Experiencing tooth pain under a crown that comes and goes can be frustrating and worrying. This intermittent pain often signifies an underlying dental problem that requires professional attention. Ignoring it could lead to more serious issues and potentially the loss of the tooth. This comprehensive guide will explore the potential causes, when to seek immediate help, and how to prevent future occurrences.
What Causes Intermittent Tooth Pain Under a Crown?
Several factors can contribute to this type of pain. The most common culprits include:
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Decay: Even with a crown, bacteria can still invade the tooth structure, leading to decay beneath the crown. This is particularly likely if there was pre-existing decay before the crown was placed, or if the crown's fit isn't perfect, allowing bacteria to seep in. The pain may be intermittent as the decay progresses.
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Inflammation or Irritation of the Pulp (Dental Pulpitis): The pulp is the soft tissue inside the tooth containing nerves and blood vessels. Irritation or inflammation of the pulp, even minor, can cause sharp, shooting pains that come and go. This could be due to bacterial leakage, a poorly fitting crown, or trauma to the tooth.
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Cracked Tooth: A crack in the tooth, even a microscopic one, can allow bacteria to reach the pulp, causing inflammation and pain. This pain might only appear intermittently depending on the pressure applied to the tooth.
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Abscess: A more serious issue, an abscess is a pocket of pus that forms at the root of the tooth due to infection. The pain associated with an abscess can be severe, although initially it may be intermittent before becoming constant and throbbing.
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Sinus Infection: While less common, pain originating from a sinus infection can sometimes be felt in the upper teeth, potentially mimicking tooth pain. This is often described as pressure or dull ache.
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Gum Disease (Periodontitis): Gum disease can lead to inflammation and infection around the tooth, which can, in turn, cause pain that radiates up to the tooth under the crown.
Why Does the Pain Come and Go?
The intermittent nature of the pain often stems from the fluctuating pressure within the tooth. Factors like chewing, temperature changes (hot or cold), or even changes in atmospheric pressure can influence the pain's intensity and frequency. Sometimes, the body's natural healing processes may temporarily alleviate the symptoms, leading to periods of pain-free respite.
How Long Can You Wait Before Seeing a Dentist?
While the pain may be intermittent, it's crucial not to delay seeking professional dental care. The underlying issue is likely worsening, even if you're experiencing periods of relief. If the pain is severe, accompanied by swelling, fever, or difficulty opening your mouth, seek immediate dental attention. In less severe cases, schedule an appointment with your dentist as soon as possible for a proper diagnosis and treatment.
What Happens During a Dental Appointment for Intermittent Tooth Pain Under a Crown?
Your dentist will conduct a thorough examination, which may include:
- Visual Inspection: A careful examination of the crown and surrounding tissues.
- X-rays: To identify any decay, cracks, or abscesses beneath the crown.
- Percussion Test: Gently tapping on the tooth to check for sensitivity.
- Cold/Heat Test: Applying cold or hot stimuli to check for pulp vitality.
Based on the findings, your dentist will recommend the appropriate treatment, which could range from a simple adjustment to the crown to more extensive procedures like root canal treatment or extraction.
Can You Prevent Future Issues?
Practicing good oral hygiene is paramount in preventing problems under dental crowns. This includes:
- Brushing twice daily with fluoride toothpaste.
- Flossing daily.
- Regular dental checkups and cleanings.
- Avoiding hard or sticky foods that could damage the crown or tooth.
- Addressing any underlying gum disease promptly.
Ultimately, prompt diagnosis and treatment are key to managing intermittent tooth pain under a crown. Don't wait for the pain to become constant; consult your dentist at the first sign of discomfort to prevent more serious complications.
