Why Does My Dental Crown Hurt? Understanding the Causes and Solutions
A dental crown is designed to protect and restore a damaged tooth, providing strength and a natural-looking appearance. However, sometimes a crown can become a source of pain. This can be alarming, but understanding the potential causes can help you address the problem effectively. This guide explores the common reasons why your dental crown might be hurting and what you should do.
Is it my crown, or something else?
Before assuming the crown itself is the problem, it’s crucial to pinpoint the source of the discomfort. Pain associated with a crown isn’t always directly caused by the crown itself; it can be a symptom of an underlying dental issue.
What are the common causes of pain under a dental crown?
This is a crucial question many patients ask. The pain you experience might stem from several factors:
-
Infected Tooth: Even with a crown in place, the underlying tooth can still develop decay or an infection. This is a serious issue requiring prompt dental attention. The infection can cause inflammation and pressure, resulting in significant pain.
-
Cracked Tooth: A crack in the tooth structure beneath the crown can cause discomfort, particularly when biting down. This crack might have been present before the crown was placed, or it could have developed afterward due to stress or trauma.
-
Loose Crown: A crown that has become loose or is shifting can irritate the gum tissue and cause pain or sensitivity. This can happen due to wear and tear, or from trauma to the jaw or tooth.
-
Gum Recession: As gums recede, the margin of the crown might become exposed, leading to sensitivity and pain.
-
Allergies: In rare cases, a reaction to the metal or material used in the crown can trigger inflammation and discomfort.
-
Poor Crown Fit: Improper fitting crowns can lead to a variety of issues, including discomfort, pressure on gums and teeth, and even trapping food particles, resulting in infection.
-
Sinus Infection: Pain in the upper molars can sometimes be referred pain from a sinus infection, mimicking pain associated with a dental crown.
What should I do if my dental crown hurts?
If you're experiencing pain associated with a dental crown, don't delay seeking professional help. Ignoring the problem can lead to more severe complications. Here's what you should do:
-
Contact your dentist immediately: Schedule an appointment to discuss your symptoms and have a thorough examination. This is the most critical step.
-
Avoid chewing on that side: Until you see your dentist, try to avoid using the affected tooth to chew to prevent further damage or discomfort.
-
Over-the-counter pain relief: Take over-the-counter pain relievers like ibuprofen or acetaminophen to manage discomfort, but this should only be considered a temporary solution.
-
Rinsing: Gently rinsing your mouth with saltwater can help soothe any irritation or inflammation. However, this is not a substitute for professional dental care.
How is the pain diagnosed and treated?
Your dentist will conduct a thorough examination, likely involving X-rays to assess the tooth and surrounding structures. This will help determine the underlying cause of the pain. Treatment options vary depending on the diagnosis and can include:
-
Root canal: If the underlying tooth is infected, a root canal might be necessary to remove the infection and save the tooth.
-
Crown repair or replacement: If the crown is cracked, loose, or poorly fitted, it may need to be repaired or replaced.
-
Gum treatment: If gum recession is contributing to the problem, gum treatment might be recommended.
-
Antibiotics: If an infection is present, antibiotics will be prescribed to combat the bacteria.
Ignoring pain associated with your dental crown can lead to more extensive and costly treatment down the line. Early detection and prompt action from your dentist are essential to preserving your oral health. Remember that this information is for general knowledge and should not replace the advice of a qualified dental professional. Always consult your dentist for diagnosis and treatment.
