Tooth pain started 3 weeks after perm crown. dentist: wait, see if the nerves correct themselves. root canal? wait? heat hurts and can't chew food

RCT: Sensitivity to heat is especially a classic sign of nerve involvement and the need for root canal therapy. Pain on biting pressure can be merely the bite being high and the need to adjust the bite. However, both symptoms combined along with the course of events that you describe would make the need for rct very likely. I think 3 weeks is long enough to wait for resolution. See your dentist now.

See endodontist: See the root canal specialist for evaluation. You may need only bite adjustment, but sounds like more than that. The tooth may have irreversible pulpitis, and cannot recover from the many procedures over the years. Heat is a particular indicator that this is the case. Good luck.Don't wait any longer !

Go back: Have your dentist check tooth for hyper function. If occlusion ok, he will probably want to refer you to a root canal specialist, an endodontist. Please call your dentist and start there.

Second opinion: Before you consider any other surgery or intervention getting a second opinion about whether you should simply wait is a good idea. If a nerve is damaged, more surgery could worsen that, but if something else wrong, then waiting will not fix it. Best to assess if anything else wrong. If it might be nerve, request treatment to help but avoid injuring nerve further.

Maybe root canal. : Acute apical periodontitis is one of the most common reasons for having pain after getting dental work done, which is caused by a large (high) dental restoration. Dentist usualy asks you and tries to correct that but since we are numb and may not bite correctly than it could be missed. If adjusting your bite doesn't correct the problem than you may need to get a root canal.

Conservative?: Really only 2 ways to proceed when faced with this issue: - aggressive: if you are unwilling or unable to deal with the pain any longer, do not wait, get the root canal asap. -conservative: adjust the bite, a couple of times if necessary, hopefully this will resolve the problem. Chances of success good with the first adjust, much less so with each adjust thereafter.