Experiencing pain when biting down after receiving a dental crown is undoubtedly concerning. It’s natural to assume that a newly crowned tooth should feel comfortable and functional. However, sensitivity or even sharp pain upon biting can occur for several reasons. Let’s delve into the possible causes of this discomfort and what steps you can take to alleviate the issue. Understanding the potential reasons behind this pain is the first step in addressing the problem and restoring comfortable function to your newly crowned tooth. Addressing this pain is key to understanding why your dental crown hurts when biting down.

Common Causes of Pain After Crown Placement

Several factors can contribute to pain when biting down after a dental crown has been placed. It’s important to identify the specific cause to determine the appropriate course of action.

• High Bite: The most common reason is that the crown is slightly too high, causing excessive pressure on the tooth when you bite. Even a fraction of a millimeter can make a significant difference.
• Inflammation of the Pulp: The tooth’s pulp (containing nerves and blood vessels) can become inflamed during the crown preparation process. This inflammation can cause sensitivity to pressure.
• Underlying Decay: Sometimes, decay beneath the crown can cause pain, especially if the decay was not completely removed before the crown was placed.
• Cracked Tooth: In rare cases, the tooth beneath the crown may have a fracture that wasn’t detected before the crown was cemented. Biting down can exacerbate this fracture, leading to pain.
• Gum Irritation: The gums around the crown can become irritated, leading to sensitivity, especially if the crown’s margins are too close to the gum line.
• Referred Pain: Pain from an adjacent tooth can sometimes be felt in the crowned tooth.

Addressing the Pain

The approach to resolving pain after crown placement depends on the underlying cause. Here are some common solutions:

• Bite Adjustment: If the crown is too high, your dentist can easily adjust it by gently reshaping the biting surface.
• Pain Medication: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation.
• Root Canal Therapy: If the pulp is severely inflamed or infected, a root canal may be necessary to remove the infected tissue and save the tooth.
• Antibiotics: If an infection is present, your dentist may prescribe antibiotics.
• Crown Replacement: In some cases, if the crown is poorly fitted or if there’s underlying decay or a crack that can’t be resolved, the crown may need to be replaced.

When to See Your Dentist

It’s essential to contact your dentist if:

• The pain is severe or persistent.
• The pain is accompanied by swelling or redness.
• You notice any signs of infection, such as pus or a foul taste in your mouth.
• The crown feels loose.

FAQ: Dental Crown Pain

Q: How long will the pain last after getting a crown?

A: Minor sensitivity is common for a few days to a week after crown placement. However, persistent or severe pain should be evaluated by your dentist.

Q: Can I eat normally with a temporary crown?

A: You should avoid sticky or hard foods with a temporary crown, as it’s more likely to come loose. Chewing on the opposite side of your mouth is also recommended.

Q: Is it normal to have sensitivity to hot and cold after getting a crown?

A: Mild sensitivity to temperature changes is normal initially, but it should gradually subside. If the sensitivity is intense or prolonged, contact your dentist.

Q: What can I do at home to relieve the pain?

A: Over-the-counter pain relievers, warm salt water rinses, and avoiding hard or sticky foods can help alleviate discomfort.

Ultimately, if you’re experiencing pain when you bite down after receiving a dental crown, it’s crucial to communicate with your dentist. They can properly diagnose the cause of the discomfort and provide the appropriate treatment. Remember that addressing the issue promptly is key to ensuring the long-term success of your dental crown and regaining comfortable oral function. It is important to understand why your dental crown hurts when biting down and seek professional help.

Preventing Future Issues

While some post-crown placement pain is unavoidable, there are steps you can take to minimize the risk of future problems and ensure the longevity of your crown:

• Maintain Excellent Oral Hygiene: Brush and floss regularly to prevent decay and gum disease around the crown. Use a soft-bristled toothbrush and fluoride toothpaste.
• Regular Dental Checkups: Visit your dentist for routine checkups and cleanings. This allows them to monitor the crown’s condition and address any potential issues early on.
• Avoid Hard or Sticky Foods: Excessive force from biting on hard foods can damage the crown. Sticky foods can also pull on the crown and potentially loosen it.
• Consider a Nightguard: If you grind your teeth at night (bruxism), a nightguard can protect your crown from excessive pressure and wear.
• Communicate with Your Dentist: If you experience any discomfort or notice any changes in the way your crown feels, contact your dentist promptly.

Beyond the Bite: Other Potential Crown Problems

While biting pain is a common concern, other potential problems can arise with dental crowns. Being aware of these issues can help you identify them early and seek appropriate treatment.

• Crown Loosening: Over time, the cement holding the crown in place can weaken, leading to loosening. A loose crown can allow bacteria to enter and cause decay.
• Chipped or Cracked Crown: Although crowns are durable, they can chip or crack due to trauma or excessive force.
• Gum Recession: The gums around the crown can recede, exposing the margin of the crown and potentially leading to sensitivity or decay.
• Allergic Reaction: In rare cases, individuals may experience an allergic reaction to the materials used in the crown.

Material Matters: Choosing the Right Crown

The material used to construct your dental crown plays a significant role in its durability, aesthetics, and potential for causing problems. Common crown materials include:

• Porcelain-Fused-to-Metal (PFM): A metal base covered with porcelain. Strong but can sometimes show a dark line at the gumline.
• All-Ceramic: Made entirely of porcelain or other ceramic materials. Highly aesthetic and biocompatible.
• Zirconia: A very strong and durable ceramic material. Can be used for both front and back teeth.
• Gold Alloys: Very durable and biocompatible but not as aesthetically pleasing.

Your dentist can help you choose the most appropriate crown material based on your individual needs and preferences, taking into consideration factors such as the location of the tooth, the amount of force it will be subjected to, and your aesthetic goals. Discuss the pros and cons of each material with your dentist to make an informed decision.

Understanding the various factors that contribute to crown health and potential problems empowers you to take proactive steps to maintain your dental crown and ensure its longevity. By prioritizing good oral hygiene, attending regular dental checkups, and communicating openly with your dentist, you can enjoy the benefits of a healthy and functional smile for years to come. This understanding will help you navigate any potential issues and ensure that your dental crown hurts when biting down is not something you have to experience for long.