By Gentle Touch Dentistry Richardson
Dental crowns are a popular method for repairing broken or rotten teeth. They’re meant to protect your tooth and improve its function—but what happens when that crown starts to hurt? If you’re feeling unexpected pain or sensitivity around a crowned tooth, you’re not alone—and more importantly, you’re not stuck with it. Let’s break down what’s behind tooth crown pain and how to find relief fast.
Why Does My Dental Crown Hurt?
Dental crown pain can sneak up on you days, weeks, or even years after the procedure. Understanding the cause is key to finding the right fix.
1. Tooth Decay Under The Crown
Yes, it’s still possible to get a cavity underneath your crown. If bacteria manage to sneak in around the edges, they can cause decay in the natural tooth structure underneath.
2. Gum Recession
Gums can recede over time, exposing more of your tooth and creating sensitivity around the crown. If this is the case, you might feel pain when eating hot, cold, or sweet foods.
3. Improper Crown Fit
If the dental crown is too high, it may interfere with your bite. This can cause constant pressure on the crowned tooth, leading to pain in your jaw or surrounding teeth.
4. Nerve Issues or Infection
If the crown is placed on a tooth that didn’t receive a root canal, it’s possible the nerve inside is inflamed or infected—especially if the crown was placed on a tooth that was already borderline.
5. Bruxism (Teeth Grinding)
Grinding your teeth at night can put excess pressure on your crown, especially if it’s on a molar. This habit can lead to soreness and even tiny fractures in the crown or surrounding teeth.
According to the American College of Prosthodontists, over 2.3 million crowns are placed annually in the U.S.—and nearly 15% of those patients report some degree of discomfort in the weeks following their procedure.
How To Tell If It’s Serious?
Here are a few warning signs that indicate your crown pain isn’t just a fluke:
- Pain that gets worse with time.
- Swelling or redness in the gums around the crown.
- Sensitivity to temperature or pressure.
- Pain that radiates to your ear, jaw, or neck.
- A foul taste or odor near the crown (possible infection).
If you’re going through any of these symptoms, it’s time to book an appointment with a dentist.
Here’s How It’s Treated
The good news? Most causes of crown pain are treatable—and many don’t require replacing the crown.
Fluoride or Desensitizing Agents
If the pain is due to gum recession or sensitivity, the dentist may apply fluoride treatments or recommend a desensitizing toothpaste.
Crown Adjustment
If your bite is off, dentists can file down the crown slightly to make it more comfortable. This quick fix can relieve pressure and reduce pain almost instantly.
Root Canal Therapy
If the pain is due to nerve inflammation or infection, a root canal may be necessary. Afterward, the crown can often be re-used or replaced with a new one.
Replacing the Crown
If the crown is damaged or poorly fitted, a dentist may recommend replacing it entirely for a better fit and function.
Treatment for Decay
If a cavity has formed under the crown, a dentist will need to remove it, clean the area, and place a new crown once the tooth is treated.
Prevention: Keeping Crown Pain Away
You don’t have to live in fear of future crown pain. A few simple habits can make a big difference:
- Brush and floss daily, paying close attention to the crown margins.
- Avoid chewing ice or hard foods that could damage the crown.
- Wear a night guard if you grind your teeth at night.
- Visit dentist timely for routine checkups and cleanings.
- Address pain early—don’t wait until it gets unbearable.
You Don’t Have To Endure The Pain
Tooth crown pain is frustrating, especially when you’ve invested in fixing your smile. But the truth is, pain around a crown is often a sign that something needs adjusting—not a sign of failure. With the right diagnosis and prompt treatment, you can return to a pain-free bite and preserve both your comfort and your crown.
Don’t wait it out—call our dentist and take control of your oral health today.
