A temporary crown acts as a protective covering for a tooth that has been prepared for a permanent restoration. Placed after the initial dental work and before the custom-made permanent crown is ready, it shields the underlying tooth structure. While it’s a routine part of the process, many people wonder if a temporary crown will cause discomfort. This article will explore what sensations are normal to expect and when to consider seeking further dental guidance.
Normal Sensations
After a temporary crown is placed, it is common to experience some mild sensitivity or discomfort. This can manifest as slight pressure on the tooth, a dull ache, or sensitivity to hot or cold temperatures. These sensations are typically temporary and should gradually subside within a few days to a week or two as the mouth adjusts. The tooth has undergone preparation, which can naturally lead to some irritation of the nerve or surrounding tissues.
The underlying tooth structure may be more sensitive to temperature changes or pressure because a layer of enamel has been removed during preparation. This exposure can cause sensations to travel more easily to the tooth’s nerves. This mild, transient sensitivity is a normal part of the healing and adjustment process.
Reasons for Discomfort
If discomfort persists or is more severe, several factors could be contributing to the issue. The tooth preparation process can sometimes irritate the tooth’s nerve (pulp), leading to sensitivity or pain, especially with temperature changes. This pulp inflammation can cause lingering or sharp pain.
The procedure or the temporary crown’s fit can irritate the surrounding gum tissue, resulting in soreness or tenderness. This gum irritation is common as the gums adjust to the new appliance. An improper bite (occlusion) occurs if the temporary crown is slightly too high or uneven, placing undue pressure on the tooth when biting down. This can lead to significant pain or discomfort when chewing.
A damaged, cracked, or dislodged temporary crown can expose the sensitive tooth underneath, leading to increased pain. Food particles getting trapped around or under the temporary crown can create pressure and discomfort, sometimes leading to bacterial accumulation. An infection might develop beneath the crown, causing pain, swelling, or even pus.
Relieving Discomfort
Several strategies can manage discomfort while waiting for a permanent crown. Over-the-counter pain relievers like ibuprofen or acetaminophen can alleviate mild to moderate pain. These medications can reduce both pain and inflammation. Using a desensitizing toothpaste can minimize tooth sensitivity over time.
Dietary modifications are beneficial; avoid sticky, hard, or very hot or cold foods that can dislodge the crown or exacerbate sensitivity. Chewing on the opposite side of the mouth reduces direct pressure on the temporary crown. Soft foods like pasta, cooked vegetables, and smoothies are safe options.
Maintaining good oral hygiene is important, but gentle care around the temporary crown is advised. Brush with a soft-bristled toothbrush and floss carefully, sliding the floss through instead of snapping it out to prevent dislodgement. Rinsing the mouth with warm saltwater can soothe irritated gums and reduce inflammation. Avoiding habits like clenching or grinding teeth (possibly with a mouthguard) can protect the temporary crown and reduce discomfort.
When to Seek Dental Care
While some discomfort is normal, certain symptoms warrant immediate dental attention. Severe, persistent, or worsening pain, especially if it interferes with sleep or eating, signals a need to contact a dentist. Swelling around the tooth or gums could indicate infection or other complications.
If the temporary crown falls off, becomes loose, or breaks, contact the dental office promptly. The underlying tooth is exposed and vulnerable without the crown, risking sensitivity, further damage, or shifting. Persistent bite issues, where the crown feels too high or causes significant pain when chewing, require professional adjustment. Signs of infection, such as fever or pus, are urgent reasons to seek dental care.