What to do about a new crown. i had a tooth prepped for a crown 7 weeks ago. the temporary was left on for 4 weeks, due to the crown having to go back for more porcelain build up. i did not experience any pain on the tooth with the temporary. even when th

This : This certainly is not normal. It can be many things but you need to call for an emergency appointment to have it evaluated. The longer you let this go without getting checked the more you risk having bigger problems.

I : I have seen this type of sensitivity, and many times it will subside after a while. Your dentist was correct is stating that the tooth will lay down more dentin internally, moving the irritated nerve further away from the outside of the tooth. Since the pain is not constant and only when you chew on that side, it can certainly resolve. The alternative it to have root canal therapy on that tooth. Your dentist does not feel you need that treatment right now. If you can give it some more time, it should feel fine... But remember, this is never a certainty.

One : One concern that I have is that the tooth was asymptomatic during the temporization period and that you experienced pain as soon as the permanent crown was dry fitted. This may indicate that the crown did not fit properly or that the occlusion (bite) was off. This may be difficult to determine clinically and everything may look alright to the dentist. Many times, with this situation, i would cement a crown temporarily so that it could be removed and a temporary crown could be place if symptoms persisted. That way i could evaluate the tooth further and possibly do a root canal, if needed, without drilling through the new crown....Just saying.