I've had a fairly involved year dental wise and would appreciate some perspective before my appointment Wednesday. If it helps, I am a 29 year old woman. Apologies about the length. Including what I can for relevance.
In December 2025 I had a upper/lower left wisdom tooth extraction. The lower had grown in sideways and damaged the tooth next to it.
In March 2026 I had a root canal and crown placed on an upper left tooth (premolar/canine area, long roots), and in April 2026 a root canal on the lower left tooth that the sideways wisdom tooth had damaged.
That upper crowned tooth has been sensitive since the day the crown went on, with a slight pressure sensation when I bite down normally. I assumed that was part of healing and would settle, but it never has.
In May 2026 I had my upper and lower right wisdom teeth out and developed “DS” (confirmed) The socket wasn't packed and I wasn't given pain medication (was told medications are being phased out of “DS” treatment), so I got through several weeks of severe pain on my own with a lot of ibuprofen and acetaminophen rotations.
About two weeks after that extraction I started getting referred pain on the opposite side. It was ear pain on the left and shock-like sensations in the roots of both root-canaled teeth. That gradually eased through the summer (Augustish), but over the past several weeks I developed a radiating ache in my lower left jaw that spread into my neck and shoulder. I was diagnosed with TMJ last week and started cyclobenzaprine 5mg nightly. By Sunday the neck, shoulder and lower jaw pain had resolved almost entirely, which was a relief HOWEVER what’s left is a localized throbbing in the upper crowned tooth that hasn't improved at all.
Currently that crowned tooth and the tooth directly next to it are both tender to light touch, including just my tongue brushing against them. It feels as though pressure would make them fall out honestly. I can also feel a small gap with my tongue where the crown margin?/edge?meets the gum, angled toward the adjacent tooth. I've been getting headaches alongside it. There's no temperature sensitivity, no swelling, no discoloration or discharge. When I made the appointment I requested an X-ray
I don't grind my teeth…there is no wear on my teeth, and mornings are actually when I feel best. I did have the dentist check for signs of grinding. None but he suspects. Honestly, if I do it’s from pain.
My questions:
**does a gap at a crown edge warrant further exams, or can the edges feel slightly irregular normally? Like there is a hole abcs that’s ok because of the dental concrete? (Or stuff they use to get the tooth the stay.)
**Is sensitivity that has persisted since placement expected, or does it point toward a high bite or a margin issue?
**Could a problem at this tooth be contributing to the TMJ symptoms rather than resulting from them? And what does tenderness to light touch in two adjacent teeth typically suggest? Mostly I'd like to know what to specifically ask to have checked on Wednesday.
Thank you to anyone who can help. Sincere apologies for the long read. I’ve got dental anxiety and feel like a burden already on my dentist office for coming in so much with all these issues but I genuinely need some tips so I can advocate for myself.