Dental crowns are designed to protect and restore damaged teeth, but sometimes, instead of relief, you experience discomfort after the procedure. If your dental crown hurts, you’re not alone—and understanding the cause can help you find relief fast. Whether you’re dealing with crown sensitivity, jaw pain, or lingering nerve discomfort, there are several reasons your crown could be causing issues.
At Novi Oaks Dental, we want to help you understand what your symptoms might mean and when it’s time to see a dentist. Let’s explore 7 common reasons your dental crown might hurt—and what you can do about it.
Is It Normal for a Crown to Hurt?
What to Expect Immediately After Placement
A little sensitivity or discomfort is normal in the first few days following crown placement. Your tooth and surrounding gums may need time to adjust, especially if you received a temporary crown before the permanent one was seated. It’s common to feel slight pressure or sensitivity to hot or cold temperatures.
When Discomfort Could Be a Red Flag
If the pain persists longer than a week, worsens over time, or feels sharp or throbbing, it may signal an issue beyond routine healing. Persistent dental crown pain is not something to ignore—it’s your body’s way of telling you something isn’t quite right.
Reason #1: Your Crown Is Too High
Signs of a High Bite
A dental crown that sits even slightly higher than the adjacent teeth can disrupt your bite alignment. Signs include:
- Pain when biting or chewing
- Soreness in the jaw
- Uneven wear on nearby teeth
- A feeling that the crowned tooth “hits first”
How It Can Cause Jaw or Tooth Pain
An elevated crown forces extra pressure on the crowned tooth and surrounding structures. Over time, this can lead to jaw tension, tooth soreness, or even temporomandibular joint (TMJ) issues. Luckily, a high crown is easy for your dentist to adjust.
Reason #2: Tooth Nerve Sensitivity
Exposed Nerve Roots or Irritation
Sometimes, during crown preparation, the tooth’s nerve becomes irritated. In cases where the nerve wasn’t fully removed (e.g., no root canal was done), it may become sensitive to:
- Hot or cold temperatures
- Sweet foods
- Air exposure
Temporary vs. Long-Term Sensitivity
Mild crown sensitivity usually fades within a week or two. But if your discomfort persists—or worsens—you may need further treatment, such as root canal treatment, to calm the nerve.
Reason #3: Inflamed or Infected Tooth Pulp
When Root Canal May Be Needed
If the dental pulp beneath your crown becomes inflamed or infected, it can lead to intense, throbbing pain. This often happens when a cavity was deep or untreated prior to crowning.
You may need a root canal even after your crown is placed—especially if:
- Pain worsens with heat
- Swelling develops
- You feel pressure or pulsing pain
Signs of Infection to Watch For
- Fever or swollen lymph nodes
- Bad taste or smell near the crown
- Pus or abscess near the gumline
If you notice any of these post-crown symptoms, it’s important to seek treatment right away.
Reason #4: Poor Crown Fit or Loose Crown
How a Loose Crown Triggers Discomfort
A crown that doesn’t fit snugly over the tooth can shift slightly when you chew, causing pain or sensitivity. It can also trap food and bacteria, increasing your risk of decay or gum inflammation.
Fixing Fit Issues Quickly
If your crown feels wobbly or slides when you bite down, call your dentist immediately. A simple refitting or replacement may be all that’s needed to restore comfort.
Reason #5: Gum Irritation Around the Crown
Possible Causes and Treatments
New crowns can sometimes irritate nearby gum tissue—especially if the edge of the crown sits close to the gumline. Overly aggressive brushing, poor oral hygiene, or cement residue left behind may also contribute to redness and tenderness.
When to Let Healing Take Its Course
Mild irritation may resolve on its own with proper brushing, flossing, and saltwater rinses. But if pain continues or you notice bleeding, it’s best to visit your Novi dentist to rule out deeper gum issues.
Reason #6: Bruxism or Teeth Grinding
Why Grinding Makes Crowns Hurt
Bruxism—the habit of grinding or clenching your teeth, especially at night—can wear down a crown faster than normal. This constant pressure stresses the crowned tooth and may lead to pain, cracks, or jaw discomfort.
Nightguards as a Preventive Tool
If you grind your teeth, a custom nightguard can help cushion your crown and protect your smile. Many patients report less pain and better sleep after starting treatment for bruxism.
Reason #7: Allergic Reaction to Crown Materials
When Sensitivity Might Be Material-Based
Some patients are sensitive or allergic to the metals used in certain crowns, especially older metal-based or porcelain-fused-to-metal restorations. Symptoms might include:
- A burning sensation in the gums
- Itchiness or rash in the mouth
- Metallic taste
How to Explore Other Crown Options
Modern crowns can be made from ceramic, zirconia, or resin, which are biocompatible and less likely to trigger reactions. At Novi Oaks Dental, we’ll help you choose the best crown material for your needs.
When to Call Your Dentist
Red Flags That Shouldn’t Be Ignored
Pain is your body’s early warning system. If you notice:
- Intense, sharp, or throbbing pain
- Gum swelling or discharge
- Pain that interferes with eating or sleeping
- Loose or cracked crown
…it’s time to see your dentist. Waiting too long could lead to more serious issues.
Getting Relief at Novi Oaks Dental
At Novi Oaks Dental, we don’t just treat symptoms—we find the root cause. Whether your crown pain is due to bite misalignment, nerve irritation, or gum problems, Dr. Ely and our experienced team are here to help with gentle, personalized care.
Experiencing Crown Pain? We Can Help.
Book an Evaluation with Dr. Ely Today
You don’t have to live with dental discomfort. If your crown hurts or something doesn’t feel right, let our team at Novi Oaks Dental take a closer look. We’ll assess the cause and provide the relief you need—so you can get back to smiling confidently.
📞 Call us today or book your appointment online to schedule your evaluation with Dr. Ely.
