Why Does My Tooth with a Crown Hurt?
A crown, while designed to protect and restore a damaged tooth, sometimes causes discomfort. The pain can stem from various sources, and understanding the potential causes is crucial for effective treatment. This article explores the common reasons why a tooth with a crown might hurt and what you can do about it.
Is the Crown Loose or Damaged?
One of the most common reasons for crown pain is a loose or damaged crown. Over time, the cement holding the crown in place can wear down, leading to a gap between the crown and the underlying tooth. This can allow bacteria to enter, causing irritation, sensitivity, and even infection. A cracked or chipped crown can also cause similar issues, as the integrity of the protective barrier is compromised. You might experience sharp pains, especially when biting down.
What if the Underlying Tooth is Still Decaying or Infected?
Even with a crown in place, decay or infection can persist beneath the crown. This is a serious issue that requires professional dental intervention. The infection can spread, causing significant pain and potentially leading to the need for root canal treatment or even extraction. Pain from an underlying infection is often throbbing and persistent, potentially radiating to other areas of the jaw.
Could Gum Disease Be the Culprit?
Gum disease (periodontal disease) can inflame the gum tissue surrounding the crowned tooth, causing pain and sensitivity. Gum recession around the crown can also expose the underlying tooth structure, leading to discomfort. Symptoms of gum disease often include redness, swelling, bleeding gums, and bad breath.
What About a Problem with the Bite?
An improper bite (malocclusion) can put excessive pressure on the crowned tooth, resulting in pain. This can be caused by teeth grinding (bruxism), jaw misalignment, or even a poorly fitting crown. Pain related to bite problems often feels more localized to the specific tooth and can worsen with chewing or biting.
Is My Crown Too High?
Sometimes, a newly placed crown might be slightly too high, causing it to interfere with your bite. This can result in pain and discomfort, especially when you bite down. Your dentist can usually adjust the crown's height to resolve this problem.
Could it be Tooth Sensitivity?
Even without a problem with the crown itself, the tooth underneath might be sensitive. This sensitivity can be exacerbated by hot or cold temperatures, sweet foods, or acidic drinks. While sensitivity isn't always painful, it can be a sign of underlying issues that need addressing.
What Should I Do if My Crowned Tooth Hurts?
If you're experiencing pain in a tooth with a crown, don't delay seeking professional help. Contact your dentist as soon as possible. Delaying treatment can lead to more significant problems and potentially more extensive (and expensive) procedures down the line. They will be able to diagnose the underlying cause and recommend the appropriate treatment. In the meantime, over-the-counter pain relievers like ibuprofen can help manage the discomfort, but this is not a replacement for professional dental care.
Disclaimer: This information is for general knowledge and does not constitute medical advice. Always consult with a qualified dental professional for diagnosis and treatment of any dental problem.
