A crown is a cap placed over a damaged tooth to restore its shape, strength, and appearance. While crowns are designed to be durable and long-lasting, it's not uncommon for a tooth with a crown to hurt. This can be a frustrating and concerning experience, but understanding the potential causes can help you address the issue effectively. This comprehensive guide explores the reasons why a tooth with a crown might hurt, what you can do to alleviate the pain, and how to prevent future problems.
Why Does My Tooth with a Crown Hurt?
Several factors can contribute to pain in a tooth with a crown. Let's examine some of the most common culprits:
1. Irritation under the Crown:
This is a frequent cause of discomfort. Even with meticulous crown placement, small particles of food or bacteria can become trapped under the crown, irritating the underlying tooth structure and causing inflammation or infection. This can manifest as a dull ache or sharp pain, especially when biting down.
2. Tooth Decay:
Despite having a crown, the tooth underneath remains susceptible to decay, particularly at the gum line or margins where the crown meets the tooth. Decay can lead to significant pain and even require further treatment.
3. Cracked Tooth:
A crack or fracture in the underlying tooth, even a microscopic one, can cause considerable pain, especially when chewing. This is often exacerbated by the crown itself, which can put pressure on the fracture.
4. Pulpitis (Inflammation of the Pulp):
If decay or a crack reaches the pulp (the soft inner tissue of the tooth containing nerves and blood vessels), it can cause pulpitis, a painful inflammation. This condition requires immediate dental attention to prevent further complications.
5. Periodontal Disease:
Gum disease can affect the tissues supporting the tooth, leading to inflammation and pain around the crown. This can manifest as pain, swelling, or bleeding gums.
6. Abscess:
An infection at the root tip of the tooth can form an abscess, a pocket of pus that causes severe throbbing pain. This is a serious condition requiring prompt professional treatment.
7. Loose or Failing Crown:
Over time, the cement holding the crown in place can wear down or crack, causing the crown to become loose. This can result in sensitivity, discomfort, or even the crown falling off.
What to Do If Your Tooth with a Crown Hurts
If you're experiencing pain in a tooth with a crown, it's crucial to seek professional dental care. Delaying treatment can lead to more severe problems and increased costs. While you wait for your appointment, over-the-counter pain relievers like ibuprofen can help manage the discomfort. Avoid placing aspirin directly on the affected area.
How to Prevent Problems with a Crowned Tooth
Preventive measures can significantly reduce the risk of future problems:
- Maintain Excellent Oral Hygiene: Brush and floss regularly and thoroughly, paying particular attention to the gum line around the crown.
- Regular Dental Checkups: Attend regular checkups and cleanings to allow your dentist to monitor the health of your crowned tooth.
- Avoid Hard or Sticky Foods: These can potentially damage the crown or the underlying tooth.
- Protect Your Teeth: Use a mouthguard when participating in contact sports.
Can a Crowned Tooth Fall Out?
Yes, a crowned tooth can fall out, typically due to decay under the crown, a crack in the underlying tooth, or failure of the cement holding the crown in place. Proper oral hygiene and regular dental checkups are essential in preventing this.
How Long Do Crowns Last?
The lifespan of a crown varies depending on individual factors and oral hygiene practices. With proper care, crowns can last for many years, even decades.
Can a Crowned Tooth Get Infected?
Yes, even though a crown covers the tooth, the underlying tooth can still become infected due to decay or bacteria entering through cracks or the gum line. Regular dental checkups are vital for early detection and prevention.
This information is for general knowledge and does not constitute medical advice. Always consult a qualified dental professional for diagnosis and treatment of any dental concerns.
