It is not uncommon to experience soreness or discomfort when biting down on a tooth after a new crown has been fitted. However, persistent pain or sensitivity after a dental crown is not normal and should be assessed by Dr. Daniel Kaufman . There are several possible reasons this might occur.

Common Causes of Pain After Getting a Crown

1. Crown height or bite alignment issue
   The most common reason for pain is that the new crown sits slightly higher than adjacent teeth, causing excessive pressure when you bite or chew. The solution is to adjust and reduce the crown height to align with surrounding teeth for an even bite.

2. Underlying tooth decay
   If decay was present beneath the tooth before placing the crown, bacteria may remain trapped beneath it. In such cases, the crown may need to be removed so the tooth can be properly cleaned and restored. Leaving the infection untreated can result in swelling or abscess formation near the affected tooth.

3. Cracked or fractured tooth
   If the tooth covered by the crown is cracked, pressure while biting may cause the crack to open slightly, resulting in sharp pain. This often requires further dental treatment to repair the fracture.

4. Gum inflammation or infection
   Soreness or tenderness around the crown can also be caused by gum irritation or infection. This may feel worse when brushing or eating and needs professional evaluation to treat the area and promote healing.

5. Inflamed or damaged nerve
   If the nerve inside the crowned tooth was not removed during treatment, it may become inflamed or infected, leading to persistent discomfort or sensitivity. Root canal therapy may be necessary to relieve the pain.

6. Loose crown
   A crown that does not fit securely can move slightly while chewing, irritating the tooth and gums underneath. Tightening or re-cementing the crown can usually resolve the problem.

When to See Your Dentist

If you notice pain, sensitivity, or soreness in a tooth that has been recently crowned, do not ignore it. Schedule an examination , ask Dr. Kaufman a question or schedule an appointment online today.