Getting a dental crown is a common procedure to restore a damaged tooth, offering protection and improved aesthetics. However, experiencing pain years after crown placement can be concerning. This article will explore the potential reasons behind this delayed discomfort, offering insights into diagnosis and treatment options. We'll address common questions surrounding this issue, providing you with the information you need to address the problem effectively.
Why Does My Crowned Tooth Hurt Years Later?
The pain you're experiencing years after receiving a crown may stem from various sources, not all directly related to the crown itself. Let's explore some of the most common culprits:
1. Decay Under the Crown:
This is a significant concern. Even with a crown in place, bacteria can still penetrate the tooth's structure, leading to decay underneath. This hidden decay can cause significant pain over time as it progresses. The crown itself prevents early detection, leading to delayed diagnosis.
2. Gum Recession:
As gums recede, the root surface of the tooth becomes exposed. This exposure can lead to sensitivity and pain, even if the crown remains intact. Gum disease (periodontitis) can exacerbate this issue.
3. Cracked Tooth:
A pre-existing crack in the tooth, perhaps undetected before the crown placement, can worsen over time. The crack might extend beneath the crown, leading to pain and discomfort.
4. Pulpitis (Inflammation of the Tooth Pulp):
Even if the initial procedure was successful, underlying inflammation of the tooth pulp can flare up years later, triggering sensitivity and pain.
5. Improper Crown Fit:
In some cases, the crown may not fit perfectly, creating a gap between the crown and the tooth. This gap can allow bacteria to enter and cause infection or sensitivity.
6. Sinus Infection:
Pain originating from a sinus infection can sometimes be mistakenly attributed to a crowned tooth, especially in the upper teeth. This is due to the proximity of the sinuses to the roots of the upper teeth.
What Should I Do If My Crowned Tooth Hurts?
If you're experiencing pain in a crowned tooth, it's crucial to schedule an appointment with your dentist immediately. Don't attempt self-treatment, as this could worsen the underlying problem. Your dentist can accurately diagnose the cause of the pain through:
- Visual Examination: A thorough examination of the crown and surrounding tissues.
- X-rays: To detect hidden decay, cracks, or issues beneath the crown.
- Percussion Test: To assess the tooth's response to tapping.
- Sensitivity Tests: To determine the extent of sensitivity to temperature changes.
Can I Fix a Cracked Tooth Under a Crown?
Fixing a cracked tooth under a crown depends on the severity of the crack and the extent of the damage. Options range from a root canal to crown replacement or even extraction in severe cases. Your dentist will determine the best course of action based on a thorough examination.
How Can I Prevent Future Problems with My Crowned Tooth?
Maintaining excellent oral hygiene is paramount to prevent future issues with your crowned tooth. This includes:
- Regular brushing and flossing: Focus on gentle yet thorough cleaning around the crown.
- Regular dental checkups: Allow your dentist to monitor the health of your crowned tooth and identify potential problems early.
- Avoid biting on hard objects: Protect your crown from excessive pressure or impact.
Remember, seeking professional dental care is vital if you experience pain in a crowned tooth. Early diagnosis and intervention can prevent more extensive and costly treatment down the line. Ignoring the pain could lead to irreversible damage. Don't hesitate to contact your dentist for a prompt examination.
