Why Does My Crown Hurt? Understanding and Relieving Crown Pain

It's not uncommon to experience some sensitivity or discomfort after getting a new dental crown. However, persistent or severe pain is a sign that something might need attention. Let's explore the common reasons for crown pain and what you can do about it.

Common Causes of Crown Pain:

• New Crown Sensitivity:
  • It's normal to have some sensitivity to hot, cold, or pressure for a few days or even a couple of weeks after getting a new crown. This is usually temporary and will subside as your tooth adjusts.
• Inflamed Gums:
  • The gums around the crown might be slightly irritated after the procedure. This can cause some tenderness or soreness.
• High Bite:
  • If the crown is slightly too high, it can put extra pressure on the tooth when you bite down. This can cause pain and discomfort.
• Tooth Decay:
  • Decay under the crown can cause pain. This is why good oral hygiene is so important.
• Cracked Tooth:
  • If the underlying tooth is cracked, the crown might not fully alleviate the pain, or it could even make it worse.
• Nerve Irritation:
  • In some cases, the dental work involved in preparing the tooth for a crown can irritate the nerve, leading to pain.
• Bruxism (Teeth Grinding):
  • Grinding your teeth can put excessive force on the crown and the underlying tooth, causing pain.
• Infection:
  • Although rare, an infection around the crown can cause significant pain and swelling.

What to Do About Crown Pain:

• New Crown Sensitivity:
  • Over-the-counter pain relievers (ibuprofen or acetaminophen) can help.
  • Use toothpaste for sensitive teeth.
  • Avoid very hot or cold foods and drinks.
  • If the sensitivity persists beyond a couple of weeks, contact your dentist.
• Inflamed Gums:
  • Rinse with warm salt water several times a day.
  • Continue to brush and floss gently.
  • If the inflammation doesn't improve, see your dentist.
• High Bite:
  • Contact your dentist. They can easily adjust the crown to correct the bite.
• Tooth Decay, Cracked Tooth, or Nerve Irritation:
  • Contact your dentist immediately. These issues require professional treatment.
• Bruxism:
  • Talk to your dentist about a nightguard to protect your teeth and crown while you sleep.
• Infection:
  • Contact your dentist immediately. An infection needs prompt treatment with antibiotics.

When to Call Your Dentist:

• If the pain is severe or persistent.
• If you have swelling or redness around the crown.
• If you have a fever.
• If the pain is getting worse.
• If you are concerned about any unusual symptoms.

In Simple Terms:

Some discomfort after getting a crown is normal, but persistent or severe pain isn't. Most crown pain has a simple solution, so don't hesitate to contact your dentist. They can diagnose the cause of your pain and get you back to smiling comfortably.