Why A Crown May Exhibit Pain

Dental Crown Pittsford NY | BrightonThe early detection of dental problems gives us the opportunity to act quickly and most conservatively. Dental fillings are the preferred method of repair but can only be effective when treatment is conducted early. When decay or injury to a tooth exists for weeks or months, it is likely that a dental crown will be needed. Dental crowns are valuable for long-term function, durability, and appearance. This type of restoration can last well over a decade. However, there are factors that could lead to pain around a dental crown. Here, we discuss this issue and what to do about it.

Dental Crown Pain: Is there a “Normal?”

Actually, there is normal pain that can be attributed to a dental crown. To place a crown, your dentist needs to reduce the size of your natural tooth. This is accomplished with a dental drill. Drilling works through vibration, which can be disruptive to the nerves of the tooth. This disruption may lead to temporary sensitivity to touch or temperature changes in the mouth. Transient sensitivity is the only type of dental crown pain that would be considered normal. Lingering pain could indicate:

Nerve Sensitivity

Sometimes, the nerves of a tooth are permanently affected by the dental problem or the disruption caused during dental treatments. It is difficult to predict this common complication. One thing that dentists have discovered is that nerve sensitivity becomes more likely when a tooth has been repaired multiple times. For example, if you had a large filling placed in childhood or early adulthood, and the same tooth later received a crown, that tooth’s nerve is more susceptible to necrosis, or death. Root canal therapy is the solution to this problem.

Tooth Decay

One of the essential details that patients must understand about dental crown treatment is that crowned teeth are still susceptible to decay. Even though the entire surface of the tooth resides beneath the crown, debris and bacteria can still affect the margin where crown and gum tissue meet. Regular checkups are critical to the early detection of gum recession around a crown or the accumulation of plaque that may lead to decay.


If you grind or clench while you sleep, direct pressure is asserted through the dental crown to the nerves of the tooth. Just like grinding and clenching can affect the nerves of natural teeth and their nerves, crowned teeth are also at risk of inflammation caused by excessive force. If nerves become inflamed due to bruxism, root canal therapy may be recommended. A nightguard may also be advisable.

Schedule a Consultation

The team at DeStefano Dentistry in Pittsford, NY provides professional service in a friendly environment. Schedule your appointment with Dr. DeStefano by calling 585-248-2383.

Posted in: Dental Crown

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