Does your crowned tooth ache one moment and feel fine the next? This on-and-off pain leaves many dental patients perplexed as to what’s going on. Whether you have a new crown or you’re getting tooth pain under the crown years later, this article explains why you could have tooth pain under the crown that comes and goes, and how you can find relief for it.
Why Does My Crown Hurt? 2 Types of Crown-Related Pain
1. Persistent vs. Intermittent: Persistent pain lasting more than a day may indicate an infection, which requires immediate dental attention. Intermittent pain, often triggered by temperature sensitivity, pressure, or acidic foods/drinks, can cause sharp discomfort.
2. Activity-Specific Pain: Pain during chewing or drinking may suggest an improperly fitted crown or misalignment issues. If you experience pain while biting, it might suggest that the crown is placed too high on the tooth.
Why Am I Having Tooth Pain Under Crown Years Later?
It’s not uncommon for patients to experience tooth pain under a crown years later, from:
- Gradual wear and tear of the crown.
- Slow-developing decay.
- Changes in bite alignment over time.
- Natural aging of the tooth and surrounding structures.
What Are The Hidden Causes of Tooth Pain Under Crowns That Come and Go?
While dental crowns are designed to protect and restore teeth, various factors can lead to dental crown pain. A few culprits that can cause intermittent tooth pain under a crown, includes:
- Cavity Under Crown: Bacteria can sneak under the crown, causing decay in the underlying tooth structure. This can lead to increased sensitivity and pain.
- Gum Recession: As gums recede, the tooth’s root may become exposed, leading to sensitivity and discomfort, especially when consuming hot or cold foods.
- Crown Misalignment: If your crown hurts when biting down, it could be because it’s misaligned, causing pressure, and pain in the crowned tooth.
- Bruxism: Teeth grinding can put excess pressure on the crowned tooth, resulting in discomfort. This often occurs during sleep or periods of stress and can lead to further complications if not addressed.
- Infection: In some cases, an infection may develop under the crown, causing periodic pain that may worsen over time.
- Nerve Sensitivity: The tooth’s nerve may still be sensitive, especially if a root canal wasn’t performed before crowning, causing sharp pain.
Relief Strategies for Tooth Pain Under Crown Comes and Goes
- Saltwater Rinse: Gently swish warm salt water in your mouth to reduce inflammation and promote healing.
- Over-the-Counter Pain Relievers: Ibuprofen or acetaminophen can help manage pain temporarily, providing relief until you can see your dentist.
- Avoid Trigger Foods: Stay away from very hot, cold, or sweet foods that may exacerbate sensitivity and cause discomfort.
- Use Sensitive Toothpaste: Special toothpastes designed for sensitive teeth can provide relief and help desensitize the affected area.
- Apply a Cold Compress: Hold a cold pack against your cheek to numb the area and reduce swelling, especially if you experience any inflammation.
Remember: These are temporary solutions. Persistent pain , redness or swelling around the crown, and crown loosening should always be evaluated by a dental professional.
How Can I Prevent Crown-Related Tooth Pain?
To minimize the risk of experiencing tooth pain under a crown years later:
- Maintain Excellent Oral Health: Brush and floss regularly to prevent decay and gum disease.
- Use a Night Guard: If you grind your teeth, consider using a custom night guard to protect both your natural teeth and crowns.
- Attend Regular Dental Check-Ups: Regular visits allow us to catch and address issues early, potentially saving you from more invasive treatments later.
- Avoid Biting on Hard Objects or Foods: This can prevent unnecessary stress on your crowns and reduce the risk of damage.
Your Path To Comfort and Care Starts Here!
At Spring Haven Dental, we are committed to fostering healthy, beautiful smiles throughout our community and ensuring our patients have a positive dental experience. If you’re experiencing tooth pain under your crown that comes and goes, reach out by calling us at (813) 448-6885 or scheduling an appointment online through our website.
