Pulling a coated tooth, from the cause of toothache to treatment

When do we need dental veneers? What is the cause of tooth pain immediately after placing dental veneers? How do we know that the coated tooth is infected? How to prevent tooth extraction? These are the things you will read in this article. Tooth extraction, especially on teeth that have veneers, can be a source of discomfort and pain for many people. Usually, veneered tooth pulling occurs when the dentin, the layer beneath the tooth enamel, is exposed, leading to pain or discomfort when exposed to certain stimuli, such as hot, cold, sweet, or highly acidic foods and drinks. The purpose of this article is to investigate the phenomenon of teeth pulling, providing insight into its causes, symptoms, prevention and treatment options. ### When do we need dental veneers? **1- Significant decay or damage:** When the tooth is decayed or damaged to such an extent that the filling cannot restore its integrity, a veneer is often needed. Veneers create a protective shell and cover the entire visible part of the tooth above the gum line, thus restoring the shape, size and function of the tooth. **2- After denervation:** The teeth that have been denervated become fragile and are more prone to fracture. Veneers help protect these teeth and ensure their functionality and longevity. **3- Cracked tooth syndrome:** This complication includes a tooth that has a very small crack that is not shown on X-ray or is located under the gum and is difficult to identify. A crown can hold the tooth together and distribute stress evenly, preventing further damage. **4- Excessive wear:** Teeth that have been significantly worn down, whether due to grinding (bruxism) or an acid-rich diet, may need veneers to restore their original size and protect them from further wear. **5- Beautification:** Veneers are also used to improve the appearance of discolored or misshapen teeth and provide a more beautiful and uniform appearance. ### Complications of dental veneers While dental veneers are generally safe, certain complications can occur that make it important to understand the risks and how to minimize them. ** Tooth extraction:** After placing the crown, it is not uncommon to be sensitive, especially to cold and heat. This usually subsides with time, but if it persists, the fit of the veneer may need to be adjusted. **Gum Disease:** Ill-fitting veneers can create ridges where plaque and bacteria can collect, leading to gum disease. Maintaining excellent oral and dental hygiene and regular dental examinations can prevent this. **Cover loosening or falling off:** Sometimes covers become loose or even fall off. This can be caused by decay under the cover or the lack of proper placement of the cover. If this problem occurs, it is necessary to consult a dentist immediately. **Cracking or Cracking:** Veneers made of ceramic can crack, although this is less common with modern materials. Small chips may be repairable, but larger breaks often require replacement veneers. **Allergic reaction:** Although rare, some people may have an allergic reaction to the metals used in alloy coatings. It is important to discuss any known allergies with your dentist before having them treated. ### The cause of pulling a coated tooth Grinding on veneered teeth can be an annoying issue and affect your ability to enjoy certain foods and drinks without discomfort. Understanding the causes of this shooting is essential in handling and managing these conditions effectively. Here are some of the main reasons why people experience cavities in their teeth that have veneers: #### **1- receding gums:** **Explanation:** Gingivitis exposes the roots of teeth that are not covered by enamel. This can lead to increased pulling, especially near the edge of the veneer where the tooth meets the gum line. **Effect:** Exposed roots are more susceptible to temperature changes and can cause severe pain when consuming hot, cold or sweet foods and drinks. #### **2- The cover does not fit properly:** **Note:** If the crown is not installed correctly, it can create small gaps between the tooth and the crown. These gaps allow external stimuli to reach the tooth nerve directly. **Effect:** Improper veneers can lead to increased pulling and discomfort, as well as possible decay due to the accumulation of bacteria in the crevices. #### **3- Decay under the cover:** **Explanation:** If bacteria penetrates the veneer, decay can develop under the veneer, often due to insufficient filling or cracks in the veneer. **Effect:** This decay can affect the tooth coating or even reach the nerve and cause significant shooting or pain. #### **4- Preparation of the tooth to place the veneer:** **Explanation:** The process of preparing a tooth for veneers involves removing part of the tooth's structure, including enamel and possibly some dentin. This can temporarily increase tooth extraction. **Effect:** Exposed dentin has small tubes that lead to the nerve, and when these tubes are exposed, they can transmit sensations from temperature changes or certain foods more directly to the nerve. #### **5- Porcelain or metal materials:** **Explanation:** Covers can be made of various materials, including ceramic and metal. Ceramic crowns can sometimes wear down opposing teeth and lead to tooth extraction. Metal coatings, especially those with a base metal alloy, can conduct heat more effectively. **Effect:** Both methods can cause tooth pulling, either through direct wear of the tooth or through the conduction of temperature that affects the nerve of the tooth. #### **6- Post-operative inflammation:** **Explanation:** After placing the veneer, inflammation may occur in the tooth pulp (the central part of the tooth containing nerves and blood vessels), which can cause temporary toothache. **Effect:** This type of tooth extraction usually decreases by itself when the inflammation decreases. However, if pain persists, it may indicate that the pulp is not healing properly and may require further dental work. > The cause of denervated tooth pain and its treatment > > This pain happened for various reasons and there are various methods for **treatment of denervated tooth pain**, which we will discuss below. ### What is the cause of toothache immediately after placing dental veneers? Experiencing toothache immediately after dental crown placement can be worrying and uncomfortable. Understanding the causes of this pain and recognizing the signs of potential infection are important steps to ensure proper dental health. In this section, we discuss the causes of