Typically if this is the case after the bite adjustment you will immediately feel like you are biting together better. Have the dentist recheck the bite while you are not numb. Tooth hurts after crown because the crown needs an adjustment. Much of this has to do with your bodies ability to heal itself and with your anatomy. Although your dentist will do their best to tell you before cementing the crown on if you will need a root canal, the reality is when dealing with living tissue one can never truly predict when a nerve will decide to die on you. The nerve of a tooth will only take so much trauma before it gives up and starts to die, thus needing a root canal. The pain does not go away after a few days and may even get worse. We classify this as irreversible pulpitis. ![]() The pain is either more intense and or lasts longer after a stimulation like cold or chewing. Tooth hurts after crown because the tooth needs a root canal. Anti-inflammatory medication like Advil (ibuprofen) can be taken and will usually eliminate the pain for a few hours. We would classify this as reversible pulpitis and the pain should be gone in a few days. If the pain is not too severe, the tooth may just need some time to calm down. Tooth hurts after crown because the tooth needs time to settle down. The reasoning for each can depend on your situation. ![]() These are the main reasons that a tooth hurts after a crown. The crown is slightly too high and your chewing on it is causing pain.The tooth needs some time to settle down.There are several reasons a tooth hurts after crown. You can see how much of a tooth we remove for a crown. This in addition to whatever was the cause for you to need a crown can push a tooth that felt fine over the edge and cause the tooth to hurt after the dental crown. Removing decay, old filling material, cracks and just preparing the tooth for a crown happens all at once and is traumatic. That’s a 1-2-3 combo that some tooth pulp can not survive. Both of these are causing nerve inflammation and my removal of the decay will cause more. You can see the decay on the left and under the decay you can see a crack. The photo below shows a tooth that is getting ready for a crown. Cracks and decay typically grow pretty slowly so if you have decay or a crack the nerve can adapt to some extent to that but it will also cause inflammation. For example, a crack in a tooth will cause some low grade inflammation in the nerve of the tooth. The reason you are getting a crown causes trauma as well. The preparation of a tooth for a dental crown is traumatic to the nerve of the tooth. The crown procedure is traumatic and will cause some pulpal inflammation, the pulp is the tissue in the center of the tooth that contains the nerve for the tooth. The pain comes from the nerve in the center of the tooth and/or the tissue around the roots of the tooth. The combination of the two things cause inflammation in the nerve which you experience as pain. The very short version is whatever the cause of you needing a crown, a crack, decay, or break, causes some trauma to the nerve and the dentist fixing the problem causes more. Why does a tooth hurt after crown? It didn’t hurt before the crown! Typically people have a concern because the tooth did not hurt before the crown. There can be several reasons for this and there can also be several solutions as well. Tooth hurts after crown is a common search term for someone that is in pain AFTER a dental crown. ![]() Tooth hurts after crown? Why does a tooth hurt after a dental crown? White pediatric crown – stainless steel crown alternative.☰ Navigation Wheaton Dentist, Orthodontist, Pediatric Dentist Bauer Smiles
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