Gold crown was hurting, went in and they extracted my wisdom tooth, 2 weeks later my crown hurts again and dr. says he needs to clean my teeth first?

Good idea: Your dentist needs a clean mouth to determine what is causing your problem. If it has been more than six months since your last cleaning, now is the time. Pain can be coming from multiple causes, so they're trying to rule out all possibilities.

Seek a 2nd opinion: Pain under the crown is a signal that something is wrong and needs to be to be corrected. Before a treatment to crown pain can be found, the problem has to be identified. Seek a second opinion or advice from another qualified dentist or dental specialist.

Gold crown: Need more information: what makes it hurt ( hot, cold, chewing), when does it hurt, how long does the pain last, which tooth is the crown on, how long ago was it placed, is there an infection/abscess of the tooth, are your gums infected, etc. Ask your dentist why he extracted your wisdom teeth and why he needs to clean your teeth first ( infected gums ?).

Answer-: It's impossible for us over the internet to determine both the cause of the problem and the order of treatment. This is a determination that must be exercised by a knowledgeable dentist with training and experience based upon a clinical exam, x-rays, periodontal probing and other tests. Either trust your dentist's advice or seek another dentist whom you do trust. Ask questions.

Causes of pain: There are a number of reasons one tooth might be symptomatic. It can vary from decay, abscessed tooth, high occlusion related to that tooth. Or it can be referred pain from an infected, impacted and/ or decayed wisdom tooth. Periodontitis and/or gingivitis could also present itself as toothache as does sinusitis.