tooth pain immediately after placing a dental crown: **1- Sensitivity to pressure:** Immediately after placing the crown, the tooth usually becomes more sensitive to pressure. This is due to the adjustment period that the tooth goes through as it gets used to the new coating. The process of preparing a tooth for a veneer involves removing part of the tooth structure that can temporarily make it more sensitive. **2- Pulp inflammation:** The dental procedure required to prepare the tooth for veneer can sometimes inflame the pulp (the central part of the tooth containing nerves and blood vessels). This inflammation can cause discomfort or pain, especially in response to changes in temperature or pressure. **3- Improper positioning of the veneer:** If the veneer is not properly placed on the prepared tooth, it can lead to discomfort or pain. Improper veneers can cause bite misalignment, which may put more pressure on the tooth, leading to pulling and discomfort. #### **The reason for the pain of a tooth chipped for a veneer** > Incomplete denervation of teeth and what are its complications? > > What are the cares after denervation? Does breaking the file inside the canal require re-nervation of the tooth? ### How do we know that the coated tooth is infected? **1- Persistent pain:** While some discomfort is normal immediately after the dressing is placed, persistent or worsening pain can be a sign of infection. **2- Swelling or sensitivity in the gums:** Infection under the coated tooth can lead to swelling or sensitivity around the gums of the damaged tooth. **3- Abscess:** A clear sign of infection is the presence of an abscess, which may appear as a pimple-like bump on the gum. An abscess can release pus, leading to a bad taste in the mouth and possibly causing a fever. **4- Increased sensitivity:** If you notice a sudden increase in sensitivity to temperature or pressure that does not subside, it can indicate an infection. **Crown Loosening:** Infection can compromise the material used to bond the crown to the tooth, potentially causing the crown to loosen. If you experience any of these symptoms, it is imperative that you contact your dentist as soon as possible. Early diagnosis and treatment of infections and other complications related to dental veneers can prevent more serious health problems and ensure the longevity of your dental work. ### How to prevent the extraction of coated teeth? Prevention and management of chipping involves a combination of good dental hygiene practices, regular dental checkups, and some home remedies for chipping. Here's how to prevent and treat chipped teeth: **Choose an experienced dentist:** Make sure that your dental veneers are performed by a skilled and experienced dentist. This can minimize the risk of complications such as improper fit or over-reduction of the tooth. **Maintain oral hygiene:** Regular brushing and flossing can help prevent decay under or around the veneers and reduce the risk of pain from infection or decay. **Use a dental guard:** If you grind your teeth at night, using a dental guard can prevent damage to the tooth enamel and reduce the risk of tooth extraction. **Avoid hard and sticky foods:** Hard and sticky foods can dislodge or damage the veneers, potentially leading to pain. Avoid chewing on ice, hard candy, or other hard objects. ### Treatment of coated tooth extraction **1- Antiallergic toothpaste:** If the pain is due to shooting, using an antiallergic toothpaste can help. These toothpastes contain compounds that help prevent the transmission of pain signals from the surface of the tooth to the nerve. **2- Rinsing with salt water:** Rinsing with salt water can help reduce inflammation and eliminate oral bacteria. Dissolve a teaspoon of salt in a cup of warm water and swish it around your mouth for 30 seconds before taking it out of your mouth. Repeat this several times a day if needed. **3- Clove oil:** Clove oil has natural anti-pain and anti-bacterial properties that make it effective for toothache relief. Put a small amount of clove oil on a cotton ball and apply it on the affected area. You can also add a drop of clove oil to a glass of water and use it as a mouthwash. **4- Cold compress:** Placing a cold compress on the outside of the cheek can help reduce swelling and numb the area and provide temporary pain relief. **5- Non-prescription painkillers:** Non-steroidal anti-inflammatory drugs such as ibuprofen can help reduce inflammation and reduce pain. However, it is important to use these medications as directed and consult your dentist if pain persists. ### What should I do to reduce teeth pulling after veneers? - **Avoid trigger foods:** If your veneered tooth is aching, try to avoid foods and drinks that trigger your symptoms, such as hot, cold, or sweet foods. **Use a soft toothbrush:** A soft toothbrush can help reduce gum irritation, which may reduce tooth pulling. - **Fluoride treatments:** Using fluoride gel on the sensitive areas of the tooth can help strengthen tooth enamel and reduce the transmission of emotions to the nerve. Your dentist can recommend home fluoride treatment or provide a professional program. If, despite these measures, the pulling of your coated tooth continues, it is necessary to see a dentist. They can check for underlying issues such as decay, infection, or problems with the fit of the veneers that may be causing your pain. Early intervention can help prevent more serious complications and ensure the longevity of your veneers. ### Treating the infection of coated teeth To treat a toothache due to an infection, the dentist thoroughly examines **the extent of the infection and its spread around the tooth**. In the most severe case, there is a possibility that the dentist will remove the tooth cover and after removing the infection, the tooth will be denervated again. In this situation, infection and bacteria penetrate to the end of the tooth and create a complex treatment. After doing this, the tooth is filled with a material called "gutta percha" and the veneer is returned to its place. However, this method may not be effective for **fixing the cause of teeth pulling after veneers** and instead the attending physician will suggest the use of **Apicectomy**. In this treatment method, the end of the tooth root is removed. In addition to this, draining the abscess directly or prescribing antibiotics can also be effective. > Treatment of veneered tooth infection > > In this article, **effective factors in veneered tooth infection** and its treatment methods were discussed. ### Frequently asked questions