A temporary crown is meant to protect your tooth while your permanent crown is being made. However, sometimes, instead of providing relief, a temporary crown can actually make your tooth pain worse. This is a frustrating experience, but understanding the potential causes can help you address the issue and get the relief you need. This article will explore the common reasons why your tooth might hurt more after receiving a temporary crown and what you can do about it.
Why Does My Tooth Hurt Worse After a Temporary Crown?
This is a common concern among patients. Several factors can contribute to increased tooth sensitivity or pain after a temporary crown is placed:
1. Irritation from the Temporary Cement:
The temporary cement used to hold the crown in place can sometimes irritate the gum tissue and the tooth itself. This irritation can lead to sensitivity, pain, and even inflammation. The cement might also be improperly placed, leading to extra pressure on the tooth.
2. Poor Fit of the Temporary Crown:
If the temporary crown doesn't fit perfectly, it can create gaps between the crown and the tooth. These gaps can allow bacteria and food particles to enter, leading to infection, inflammation, and increased pain. An ill-fitting crown can also put pressure on the exposed tooth structure, exacerbating existing sensitivity.
3. Existing Tooth Decay or Infection:
A temporary crown doesn't magically cure underlying dental problems. If you had existing decay or infection before the crown was placed, the temporary crown might not adequately protect the tooth, allowing the problem to worsen and cause increased pain.
4. Trauma to the Tooth:
Sometimes, the process of placing the temporary crown itself can cause minor trauma to the tooth or surrounding gums. This trauma can manifest as increased sensitivity and pain in the days following the procedure.
5. Increased Sensitivity from Exposed Dentin:
Preparing the tooth for a crown involves removing some tooth structure. This can expose the dentin, the layer beneath the enamel, which is more sensitive to temperature changes and other stimuli. The temporary crown might not fully protect this exposed dentin, leading to increased pain.
What Should I Do If My Tooth Hurts Worse After a Temporary Crown?
If you're experiencing increased pain after getting a temporary crown, it's crucial to contact your dentist immediately. Don't try to self-treat. Delaying treatment can worsen the underlying problem. Here's what you might expect:
What Happens at the Dentist's Office?
Your dentist will likely examine your tooth and the temporary crown to determine the cause of the pain. They might:
- Check the fit of the crown: They'll assess whether the crown is properly seated and whether there are any gaps.
- Examine for infection: They'll look for signs of infection, such as swelling or pus.
- Evaluate the underlying tooth: They might take X-rays to check for any unseen decay or damage.
- Adjust or replace the temporary crown: Depending on the cause, they might adjust the fit of the existing crown or replace it with a new one.
- Provide pain relief: They might prescribe pain medication or recommend over-the-counter options for pain management.
Can a Temporary Crown Cause a Tooth Abscess?
While less common, it's possible for a poorly fitted temporary crown to contribute to a tooth abscess. This happens when bacteria enter the gap between the crown and the tooth, leading to an infection that spreads to the root of the tooth. A tooth abscess is a serious condition that requires immediate dental attention. Symptoms include severe throbbing pain, swelling, and possibly fever.
How Long Should a Tooth Hurt After a Temporary Crown?
Some mild discomfort is expected immediately following the placement of a temporary crown. However, this should subside within a day or two. Persistent or worsening pain is a clear indication that something is wrong and warrants a call to your dentist.
In Summary:
While temporary crowns are generally a safe and effective way to protect your tooth, increased pain after placement is a serious concern. Don't hesitate to contact your dentist if you're experiencing discomfort. Prompt attention can prevent more significant problems and ensure you get the best possible outcome. Remember, your dentist is your best resource for addressing any concerns about your dental health.
