A dental crown is a cap placed over a damaged tooth, designed to restore its shape, size, strength, and appearance. While a common and beneficial procedure, some discomfort or sensitivity is expected afterward as part of the healing process.
Understanding Normal Post-Crown Discomfort
After a dental crown procedure, mild discomfort or sensitivity is common. This can manifest as sensitivity to hot or cold temperatures, a slight pressure sensation, or a dull ache. The tooth and surrounding tissues need time to adjust to the new restoration. This initial sensitivity often arises because the underlying tooth structure may be more exposed during preparation. Additionally, the gums around the tooth can become irritated or inflamed from the procedure or the dental cement.
These normal sensations typically subside within a few days to a couple of weeks. If the discomfort is mild, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage the sensations. Applying a cold compress to the affected area can also provide temporary relief.
When Pain Persists or Worsens
While initial discomfort is expected, certain types of pain or symptoms indicate a potential problem requiring professional dental attention. Sharp pain when biting down can suggest the new crown is slightly too high, creating an uneven bite and excessive pressure. Lingering sensitivity to hot or cold temperatures, especially if it persists for weeks or months after the procedure, could signal nerve irritation.
Other concerning symptoms include throbbing pain, swelling around the crowned tooth, or a fever. These could be signs of an infection developing beneath the crown. A cracked tooth underneath the crown or a fractured crown itself can also cause pain and sensitivity. If the crown does not fit correctly, it may allow bacteria to seep underneath, leading to new decay in the underlying tooth, which can also cause persistent pain. Gum recession around the crowned tooth, exposing the sensitive root, is another potential cause of ongoing discomfort.
Seeking Professional Dental Advice
Contact your dentist if pain or discomfort after a crown procedure persists beyond a few days to a couple of weeks, worsens, becomes severe, or is accompanied by swelling, fever, or a noticeable change in your bite. Any sharp pain when biting, or sensitivity that lingers excessively after exposure to hot or cold, warrants an evaluation. These symptoms could indicate underlying issues that need to be addressed to prevent further complications.
While awaiting your dental appointment, you can take steps to manage discomfort. Rinsing your mouth with a warm saltwater solution can help reduce inflammation and promote healing. Sticking to a soft diet and avoiding chewing on the affected side can also provide relief. However, these are temporary measures, and a dentist must diagnose and treat the root cause of persistent or worsening pain.