A temporary crown serves as a provisional covering for a tooth that has been prepared for a permanent crown. It protects the underlying tooth structure while the custom-made permanent crown is being fabricated. While some mild discomfort or sensitivity is often experienced after the placement of a temporary crown, persistent or severe pain is not considered normal.
Why Temporary Crowns Can Cause Discomfort
The process of preparing a tooth for a crown involves removing a layer of enamel, which can leave the dentin, the sensitive layer beneath, exposed. This exposure can lead to increased sensitivity to temperature changes or pressure, even with a temporary crown in place. The temporary crown itself may not perfectly seal the prepared tooth, allowing external stimuli to reach the sensitive areas.
Sometimes, the temporary crown’s fit may not be exact, leading to uneven pressure when biting or chewing. A crown that is slightly too high can cause disproportionate force on the tooth, resulting in pain. Additionally, the margins of the temporary crown can sometimes irritate the gum tissue surrounding the tooth, leading to inflammation. Temporary dental cement, used to hold the crown in place, can also contribute to gum irritation.
Underlying dental issues can also play a role in discomfort. If there was a pre-existing crack or deep decay in the tooth before the crown procedure, the preparation might exacerbate these issues, leading to pain. In some cases, an infection might develop beneath the crown, particularly if a root canal was performed or needed. Teeth grinding can also put excessive pressure on the temporary crown, causing pain.
Tips for Managing Temporary Crown Pain
Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage mild discomfort or sensitivity associated with a temporary crown. Topical numbing gels can also be applied directly to the affected area for temporary relief. Rinsing the mouth with a warm saltwater solution can help reduce inflammation and promote healing.
To prevent dislodgement or damage to the temporary crown, it is advisable to avoid chewing hard, sticky, or overly chewy foods. Extreme hot or cold foods and beverages should also be avoided to minimize temperature sensitivity. When brushing and flossing, it is important to be gentle around the temporary crown to prevent irritation or loosening.
If the temporary crown feels high or uneven when biting, this should be addressed by your dentist. While some minor bite adjustments can be made by the dentist, maintaining proper oral hygiene around the temporary crown is also important. Using a soft-bristled toothbrush and brushing gently can help keep the area clean.
When to Seek Dental Attention
While some mild discomfort is common, certain symptoms indicate a need to contact your dentist. Severe or worsening pain that is not alleviated by over-the-counter medication suggests a more significant problem. Swelling, redness, or a throbbing sensation around the crowned tooth or in the face could signal an infection. A fever, bad taste, or pus discharge are also signs of a possible infection.
If the temporary crown becomes dislodged or breaks, it is important to contact your dentist immediately. Leaving the tooth unprotected can lead to further damage, sensitivity, or shifting of adjacent teeth, which may affect the fit of the permanent crown. Sharp edges on the temporary crown that irritate your tongue, cheek, or gums should also prompt a call to your dentist.
Persistent pain lasting more than a few days, even if mild, warrants dental attention. This could indicate an underlying issue that needs to be addressed before the permanent crown is placed. Similarly, if your bite feels significantly off or causes discomfort when chewing, your dentist may need to adjust the temporary crown to prevent further issues.