;
allergic reaction to metals;
exacerbation of chronic diseases, general or dental;
pathologies of teeth located next to the installed structure;
increased load on the implant;
non-acceptance of a foreign body by the jaw tissues.

Peri-implantitis

If dental implants hurt a year after installation, most likely we are talking about peri-implantitis, inflammation of the jaw tissue. Occurs as a result of doctor errors or patient negligence. Manifested by the following symptoms:

jerking pain;
itching;
redness or blueness of the mucous membrane;
swelling;
discharge of pus from under the gums when pressed.

If these symptoms appear, you should immediately contact the clinic. If surgical intervention is performed in time and the hole is cleared of purulent masses, the implant can be saved. Failure to consult a doctor in a timely manner may result in removal of the structure. Re-implantation is possible only after complete relief of the source of infection.

Allergy to dentures

Another complication may be the development of an allergic reaction. Various materials from which dentures are made can cause denture allergies in patients at risk. To avoid this complication, specialists at INTAN implantation and dentistry centers collect a detailed patient history and, if necessary, perform allergy compatibility tests.

There are cases when an allergy to dentures occurs despite careful selection of the material. The speed of development of an allergic reaction can vary: from several hours to several days after installation of the prosthesis. If you experience symptoms such as rashes or inflammation in the oral cavity, a burning sensation on the tongue, or dry mouth, immediately contact the specialist who installed the denture for you.

Dental prosthetics: possible complications

Dental prosthetics is one of the most sought after and popular medical procedures all over the world. However, this is nothing unusual: sometimes only the installation of dentures can help a person facing serious dental problems regain a beautiful and healthy smile. Meanwhile, the prosthetic procedure, just like other medical procedures, can lead to a number of complications. Identification of any signs signaling the development of a particular pathological process in the oral cavity is the basis for a visit to the doctor and taking measures aimed at eliminating the defect that has arisen.

Causes of complications after installation of dentures

The main reasons for the development of complications after the installation of prosthetic structures are:

violation of the procedure for preparing for the installation of dental prostheses (refusal from professional sanitation of the oral cavity, from taking measures aimed at combating inflammatory gum diseases, dental caries, dental plaque, etc.);
errors made by employees of dental laboratories (manufacturing dentures that do not fit the patient in size, violation of technical requirements);
improper installation of the prosthetic structure, resulting in the appearance of wide gaps between the gums or prosthesis and the accumulation of food debris and bacteria in them (in some cases, on the contrary, there is a too tight fit of the prosthesis to the gum, which contributes to the appearance of physical discomfort and the development of inflammatory processes in the gum tissues) ;
damage to the prosthetic structure, accompanied by its breakage or displacement;
allergy to materials used in the manufacture of the prosthesis;
weakening of the body's immune forces;
changes in the position of individual teeth, leading to displacement of the prosthetic structure;
failure to comply with hygienic requirements, leading to inflammation of the gums under the prosthesis, carious lesions of the supporting teeth.

Types of complications after installation of dental prostheses

The most common complications that develop after completion of the prosthetic procedure are:

prosthetic stomatitis;
caries, pulpitis and other dental diseases under prosthetic structures;
peeling off fixed dentures after their installation;
loosening of the fastenings of removable prosthetic devices;
galvanic syndrome;
allergic reactions;
physical discomfort caused by the installation of prostheses.

Denture stomatitis is an inflammatory lesion of the gum tissue under the denture, accompanied by the appearance of small pustules and ulcers on their surface. The main cause of this pathology is the compression of small blood vessels of the gum by the prosthesis, the death of soft tissue cells and the formation of bedsores. To eliminate the manifestations of prosthetic stomatitis, patients are recommended to contact their dentist with a request to adjust the prosthetic structure and conduct a course of local treatment using antiseptic solutions, ointments and gels.

Caries, pulpitis and other dental diseases under dentures arise due to non-compliance with hygiene requirements. To ensure that the prosthetic structure does not put too much pressure on the gum tissue, it is always installed in such a way that there is a small space between its lower edge and the gum. Pieces of food and bacteria accumulate in this space, which can provoke the appearance of an unpleasant odor, the development of an inflammatory process and caries. That is why this small gap needs careful care (rinsing with water and antiseptic preparations, cleaning with dental floss, carrying out professional hygiene measures at the dentist).

