Why Does My Temporary Crown Hurt? Understanding the Causes and Solutions
A temporary crown, also known as a provisional crown, is a temporary restoration placed over a prepared tooth while waiting for a permanent crown to be fabricated. While generally comfortable, several factors can cause a temporary crown to hurt. Understanding these reasons can help you manage the discomfort and know when to seek professional help.
What are the common reasons for temporary crown pain?
This is a frequently asked question, and the answer often depends on the specifics of your situation. Let's break down the most common causes:
1. Irritation of the Gingival Tissues (Gums): The temporary cement used to hold the crown in place can sometimes irritate the gums, leading to soreness, tenderness, and even slight bleeding. This is often a mild issue, but it can be uncomfortable.
2. Poor Fit of the Temporary Crown: If the temporary crown is ill-fitting, it can create pressure points on the tooth and surrounding gums. This pressure can cause pain, sensitivity to temperature changes (hot and cold), and even increased sensitivity to chewing. An ill-fitting crown might also allow food particles to get trapped underneath, leading to irritation and infection.
3. Height of the Temporary Crown: If the temporary crown is too high, it can cause increased pressure on the opposing teeth when you bite down. This can lead to discomfort in the jaw and pain in the tooth with the temporary crown.
4. Tooth Sensitivity: The underlying tooth may already be sensitive due to the preparation process for the permanent crown. The temporary crown might not fully protect the exposed dentin (the layer beneath the enamel), making it sensitive to temperature and pressure.
5. Infection or Inflammation: In some cases, bacteria can get under the temporary crown, leading to inflammation or infection. This is a more serious issue and can cause significant pain, swelling, and even fever. This is less common with proper oral hygiene and a well-placed crown.
6. Sinusitis: Pain in the upper teeth can sometimes be referred pain from a sinus infection. While not directly related to the temporary crown, it's important to consider this possibility if the pain is in your upper jaw.
What should I do if my temporary crown hurts?
The first step is always to contact your dentist. They can assess the situation and determine the cause of your pain. They might advise:
- Over-the-counter pain relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage mild pain and inflammation.
- Adjusting the crown: If the crown is ill-fitting, your dentist may be able to adjust it to alleviate pressure points and improve the fit.
- Replacing the crown: In some cases, the temporary crown may need to be replaced altogether.
- Treating an infection: If an infection is suspected, your dentist will prescribe appropriate antibiotics.
How can I prevent my temporary crown from hurting?
- Maintain excellent oral hygiene: Brush and floss gently around the temporary crown to prevent food particles from getting trapped.
- Avoid sticky or hard foods: These can dislodge or damage the temporary crown.
- Avoid chewing on hard objects: This can put unnecessary pressure on the tooth and crown.
- Report any discomfort immediately: Don't wait for the pain to become severe before contacting your dentist.
By understanding the potential causes of temporary crown pain and taking proactive steps, you can minimize discomfort and ensure a smooth transition to your permanent crown. Remember, your dentist is your best resource for addressing any concerns. Don't hesitate to reach out for assistance!
