When a Dental Crown Hurts
- Posted on: Jul 15 2018
Dental crown treatment is one of the most common methods of restoring durability to a tooth that has been severely damaged. The objective of this procedure is to resolve pain that may have resulted from injury and also to minimize the risk of further damage to the now-susceptible tooth. If pain develops after dental crown treatment, it is understandable that you might feel confused. Isn’t treatment supposed to help you feel better? It is. Here, we point out some of the reasons why a dental crown may become painful and what your dentist may recommend to resolve pain.
What Tooth Structure Has to do with Pain
Tooth structure involves more than a root and a crown of enamel. Beneath the hard, outer layer is softer layers of tissue. Dentin sits between enamel and the inner chamber of pulp, the tissue that is made up of nerves and blood vessels. When we drink and chew, the nerves of our teeth may sense changes in temperature, vibration, and force, but the reaction is generally mild because the layers of dentin and enamel protect the pulp. When a tooth is injured or worked on, the nerve may become more reactive.
Why Dental Crown Pain May Occur
Because dental work often exposes a tooth to slight vibration during the restorative process, inflammation may occur. The inflamed nerve may feel temperature and other sensations more strongly for a day or two. This is a usual side effect of crown treatment. However, it should resolve spontaneously within about a week. If it does not, we want to examine the crown to find out why.
A crown may feel pain because it needs to be adjusted. When the restoration is first affixed to the tooth, the nerve may be numb from a local anesthetic. The diminished sensation could decrease the accuracy of the bite analysis we perform to ensure the crown fits properly. Painful chewing could indicate that there is a high-point on the crown that needs to be refined.
Dental crowns may also remain painful because the nerve doesn’t calm down after injury and dental work. If nerve inflammation continues or develops some time after a crown has been installed, root canal therapy may be needed to remove inflamed tissue and put an end to pain.
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Posted in: Crowns