temporary crown sensitive to cold

temporary crown sensitive to cold


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temporary crown sensitive to cold

A temporary crown, a temporary cap placed over a prepared tooth while waiting for a permanent crown, can sometimes be sensitive to cold. This isn't uncommon, and while often not a cause for major concern, it's crucial to understand why it happens and what you can do about it. This post will explore the reasons behind this sensitivity, offer solutions, and guide you on when to seek professional dental care.

Why is My Temporary Crown Sensitive to Cold?

The sensitivity you experience with your temporary crown to cold temperatures stems from several potential factors:

  • Microleakage: This is the most common culprit. Microleakage refers to tiny gaps between the temporary crown and your tooth. These gaps allow cold air or liquids to reach the sensitive dentin (the layer beneath the enamel) of your tooth, triggering pain. The temporary cement used isn't as precise a fit as permanent cement.

  • Irritation to the Tooth: The process of preparing your tooth for a crown can irritate the underlying nerve. This irritation can lead to increased sensitivity, especially to temperature changes. This sensitivity is often temporary but can be exacerbated by a poorly fitting temporary crown.

  • Cement Irritation: Some individuals may be sensitive to the temporary cement itself. While rare, a reaction to a specific component in the cement can cause increased sensitivity.

  • Underlying Tooth Decay or Infection: In less frequent cases, pre-existing tooth decay or an infection might be contributing to the sensitivity, even after the temporary crown is placed. This should be ruled out by your dentist.

What Can I Do About the Cold Sensitivity?

Several options can help manage the sensitivity:

  • Desensitizing Toothpaste: Using a toothpaste specifically formulated to reduce tooth sensitivity can be quite effective. Look for toothpastes containing ingredients like potassium nitrate or strontium chloride. These ingredients help block the tubules in your dentin, reducing the transmission of pain signals.

  • Over-the-Counter Pain Relief: Taking over-the-counter pain relievers like ibuprofen or acetaminophen can help manage the pain temporarily. However, this is a temporary solution and doesn't address the underlying issue.

  • Avoid Trigger Foods and Drinks: Temporarily avoiding extremely hot or cold foods and drinks is essential. This will minimize the stimulus causing the pain. Stick to lukewarm beverages and room-temperature food.

  • Temporary Crown Adjustment (by Dentist): If the sensitivity is significant or persistent, you should consult your dentist. They might be able to adjust the temporary crown to improve its fit and reduce microleakage.

How Long Does Temporary Crown Sensitivity Last?

The duration of the sensitivity varies, depending on the cause. In most cases, the sensitivity should subside within a week or two. However, if the sensitivity persists for longer or worsens, it's crucial to contact your dentist.

When Should I See My Dentist About My Sensitive Temporary Crown?

You should consult your dentist if:

  • The sensitivity is severe or unbearable.
  • The sensitivity lasts longer than two weeks.
  • You experience throbbing pain.
  • You notice swelling or increased redness around the tooth.
  • You have significant discomfort chewing.

Can a Temporary Crown Cause a Toothache?

Yes, a poorly fitting temporary crown can absolutely contribute to a toothache. The microleakage allows bacteria and irritants to reach the tooth's pulp (nerve), resulting in inflammation and pain. This is why regular check-ups with your dentist are vital during this time.

Is it Normal for a Temporary Crown to Feel Loose?

A slightly loose feeling isn't uncommon, but excessive looseness warrants a visit to your dentist. A loose temporary crown might increase sensitivity and your risk of further complications.

Remember, while some sensitivity is expected with a temporary crown, persistent or severe pain should always be addressed by a dental professional. They can accurately diagnose the cause and provide appropriate treatment. Don't hesitate to contact your dentist if you are experiencing any significant discomfort.