What Happens if a Tooth with a Crown Begins to Hurt?
Posted on 10/1/2024 by Dr. Jae Seon Kim |
 Have you ever experienced a sudden, sharp pain in a tooth that has a crown? It can be an alarming and confusing experience, especially if you're unsure what's causing it. Thankfully, there are several explanations for tooth pain under a crown, and many of them are easily treatable.
In this article, we'll explore the possible reasons why a crowned tooth might hurt and what steps you can take to address the issue. We'll also discuss the importance of good oral care and regular dental checkups in preventing future problems.
Understanding Dental Crowns
Before delving into the causes of pain, let's briefly discuss what a dental crown is and its purpose. A crown is a tooth-shaped "cap" that completely covers a damaged or weakened tooth. Crowns are typically made from materials like porcelain, ceramic, or metal, and they serve several functions:
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Protecting the tooth: Crowns shield the tooth from further damage caused by chewing, biting, and grinding. |
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Restoring function: Crowns can improve the chewing ability of a damaged tooth and restore its natural appearance. |
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Cosmetic enhancement: Crowns can be used to improve the aesthetics of a discolored or misshapen tooth. |
Possible Causes of Pain Under a Crown
Now, let's explore the various reasons why a crowned tooth might hurt:
Sensitivity: In some cases, the tooth beneath the crown may become sensitive to hot or cold temperatures. This sensitivity can be caused by several factors, including:
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Tooth preparation: During crown placement, the dentist may remove a small amount of tooth structure to ensure a proper fit. This can expose the inner layer of the tooth, called dentin, which is more sensitive than enamel. |
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Inflammation: If the tooth was inflamed before the crown was placed, the inflammation may persist or even worsen after the procedure. |
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Bite problems: If the crown is not properly adjusted, it can cause uneven pressure on the tooth, leading to pain. |
2. Decay: While crowns protect the visible portion of the tooth, decay can still develop beneath the crown if proper oral hygiene is neglected. This can cause pain, sensitivity, and even infection.
Loose crown: If the crown becomes loose or dislodges, the exposed tooth structure can become sensitive and painful.
Infection: In some rare cases, an infection can develop beneath the crown, leading to significant pain and swelling.
Addressing the Pain
If you're experiencing pain in a crowned tooth, it's important to schedule an appointment with your dentist as soon as possible. They will examine the tooth and determine the cause of the pain. Depending on the diagnosis, treatment options may include:
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Desensitizing the tooth: If the pain is due to sensitivity, your dentist may recommend using a desensitizing toothpaste or applying a fluoride gel. |
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Adjusting the crown: If the crown is causing bite problems, your dentist may need to adjust it to ensure proper fit and pressure distribution. |
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Treating decay: If decay is present, your dentist will remove the decayed portion of the tooth and replace the crown, or perform a root canal if necessary. |
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Treating infection: If an infection is present, your dentist will prescribe antibiotics and may need to remove the crown and perform a root canal. |
Importance of Oral Care and Regular Checkups
Maintaining good oral hygiene and attending regular dental checkups are crucial for preventing future problems with crowned teeth. Here are some tips:
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Brush and floss regularly: Brush your teeth twice a day and floss once a day to remove plaque and bacteria that can cause decay and infection. |
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Use a soft-bristled toothbrush: Avoid using a hard-bristled toothbrush, as it can damage the crown. |
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Avoid biting on hard objects: This can damage the crown and the underlying tooth. |
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See your dentist for regular checkups: Regular checkups allow your dentist to monitor the health of your crowned teeth and address any potential problems early on. |
While experiencing pain in a crowned tooth can be concerning, there are usually effective treatments available. By understanding the possible causes and taking steps to maintain good oral hygiene, you can minimize the risk of experiencing this issue and keep your crowned teeth healthy and functional for years to come. If you experience any pain or discomfort, don't hesitate to contact your dentist for prompt evaluation and treatment.
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