Dental crown: Pain or aches?

The first step is to visit your dentist to determine the source of pain

Pain from a dental crown should not be taken lightly. Toothaches can begin as a mild discomfort and progress rather quickly and severely. Thus, immediate dental care is highly recommended.

What causes a toothache in a tooth that has a dental crown?
Well, there is a hollow space in the middle of each tooth that holds the tooth’s nerve. A toothache typically stems from the tooth’s nerve becoming inflamed. The nerve can become inflamed from many different causes: a large cavity that developed underneath the crown, a fracture in the tooth, too much biting force on the tooth, or a traumatic blow. The pain can present in a wide range of forms, from sporadic discomfort to lingering severe pain. Also, the pain can have various triggers: cold water, hot water, chewing, or speaking.

What can relieve the discomfort? Every situation is different, but these are possible treatments:
Reduce the biting force on the tooth crown: In some situations, a toothache may be due to excessive force on a tooth during chewing. Your dentist may adjust your bite and slightly reduce the crown’s height. As a result, the biting force would be reduced on that tooth and dispersed evenly throughout the mouth.

Root canal: If the tooth’s nerve is inflamed and causing pain, a root canal is sometimes needed. During a root canal procedure, the nerve of the tooth is removed and the internal space holding the nerve is disinfected and filled with a biocompatible dental material.

Dental extraction: In some situations, the tooth may be severely broken down or fractured, and the tooth may not be able to be saved. In this case, the tooth may need to be extracted, and your dentist would discuss the options to replace the tooth (like a dental implant or bridge).

What else mimics a toothache?
Actually, some people experience symptoms that closely resemble a toothache but stem from other sources, like a sinus infection. In this situation, your dentist will discuss your medical history and take an x-ray to check if a sinus infection is present.

What is the first step of emergency dental care for a toothache?
An x-ray and an evaluation by a dentist are needed to form a definitive diagnosis and discuss treatment options.

Further Reading...

A little about me and my experiences with dental crowns:

Boynton Beach dentist Dr. Jeffrey Lissauer image

After graduating from Tufts Dental School, I completed a residency at Boston City Hospital. Following the residency, I worked in a practice near Boston while teaching at my dental school for a few years. My wife Joanne and I then decided to move to south Florida, where I have practiced for the past twenty-five years. Over this time, cosmetic dentistry has become my passion, especially making beautiful dental crowns. In the office, we make sure that every crown blends absolutely perfectly with our patients’ natural teeth. If the color of a dental crown is slightly off, we add a little color and bake the crown in our porcelain oven until it is the perfect shade. Also, we want every crown to look gorgeous and last as long as possible, so we only use the highest quality porcelain. If we are making a porcelain-fused-to-metal crown, we only use high precious metal. In addition, to make every crown, we confidently believe that we use the best dental laboratory in the country. If you have questions about dental crowns or would like to come in for a complimentary evaluation, please feel free to contact us:

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