Crown prep pain

I’ve gotten one of my teeth prepped for a crown. At first there was some normal tenderness. That went away, but for some reaason now my lower left jaw (the side where the crown is being placed) is having a lot of pain. The pain is to the point that I have to take medicine. Is that normal?

Anthony H.- Cincinnati, OH


The type of pain you are describing is not normal after a dental crown preparation. It is possible the pain is coming from the tooth itself. If your tooth has already been through a significant amount of trauma, such as large fillings, the inflammation may not be reversible.

If that is the case, the best solution would be a root canal treatment. Your dentist will know best if that is the case. Either way, you’ll want to let your dentist know. He’ll probably coat your tooth with some type of desensitizer sealant on the surface of the dentin to try to get the pain to go away. Hopefully that is the solution.

This blog is brought to you by Phoenix Dentist Dr. Kevin Peck.

Teeth whitening troubles

Can you tell me the secret to getting really white teeth. I’ve been wearing some teeth whitening trays with gel for a week and they aren’t very white yet.

Melissa- Detriot


The only secret to teeth whitening is persistence. The gel has to be in contact with your for extended periods of time. Wear the gel for as long as you’re able each day. You may even want to sleep with it. In just a few weeks, your teeth should be significantly whiter.

If you’re in a hurry to have your teeth whitened, some offices do a Zoom whitening, which will whiten your teeth in just one appointment.

This blog is brought to you by Phoenix Dentist Dr. Kevin Peck.

Baby Tooth Eruption

Hi, I’m a first time mom and was wondering when I should expect my daughter’s teeth to start coming in.

Cammie Anne S.- Atlanta, GA

Cammie Anne,

Below is a chart to show  you the location of the teeth and a list to give you some general guidelines. Bear in mine that each child is different, so don’t panic if your child doesn’t follow the schedule exactly.  It will be important that you find a good dentist. Look for someone who does pediatric dentistry.


6 to 10 months:  Lower Central Incisors

8 to 12 months:  Upper Central incisors

10 to 16 months:  Lower Lateral Incisors

9 to 13 months: Upper Lateral Incisors

17 to 23 months:  Lower Canine

16 to 22 months:  Upper Canine

14 to 18 months:  Lower First Molar

13 to 19 months:  Upper First Molar

23 to 31 months:  Lower Second Molar

25 to 33 months:  Upper Second Molar

This blog is brought to you by Phoenix Dentist Dr. Kevin Peck.

Teeth shifting

Is it common for your teeth to shift after getting a tooth extracted? My front teeth seem to have moved and I find it a little embarrassing. I have to get another tooth extracted and I want to prevent it from happening again if that is the cause.

Lindsey G.- Benton, AR


Once a tooth is extracted your body begins to reabsorb the bone. That combined with the occlusion (how your teeth come together) of your teeth can lead to shifting. Everyone’s teeth behave a little differently when  it comes to occlusion. The ideal treatment is to replace your teeth whenever they are distracted.

The best tooth replacement is a dental implant, because it will place a prosthetic root into your gums, which will prevent any further bone loss. Depending on your budget, this might not be possible, but their are other tooth replacements that will prevent any lateral movement of your teeth.

This blog is brought to you by Phoenix Dentist Dr. Kevin Peck.