Why Does My Tooth with a Crown Hurt?
A crown, while designed to protect and restore a damaged tooth, doesn't make it immune to pain. Experiencing discomfort in a tooth with a crown can be frustrating, but understanding the potential causes can help you address the issue effectively. Let's explore some common reasons why your crowned tooth might be hurting.
Is the Crown Loose or Damaged?
One of the most frequent causes of pain in a crowned tooth is a loose or damaged crown. Over time, the cement holding the crown in place can degrade, leading to a shift or even complete dislodgement. This can expose the underlying tooth to sensitivity and pain, particularly to temperature changes or pressure. A fractured crown can also cause similar discomfort. If you suspect a loose or damaged crown, it's crucial to contact your dentist immediately to avoid further complications.
Did the Underlying Tooth Decay Before or After Crown Placement?
Even with a crown in place, the underlying tooth structure can still be susceptible to decay, especially if decay was already present before the crown was placed. This decay can progress beneath the crown, leading to inflammation, infection, and pain. This is why regular dental checkups and cleanings are crucial even after crown placement.
Is There Gum Irritation or Infection Around the Crown?
Inflammation or infection in the gum tissue surrounding the crowned tooth can cause pain. Poor oral hygiene, periodontal disease, or an ill-fitting crown can lead to gum irritation and infection. This can manifest as pain, swelling, and redness around the crown.
Could the Problem Be Related to the Root Canal Treatment?
Many teeth requiring crowns have previously undergone root canal treatment. While root canals generally alleviate tooth pain, occasional complications can arise, including incomplete treatment, reinfection, or a fracture within the root itself. These complications can manifest as pain in the crowned tooth, even years after the root canal procedure.
Could a Crack in the Tooth be Causing Pain?
A crack in the tooth structure, even if it isn't visible, can be a source of pain, especially under pressure or with temperature changes. This crack might exist beneath the crown or even extend into the tooth structure underneath the crown.
Is My Bite Affected?
An incorrect or uneven bite (malocclusion) can place excessive pressure on the crowned tooth, leading to pain. This can happen after crown placement if the bite wasn't perfectly adjusted, or if there are other issues with the alignment of your teeth.
What Should I Do if My Crowned Tooth Hurts?
If you experience persistent pain in a tooth with a crown, don't delay seeking professional dental care. Your dentist will be able to diagnose the underlying cause of the pain and recommend the appropriate treatment, which may include repairing or replacing the crown, treating underlying decay or infection, or addressing any bite issues. Ignoring the pain can lead to more serious complications and more extensive (and expensive) treatment later. In the meantime, over-the-counter pain relievers can provide temporary relief, but they shouldn't replace a visit to your dentist.
How Can I Prevent Future Problems with My Crowned Tooth?
Maintaining excellent oral hygiene is paramount. Brush and floss diligently, and schedule regular checkups and cleanings with your dentist. These preventative measures can help identify and address potential issues early, preventing more significant problems and pain in the future.
This information is for general knowledge and does not constitute medical advice. Always consult with a qualified dental professional for any concerns regarding your oral health.
