Potential Reasons for Crown Pain
A dental crown is a common restorative treatment used to cover a damaged tooth, restoring its shape, size, strength, and appearance. While crowns are generally durable, pain or discomfort around a crowned tooth is a frequent concern. This discomfort can arise from various underlying issues, ranging from new dental problems to complications with the crown itself.
One common reason for pain beneath a crown is new tooth decay. Bacteria can accumulate at the margin where the crown meets the natural tooth structure, leading to cavity formation. This decay can then progress, reaching the inner pulp of the tooth and causing sensitivity or persistent pain.
Gum inflammation or disease around the crowned tooth can also cause discomfort. Plaque and tartar can build up near the crown’s base, irritating the gum tissue. This irritation can lead to gingivitis or, in more advanced cases, periodontitis, which involves inflammation, swelling, bleeding, and potential pain in the surrounding gums.
Physical issues with the crown itself, such as damage or a poor fit, can also lead to pain. A crown that has become cracked or chipped can expose the underlying tooth. Similarly, a crown that does not fit properly can create an uneven bite, placing excessive pressure on the tooth and leading to discomfort when chewing.
Pain might also originate from issues within the underlying tooth’s internal structures. The dental pulp can become inflamed (pulpitis) or infected. This can occur if the decay beneath the crown is extensive, or if the tooth experienced trauma during the crown preparation process. An infection can lead to a dental abscess, characterized by severe, throbbing pain, swelling, and sometimes a fever.
Sometimes, pain perceived around a crown may be referred pain. Conditions such as temporomandibular joint (TMJ) disorders, sinus infections, or even teeth grinding (bruxism) can cause pain that radiates to the jaw and teeth, including a crowned tooth.
Following the placement of a new crown, some individuals may experience temporary sensitivity. This discomfort is usually mild and should gradually subside within a few days to a couple of weeks. If sensitivity persists or worsens, it indicates a need for further evaluation.
Immediate Steps and When to See a Dentist
If you are experiencing pain around a dental crown, you can take immediate steps to manage discomfort while awaiting professional dental care. Over-the-counter pain relievers can help alleviate mild to moderate pain and reduce inflammation. Avoid chewing on the affected side and stick to soft foods. Maintain gentle oral hygiene, including careful brushing and flossing around the crown.
Contact a dentist promptly if the pain is severe, persistent, or accompanied by other concerning symptoms. Seek professional help immediately if you notice swelling in your gums or face, experience a fever, or have difficulty eating or opening your mouth. These symptoms can indicate a serious underlying issue, such as an infection, that requires urgent attention.
When you visit the dentist, they will conduct a thorough examination of your crown and the surrounding area. This typically involves a visual inspection, probing the gums, and possibly taking dental X-rays to assess the tooth and surrounding bone. The dentist will then diagnose the cause of the pain and recommend treatment.
Strategies to Maintain Crown Health
Maintaining good oral hygiene is fundamental to ensuring the longevity and health of your dental crown and the underlying tooth. Brushing twice daily with fluoride toothpaste and flossing at least once a day are essential. Pay particular attention to the area where the crown meets the gum line, as this margin is susceptible to plaque and decay.
Regular dental check-ups and professional cleanings are also important for crown maintenance. These routine visits allow your dentist to monitor your crown, check for signs of decay or damage, and assess gum health. Early detection of problems can prevent significant issues and preserve the crown.
If you are prone to teeth grinding or clenching (bruxism), discuss this with your dentist. Bruxism can place excessive force on your crowns and natural teeth, potentially leading to cracks, chips, or a loosened crown. A custom-fitted nightguard can protect your teeth and crowns from the damaging effects of grinding while you sleep.
Consider dietary habits that might affect your crown’s durability. Avoid chewing on extremely hard foods, such as ice or hard candies, which can potentially chip or fracture the crown. Similarly, sticky foods can dislodge a crown if the adhesive bond is compromised.