Why Your Tooth With a Crown Is Hurting?

Highlights

• Mild discomfort after crown placement is common, but it should improve within a few days.
• Persistent or sharp pain may signal bite issues, nerve irritation, or infection under the crown.
• Common causes include a crown that’s too high, gum inflammation, or a tooth that still has a live nerve.
• Home remedies like saltwater rinses and soft foods may help temporarily, but don’t delay care if pain continues.

Is It Normal for a Crowned Tooth to Hurt? 

A tooth with a crown can still hurt, and here’s why. 

If you’ve had a dental crown placed, you’re likely expecting relief from discomfort, not new pain. While some tenderness or sensitivity right after the procedure is common and often temporary, ongoing or intense pain isn’t something to ignore. Many patients have the same concern, and the good news is that it’s usually treatable once we identify the cause.

Common Reasons a Tooth With a Crown Still Hurts

Below are some common reasons why a tooth with a crown might still hurt.

Tooth Sensitivity After Crown Placement 

Some mild sensitivity is completely normal for a few days after getting a crown. This is usually triggered by hot or cold foods and drinks. Over time, the sensitivity should decrease as your tooth adjusts to the new crown. If it doesn’t, consult your dentist to rule out any underlying issues.

Infection Under the Crown 

If decay or an infection develops beneath the crown, you might feel throbbing pain or notice swelling. This issue could require treatment, like a root canal or even replacing the crown, to resolve the problem and protect your oral health.

Recommended Reading: What to Know About an Infected Dental Crown?

What Kind of Pain Should You Pay Attention To? 

Everyone experiences dental discomfort now and then. It’s not always a reason to worry. But how do you know when to keep an eye on it and when it’s time to call your dentist?

When Mild Discomfort Is Okay 

Some sensitivity or tenderness is normal occasionally, especially if it improves quickly. Here are a few examples of pain that might not require immediate attention: 

• Sensitivity that fades after a few days. For example, if you’ve just started using a whitening toothpaste.
• Tenderness when chewing that improves. Often from biting into something hard or slightly irritating the gums.

What to Do If Your Crowned Tooth Hurts 

Here are the few steps you can try at home to ease the pain:

Try This at Home First 

• Rinse with warm salt water: This can help soothe irritated gums and reduce any swelling or tenderness. 
• Avoid chewing on that side: Give the area a break to prevent further aggravation. Stick to softer foods and chew on the opposite side. 
• Use over-the-counter pain relief (as advised): Medications like ibuprofen or acetaminophen can help manage the pain. Always follow the instructions on the label. 

These tips can provide temporary relief, but they’re not permanent fixes. Keep an eye on your symptoms.

How We Help at Mary Qian Dental Group 

We’re here to ensure your dental health is a top priority while making every visit as comfortable and stress-free as possible. Using modern technology and a personalized approach, we focus on addressing your unique concerns with care and precision.

Precise Bite Adjustment 

We use advanced digital tools to assess and adjust the fit of your crown, ensuring it feels natural and comfortable in your bite. No more discomfort, just a perfectly tailored fit for your smile. 

Diagnostic Imaging and Gentle Evaluation 

Our team carefully checks for potential issues, like nerve sensitivity, underlying decay, or infection, using state-of-the-art diagnostic imaging. Every evaluation is done gently to prioritize your comfort while uncovering the root of the problem. 

Custom Solutions for Long-Term Relief 

Whether you need a crown replacement, further treatment like a root canal, or another solution, we’ll explain every step clearly. Our goal is to help you feel confident and cared for with personalized solutions designed for lasting relief.

Frequently Asked Questions

1. Is it normal for a crowned tooth to hurt?

Some mild soreness or sensitivity can be normal right after a crown is placed, especially with pressure or temperature changes. But ongoing or worsening pain should be evaluated.

2. How long should a crowned tooth feel sore?

Mild soreness should improve within a few days to a week. If pain lasts longer or worsens, it could be a sign of bite misalignment or other issues.

3. Can a crowned tooth become infected?

Yes. If bacteria reach the inner tooth or the root beneath the crown, an infection can develop, often requiring treatment like a root canal.

4. What should I do if my crown hurts when I bite down?

Avoid chewing on that side and schedule a visit. A small bite adjustment can often fix the problem quickly and relieve the pressure.

5. Will I need a new crown if my tooth hurts?

Not always. Many issues like a high crown or gum irritation can be resolved without replacing the crown. We’ll help determine the best next step based on your symptoms.