Why Does My Tooth with a Crown Hurt?
A crown, while designed to protect and strengthen a damaged tooth, doesn't make it immune to pain. Experiencing discomfort in a tooth with a crown can be frustrating, but understanding the potential causes can help you address the issue effectively. This article explores various reasons why a crowned tooth might hurt and what you should do about it.
Is the Crown Loose or Damaged?
One of the most common causes of pain in a crowned tooth is a loose or damaged crown. Over time, the cement holding the crown in place can wear down, leading to a gap between the crown and the tooth. This gap can allow bacteria to enter, causing infection and sensitivity to temperature changes, pressure, or even biting. A cracked or chipped crown can also cause pain in a similar manner. You might notice sensitivity to pressure, a feeling of something being off, or even a visible gap or fracture in the crown itself.
What About Decay Under the Crown?
Even with a crown in place, tooth decay can still occur. If the tooth wasn't completely healthy before the crown was placed, or if bacteria manage to infiltrate beneath the crown, decay can develop. This hidden decay can lead to significant pain, often presenting as a throbbing or deep ache. It’s crucial to maintain meticulous oral hygiene even with crowned teeth to prevent this.
Could the Tooth Nerve Be Involved (Pulpitis)?
Inflammation or infection of the tooth's pulp (the soft tissue containing nerves and blood vessels) is known as pulpitis. This can happen even after a crown is placed, especially if decay or trauma has compromised the tooth. Pulpitis often results in sharp, spontaneous pain that can be severe, and the pain might radiate to other areas of the face. This requires immediate professional attention.
Is Gum Disease a Factor (Periodontitis)?
Gum disease, or periodontitis, can affect teeth with crowns. Inflammation and infection of the gums surrounding the tooth can put pressure on the crown, causing discomfort. You might notice swelling, redness, or bleeding gums near the affected tooth. Periodontal disease can also lead to bone loss, eventually compromising the support of the crowned tooth.
Is It Possible to Have a Sinus Infection Affecting My Tooth Pain?
Sometimes, pain in the upper teeth can be referred pain from a sinus infection. The proximity of the maxillary sinuses to the upper teeth means an infection can sometimes manifest as tooth pain. This pain is often accompanied by other sinus symptoms like nasal congestion, pressure, and headaches. If you suspect a sinus infection, it's important to seek medical attention.
Could It Be Related to the Bite?
An improper bite (malocclusion) can cause pressure on a crowned tooth, leading to discomfort. This could be due to wear and tear on the crown or issues with the alignment of your teeth. This might manifest as pain only when biting or chewing.
What Should I Do If My Crowned Tooth Hurts?
If you are experiencing pain in a tooth with a crown, do not delay seeking professional help. Your dentist can accurately diagnose the cause of the pain and recommend appropriate treatment. While over-the-counter pain relievers might offer temporary relief, they won't address the underlying problem. Depending on the cause, treatment could range from a simple crown adjustment or cement replacement to more extensive procedures like root canal therapy or even crown replacement.
Disclaimer: This information is for general knowledge and does not constitute medical advice. Always consult with a qualified dentist or dental professional for diagnosis and treatment of any dental pain or issue. Early intervention is key to preserving your dental health.
