That sudden sharp pain when you bite down on your favorite snack can stop you in your tracks. If you have a dental crown, this type of discomfort might leave you wondering what's going on. Crown pain is more common than you think, and understanding why it happens can help you know when to pick up the phone and call your dentist.
What Is a Dental Crown and Why Does It Hurt?
A dental crown is a cap that covers a damaged or weakened tooth. It's designed to restore the tooth's shape, strength, and appearance. Most people get crowns without any issues, whether they visit a local practice or seek crowns Las Vegas area offices provide. But sometimes, pain develops after the procedure or even years later.
The good news is that crown pain doesn't always mean something serious is wrong. However, it's important to understand the difference between normal discomfort and a sign that you need professional help.
Common Causes of Crown Pain
Recent Placement
If your crown was just placed, some sensitivity is normal. Your tooth and surrounding gums need time to adjust. This type of discomfort usually goes away within a few days to two weeks. You might notice it when eating hot or cold foods, or when biting down.
Tooth Decay
Even though a crown protects most of your tooth, decay can still form around the edges where the crown meets your natural tooth. This happens when bacteria slip under the crown margins. If left untreated, the decay can reach the tooth's inner layers and cause pain.
Loose or Damaged Crown
Crowns can become loose over time due to wear, grinding, or the cement breaking down. A loose crown allows bacteria to get underneath, which can lead to decay and infection. You might feel movement when you touch the crown with your tongue, or you may notice it feels different when you bite down.
Gum Disease
The gums around your crowned tooth can become infected or inflamed. This is called periodontal disease, and it can cause pain, swelling, and bleeding. Regular brushing and flossing help prevent this problem, but sometimes gum issues develop despite good oral care.
Nerve Damage or Infection
Sometimes the nerve inside a crowned tooth becomes irritated or infected. This can happen if the tooth wasn't given a root canal before the crown was placed, or if bacteria found a way inside. Nerve pain tends to be more intense and may throb or keep you awake at night. Learn more about root canal treatment from the American Association of Endodontists.
Poor Fit
If your crown doesn't fit properly, it can create pressure points when you bite. This might cause pain in the crowned tooth or in the surrounding teeth. A high crown can also affect your bite alignment, leading to jaw pain and headaches. Many patients who have received dental crowns Las Vegas clinics offer report that proper fitting is key to long-term comfort.
Teeth Grinding
Many people grind their teeth at night without realizing it. This habit, called bruxism, puts extra pressure on crowns and can cause them to crack or become painful. If you wake up with jaw soreness or your partner hears you grinding, this could be the source of your crown pain.
When Should You Call Your Dentist?
Not every bit of crown discomfort requires an emergency visit. But certain symptoms mean you should contact a local dental office right away.
Call your dentist if you experience:
A) Severe or persistent pain that lasts more than a few days or gets worse over time. This could signal an infection or other serious problem that needs immediate attention.
B) Swelling or pus around the crowned tooth or in your gums. These are clear signs of infection that require treatment with antibiotics or other procedures.
C) A loose or fallen crown. If your crown feels wobbly or comes off completely, call your dentist the same day. Don't wait, as the exposed tooth is vulnerable to damage and decay.
D) Pain when biting or chewing that doesn't go away. This might mean your crown is cracked, loose, or not fitted correctly.
E) Fever or facial swelling. These symptoms suggest a spreading infection that needs urgent care.
F) Sensitivity that lasts longer than two weeks after crown placement. While some sensitivity is normal at first, it should gradually improve.
What Your Dentist Will Do
When you visit for crown pain, your dentist will examine the area and likely take X-rays. This helps them see what's happening below the surface. Depending on the cause, treatment might include adjusting the crown's fit, replacing old cement, treating decay, performing a root canal, or replacing the crown entirely.
A well-made crown that's correctly placed can last 10 to 15 years or longer with good care. Whether you're considering dental crowns Las Vegas professionals install or looking into options elsewhere, quality materials and proper technique make all the difference in preventing future pain.
Preventing Crown Problems
You can reduce your risk of crown pain by:
- Brushing twice daily and flossing around your crown
- Avoiding hard or sticky foods that can damage crowns
- Wearing a night guard if you grind your teeth
- Seeing your dentist for regular checkups every six months
- Addressing any dental problems quickly before they get worse
The Mayo Clinic offers helpful guidance on caring for dental crowns and what to expect during the procedure.
Understanding Your Treatment Options
If your crown needs repair or replacement, your dentist will walk you through the available options. Modern dental technology has made the process faster and more comfortable than ever. Digital impressions, same-day crowns, and improved materials mean less time in the dental chair and better results.
Patients looking for crowns Las Vegas dentists provide have access to advanced treatment methods that reduce discomfort and improve outcomes. The key is finding a dentist who takes the time to ensure your crown fits properly and addresses any underlying issues before placement.
Conclusion
Crown pain isn't something you should ignore or just live with. While minor sensitivity might resolve on its own, ongoing or severe pain needs professional evaluation. The sooner you address the problem, the better your chances of saving the tooth and avoiding more complex treatments.
If you're experiencing any type of crown discomfort, don't wait for it to become unbearable. Schedule a consultation with your dentist to find out what's causing the pain and get the treatment you need. Whether you recently got a new restoration or you've had yours for years, staying proactive about your oral health is the best way to keep your smile healthy and pain-free. Contact a local dental office today to discuss your symptoms and explore your options.
Frequently Asked Questions
1. How long should a crown hurt after placement?
Mild sensitivity is normal for up to two weeks after getting a new crown. If pain continues beyond this time or gets worse, contact your dentist.
2. Can a crowned tooth get infected?
Yes, the tooth under a crown can still become infected if bacteria get underneath or if the tooth's nerve becomes irritated. Signs include severe pain, swelling, and sensitivity to temperature.
3. Why does my crown hurt when I bite down?
This usually means the crown is too high, loose, cracked, or there's decay underneath. Your dentist needs to examine it to determine the exact cause.
4. Is it normal for a crown to be sensitive to cold?
Some cold sensitivity right after crown placement is normal, but it should fade within a couple of weeks. Ongoing sensitivity might indicate a problem with the crown or the tooth underneath.
5. Can a cracked crown be repaired?
Small cracks might be polished or filled, but most cracked crowns need to be replaced to prevent further damage and protect the tooth.
6. How often should I have my crown checked?
Your dentist should examine your crown during regular checkups every six months. This helps catch potential problems early before they cause pain or damage.
7. What happens if I ignore crown pain?
Ignoring crown pain can lead to serious complications like tooth loss, bone damage, or infections that spread to other parts of your body. Always get persistent pain checked out.

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