The reasons for the permanent prosthesis to come off after installation may be:

loss of a tooth and gradual displacement of the remaining teeth towards the resulting space;
excessive physical stress on the prosthetic structure;
change in bite;
damage to supporting teeth.

A loose prosthesis is returned to its original place by gluing it with a special dental compound. If necessary, the prosthetic structure can be replaced with an alternative device.

Factors contributing to loosening of removable prosthetic devices are:

daily wear;
regular removal and re-fastening of the structure.

Over time, the elements that secure the prosthesis in the patient’s mouth completely fail. The problem is resolved by adjusting the fasteners by dental laboratory specialists.

Galvanic syndrome is the formation of galvanic electric current in the oral cavity. The main reason for this phenomenon is considered to be the presence of dissimilar metals in the patient’s mouth. It is known that any alloy immersed in an electrolyte solution acquires a potential unique to it. If metals with different potentials are present in the patient’s oral cavity, then all the conditions necessary for the formation of galvanic current arise. In such situations, saliva performs the function of an electrolyte.

Galvanic syndrome is characterized by:

the appearance of a metallic taste in the mouth;
sleep disturbance;
headache;
allergic reactions;
darkening of metal parts of prostheses;
deterioration of the patient's general condition.

The described problem is resolved by replacing dentures.

An allergic reaction to materials used in the manufacture of prosthetic structures is perhaps the most common complication of the prosthetic procedure. The main symptoms of this pathology are:

redness and swelling of the mucous epithelium of the oral cavity;
the appearance of a rash on the skin of the hands and face;
inflammation of the salivary glands;
asthma attacks;
dryness and burning in the mouth.

The first signs of an allergy appear immediately after the installation of a prosthetic device or several hours later. In some cases, the body's hypersensitivity reaction develops 2-3 days after completion of the prosthetic procedure. If any symptoms indicating the occurrence of an allergy are detected, it is necessary to consult a doctor as soon as possible with a request to eliminate the pathological process and replace the prosthetic structure.

Physical discomfort that occurs after the installation of prostheses can bother the patient for 10-15 days.
Most often, people who have undergone prosthetics experience impaired speech functions, increased salivation, the sensation of a foreign body in the mouth, and rubbing of the gums or the inside of the cheeks. In cases where unpleasant symptoms do not go away on their own for more than three weeks, patients are advised to consult a dentist to take the necessary measures to adjust or replace the prosthetic structure. Sign up for a consultation

Physical discomfort as a complication after the installation of dentures

Any patient can feel discomfort during adaptation to a new design, especially if it is made for the first time. This complaint can bother the patient for up to two weeks. Also, patients after prosthetics may experience rubbing of the gums or the inside of the cheeks, the sensation of a foreign body in the mouth, speech disturbances, and increased salivation. During the adaptation process, corrections are possible to minimize discomfort, but this only applies to removable dentures. In cases where unpleasant symptoms do not go away on their own for more than three weeks, patients are advised to consult a dentist.

Possible complications after prosthetics

What complications are most common after dental prosthetics? If a dental crown does not fit your gum accurately, it can rub against it, causing inflammation and gradual tissue death. There is also a variant of medical error when there is a gap between the gum and the prosthesis - a small gap into which food debris gets trapped. It is almost impossible to clean them out, so they begin to rot, and the process of bacterial proliferation and the occurrence of caries begins.

Prosthetic stomatitis as a complication of dental prosthetics

Denture stomatitis
Denture stomatitis is an inflammatory lesion of the oral mucosa under the denture, accompanied by redness, pain, the appearance of erosions and ulcers, and difficult or impossible eating. Stomatitis can be catarrhal, erosive, ulcerative, ulcerative-necrotic, hyperplastic. The main reason for the occurrence is the discrepancy between the shape and size of the base, clasps of the prosthesis and the border and surface of the prosthetic bed, as well as in violation of the articulation of the dental arches of the jaws.

To eliminate the manifestations of prosthetic stomatitis, the patient must contact a dentist to correct the structure and carry out treatment using antiseptic solutions, ointments and gels.