A temporary crown is designed to protect a prepared tooth while a permanent crown is being made. However, sometimes, instead of providing relief, a temporary crown can worsen tooth pain. This can be alarming, but understanding the potential causes and solutions can ease your concerns. This article will address common reasons why your tooth might hurt more after getting a temporary crown and offer advice on what you can do.
Why Does My Tooth Hurt Worse After a Temporary Crown?
This is a frequently asked question with several possible answers. The increased pain isn't always a sign of a serious problem, but it warrants attention.
Cement Irritation:
One of the most common reasons for increased pain after a temporary crown placement is irritation from the temporary cement. This cement, while designed to be temporary, can sometimes irritate the sensitive pulp (the inner part of your tooth containing nerves and blood vessels). The pressure of the cement, or even a tiny particle of cement that settles against the gum line, can trigger discomfort.
Poor Fit of the Temporary Crown:
If the temporary crown doesn't fit perfectly, it can create gaps allowing bacteria, food particles, and irritants to reach the sensitive dentin beneath the enamel. This can lead to increased sensitivity and pain. A poorly fitting crown might also put pressure on the tooth, exacerbating the existing problem.
Existing Underlying Issues:
The pain might not be directly caused by the temporary crown itself but rather exacerbated by a pre-existing condition. For example, if you already had a significant cavity, inflammation, or infection, the placement of the temporary crown may temporarily increase pressure or restrict drainage, worsening the pain.
Gum Irritation:
The temporary crown’s edges can sometimes irritate your gums, leading to inflammation and pain. This irritation can be particularly noticeable if the temporary crown isn't seated perfectly or if it's too bulky.
What if the pain is severe?
Severe or persistent pain after a temporary crown requires immediate attention. It could indicate a more serious underlying issue, such as infection or nerve damage. Do not hesitate to contact your dentist.
How Long Should the Pain Last After Getting a Temporary Crown?
Minor discomfort or sensitivity for a day or two after getting a temporary crown is fairly common. However, persistent, severe, or worsening pain should be addressed immediately. Contact your dentist if the pain:
- Doesn't subside after 24-48 hours.
- Is sharp, throbbing, or intense.
- Is accompanied by swelling or fever.
- Radiates to other parts of your face or jaw.
What Can I Do If My Tooth Hurts After a Temporary Crown?
First, contact your dentist. They are best equipped to diagnose the problem and recommend appropriate treatment. Before your appointment, you can try:
- Over-the-counter pain relievers: Ibuprofen or acetaminophen can help manage the pain temporarily. Follow the recommended dosage instructions.
- Saltwater rinse: Gently rinsing your mouth with warm saltwater can help reduce inflammation and remove food particles.
- Avoid hard, sticky, or chewy foods: These can dislodge the temporary crown or exacerbate pain. Stick to soft foods until you see your dentist.
What Should I Expect When I See My Dentist?
Your dentist will examine your tooth and the temporary crown to determine the cause of the pain. They may adjust the crown, replace the cement, or recommend other treatments based on their assessment. In some cases, the underlying issue may require more extensive treatment.
My Temporary Crown Fell Out! What Do I Do Now?
If your temporary crown falls out, contact your dentist immediately. Don't attempt to re-cement it yourself. Keeping the tooth clean and protected until your appointment is crucial to preventing further problems.
In conclusion, while a temporary crown should generally alleviate pain, an increase in pain can be caused by several factors. It's crucial to communicate any concerns with your dentist promptly to ensure proper management and prevent further complications. Don't hesitate to reach out – your oral health is a priority.
