Dentist Questions Dentist

What could be the cause of crown pain?

I am a 38 year old female. I had a crown placed and now it hurts when I chew. What could be the cause?

10 Answers

Most common reason is the bite is too high, there are other reasons that might cause that though, have it checked by your dentist.
Could be a high occlusion spot that needs an adjustment, or pulp hyperemia, depending how long.
Gum irritation or hyper occlusion
WITHOUT AN EXAM AND X-RAY, it is difficult to diagnose. It is possible there is a problem around the root. It could be an endodontic (nerve) issue. It could also be due to periodontal (gum) problems. Also, your "bite" must be checked. A good diagnosis is necessary. Go back to your dentist. He should be able to find the problem.
Possibly it’s a little too high, especially if you feel it hit first when you close. If this is it, your DDS should be able to adjust the bite and fix it easily.

Good luck,

Ron H., DDS
Hello,

Great question! It could be that the crown might be too high, so make sure you go back to your general dentist and have him or her check your bite again and adjust the crown accordingly. Or, it could be from drying the tooth prior to cementation that might make your tooth a little sensitive at first, but the sensitivity should dissipate over a few days. Hopefully, the nerve didn’t die in the tooth from the crown preparation, thus requiring a root canal. Follow up with an X-ray if pain continues.
The cause of crown pain can be many folds, the most important ones are:

1-The crown is high, bite adjustment needed. Function not right.
2-The porcelain material used, for example, zirconia vs. feldspathic
3-The fit of the crown not proper
4-Decay, in which was close to the nerve, may need endodontic treatment.
5-The gum inflammation, and excess cement

These are the main causes, but there could be many more...
For more information about porcelain crowns click here:
https://celebritydentist.com/porcelain-crowns/

The "bite" could be too "high" or the tooth may have an inflamed pulp or supporting ligament. If the bite is too high then the crown could be adjusted, If the pulp is inflamed the tooth may need a root canal
Open margins could be one cause of the pain. High occlusal contacts that cause pain, trauma in the occlusion. Possible decay, caries left underneath, because the open margins. A pulp tissue has been exposed during the preparation for the crown. You need to be seen by a dentist to evaluate the area where the crown is inserted and also take an X-ray to check for any periapical lesion.
Bite or it needs a Root Canal, It may be cracked which would necessitate removal.