Getting a dental crown is a common procedure to restore a damaged or decayed tooth. However, experiencing sensitivity after a month is not typical and warrants further investigation. While some minor sensitivity is expected immediately following placement, lingering sensitivity suggests a potential underlying issue. This comprehensive guide explores the possible reasons why your crown might still be sensitive after a month, helping you understand what steps to take next.
Why Is My Crown Still Sensitive After a Month?
Persistent sensitivity after a month could stem from several factors. Let's examine the most common causes:
1. Irritation of the Tooth Pulp:
Even with a well-placed crown, some underlying inflammation or irritation of the tooth pulp (the soft tissue inside the tooth) might persist. This can be due to pre-existing conditions or minor trauma during the crown preparation. The nerve endings in the pulp remain sensitive, causing lingering discomfort.
2. Poor Crown Fit or Cementation:
An improperly fitted crown or inadequate cementation can lead to persistent sensitivity. Gaps between the crown and the tooth allow irritants like food particles and bacteria to reach the sensitive dentin, triggering pain.
3. Cracked Tooth or Root:
A pre-existing crack in the tooth, perhaps undetected before the crown placement, can continue to cause sensitivity, even after the crown is in place. The crack can worsen over time, exacerbating the pain.
4. Gum Recession:
Gum recession can expose the root surface of the tooth, making it more sensitive. This sensitivity might become more apparent after the crown is fitted, especially if the gum line was already receding before the procedure.
5. Sinus Infection:
While less common, a sinus infection can sometimes cause referred pain that feels like tooth sensitivity, particularly in the upper molars. This pain can persist even after dental work.
6. Bite Problems:
An incorrect bite (malocclusion) can put excessive pressure on the crowned tooth, causing ongoing sensitivity. This is especially true if the crown height is not perfectly matched with your opposing teeth.
What Should I Do If My Crown Is Still Sensitive?
Don't ignore persistent sensitivity. Here's what you should do:
1. Contact Your Dentist:
This is the most crucial step. Schedule an appointment with your dentist to discuss your concerns. They can conduct a thorough examination to identify the cause of your sensitivity.
2. Explain the Nature and Duration of the Sensitivity:
Be clear about the type of pain you’re experiencing (sharp, throbbing, dull ache), its intensity, and when it occurs (e.g., when eating hot or cold foods, during chewing, spontaneously).
3. Expect a Comprehensive Examination:
Your dentist will likely perform a visual inspection, bite analysis, and possibly x-rays to rule out underlying issues such as cracks or infection. They might also check the crown's fit and cementation.
4. Discuss Treatment Options:
Depending on the cause of the sensitivity, your dentist might suggest various treatments, including:
- Adjustment of the crown: If there's a fit issue, the crown might need slight adjustment or recementation.
- Root canal treatment: If the pulp is severely inflamed or infected, a root canal might be necessary.
- Gum treatment: If gum recession is the culprit, treatment to address gum health may be recommended.
- Bite adjustment: If a bite problem is involved, an occlusal adjustment or other restorative treatment might be necessary.
When to Seek Immediate Attention
While most cases of post-crown sensitivity are manageable, seek immediate dental attention if you experience:
- Severe, throbbing pain.
- Swelling around the crowned tooth.
- Fever or other signs of infection.
Ignoring these symptoms could lead to more serious complications.
Remember, your dentist is the best resource for determining the cause of your crown sensitivity and recommending appropriate treatment. Don't hesitate to contact them for a thorough evaluation.
