A temporary dental crown serves as a protective covering for a tooth that has been prepared for a permanent crown. This interim restoration shields the underlying tooth structure from damage, helps prevent sensitivity, and maintains proper spacing in the mouth while the custom-made permanent crown is being fabricated in a dental laboratory. Given the nature of dental procedures, experiencing some level of initial discomfort or sensitivity after a temporary crown is placed is a common occurrence.
Understanding Post-Crown Pain
Some discomfort or mild pain after temporary crown placement is expected. Many individuals experience a dull ache, sensitivity to hot or cold temperatures, or a slight pressure when biting. This sensitivity arises as the tooth and surrounding tissues adjust to the new restoration. Discomfort usually subsides within a few days to a week, though for some, it might linger for up to two weeks. If the sensation persists beyond this timeframe or intensifies, it warrants further investigation.
Common Causes of Discomfort
Several factors contribute to discomfort after a temporary crown. Tooth preparation involves removing outer structure, which can expose sensitive dentin or irritate the pulp (nerve tissue), leading to increased sensitivity. Another frequent cause of pain is an improper bite, where the temporary crown may be slightly higher or uneven, leading to excessive pressure on the tooth when chewing. This can cause discomfort and jaw issues if unaddressed.
Gum irritation is also a common source of pain, often resulting from the crown margin pressing against the gum tissue or from the dental procedure itself. Excess temporary cement left around the crown can also irritate the gums, causing inflammation and tenderness. In some instances, if the tooth had existing inflammation or an underlying infection prior to the procedure, the placement of the temporary crown might exacerbate these conditions, leading to persistent pain. Additionally, a cracked or fractured tooth beneath the crown, or habitual teeth grinding (bruxism), can also contribute to discomfort by placing undue stress on the crowned tooth.
Managing Pain and Discomfort
Mild to moderate pain after a temporary crown can be managed at home. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can effectively reduce pain and inflammation. Follow recommended dosages. To minimize sensitivity, it is advisable to avoid consuming very hot or very cold foods and beverages, as well as hard or sticky foods that could dislodge the crown or worsen discomfort. Chewing on the opposite side of the mouth can also help protect the temporary crown.
Gentle oral hygiene is important around the temporary crown. Brushing with a soft-bristled toothbrush and flossing carefully, by sliding the floss down and then out from the side rather than pulling it upwards, helps prevent dislodgement while keeping the area clean. Rinsing the mouth with warm salt water can soothe irritated gums and reduce inflammation. Using desensitizing toothpaste can also help manage any lingering tooth sensitivity.
When to Contact Your Dentist
While some discomfort is normal, certain signs indicate a need for professional dental attention. You should contact your dentist if you experience severe or worsening pain that does not respond to over-the-counter pain relievers. Persistent throbbing pain, especially if it wakes you at night, is concerning. Swelling in the face or gums around the crowned tooth, along with redness or tenderness, can signal an issue.
Other warning signs include a fever, a bad taste in your mouth, or any visible pus or discharge, which might indicate an infection. If you experience sharp pain when biting down that does not subside, or if the sensitivity becomes extreme and prolonged, it could suggest a problem with the crown’s fit or an underlying issue with the tooth. Contact your dentist for proper assessment and timely treatment.
Addressing Temporary Crown Dislodgement
Temporary crowns can become loose or fall off. If your temporary crown dislodges, remain calm. The first step is to carefully retrieve the crown if it is intact. Contact your dentist immediately to schedule re-cementation. Leaving the prepared tooth unprotected can lead to increased sensitivity, potential damage, or shifting of adjacent teeth, which could affect the fit of the permanent crown.
In some cases, your dentist might advise you on how to temporarily re-cement the crown at home using products like denture adhesive, a small amount of Vaseline, or even toothpaste as a temporary measure. This is a temporary solution until you can see your dentist for proper re-cementation. Clean the inside of the crown and tooth surface before re-seating. Even if re-attached, professional attention ensures the crown is properly seated and the tooth protected.