A temporary crown, also known as a provisional crown, is a temporary cap placed over a prepared tooth while you wait for your permanent crown to be made. While generally designed to protect the tooth, it's not uncommon to experience some discomfort. Understanding the potential causes of pain with a temporary crown is crucial for managing your expectations and seeking appropriate care.
Why might my temporary crown be causing pain?
Several factors can contribute to pain or discomfort under a temporary crown:
1. Irritation from the Cement:
The temporary cement used to hold the crown in place can sometimes irritate the gum tissue. This irritation can lead to sensitivity, throbbing pain, or even a slight infection. The cement's chemical composition, or even a small piece of cement left exposed, can be a major culprit.
2. High Crown:
If the temporary crown is too high, it can interfere with your bite, causing pressure and pain. This is a common cause of discomfort, particularly when chewing. The pressure point can lead to a dull ache or sharp pain depending on the severity.
3. Poor Fit of the Crown:
An ill-fitting temporary crown can leave gaps between the crown and the tooth. This can lead to food particles becoming trapped, causing irritation and potential infection. It might also allow saliva to reach the sensitive tooth structure beneath, leading to increased sensitivity.
4. Underlying Tooth Decay or Infection:
Even before the crown preparation, there might have been existing decay or infection. The temporary crown might not adequately protect the affected area, potentially worsening the situation and causing pain. This is especially pertinent if the tooth was already sensitive before the crown placement.
5. Sensitivity to Temperature:
Some individuals experience heightened sensitivity to temperature changes, particularly with exposed dentin. Even with a temporary crown in place, if the tooth preparation left dentin exposed, you might experience sharp pain with hot or cold foods and drinks.
6. Sinus Infection:
In some cases, pain attributed to a temporary crown might actually originate from a sinus infection. The pain can radiate to the upper teeth and jaw, creating confusion.
7. Damaged or Loose Crown:
If the temporary crown becomes damaged or loose, it can cause pain and discomfort. Food can get trapped, and the tooth underneath can be exposed to bacteria, leading to further problems.
What should I do if my temporary crown hurts?
If you're experiencing pain with your temporary crown, contact your dentist immediately. Don't try to self-treat or remove the crown yourself, as this could worsen the situation. Your dentist can assess the cause of your pain and provide appropriate treatment, which might include:
- Adjusting the crown: If the crown is too high or doesn't fit properly, your dentist can adjust it to provide better comfort.
- Replacing the cement: They might replace the temporary cement to remove any irritating substances.
- Treating underlying issues: If there's decay or infection, they'll address those problems.
- Prescribing pain medication: Your dentist may prescribe pain relievers to manage the discomfort.
Remember, a temporary crown is just that—temporary. The discomfort should be temporary, too. Prompt attention from your dentist is essential to prevent complications and ensure a smooth process until your permanent crown is ready.
