Getting a dental crown is a significant procedure aimed at restoring a damaged tooth's function and appearance. While most patients experience immediate improvement, some find that sensitivity persists even after several weeks. If your crown is still sensitive after a month, it's crucial to understand the potential causes and seek professional dental care. This article will explore common reasons for lingering sensitivity and guide you in addressing this issue.
Why is My Crown Still Sensitive After a Month?
Lingering sensitivity after a crown placement can stem from several factors. It's not always a sign of a problem, but it warrants attention. Here are some potential explanations:
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Incomplete Settling: The initial period after crown placement involves settling. The gum tissue needs time to adapt, and the underlying tooth might require adjustment. Sensitivity might reduce gradually as this process completes. However, if the sensitivity persists or worsens, further investigation is necessary.
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Irritation of the Pulp: Even with a well-placed crown, some irritation to the tooth's pulp (the soft inner tissue containing nerves and blood vessels) can occur. This can lead to prolonged sensitivity, especially to hot and cold temperatures.
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High Crown Margin: If the crown's margin (the edge where it meets the tooth) sits too high, it can irritate the gum tissue, causing persistent sensitivity and discomfort.
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Poorly Fitting Crown: A poorly fitting crown can lead to various problems, including sensitivity. It might not properly cover the tooth, leaving exposed areas susceptible to temperature changes or food particles. Similarly, an improperly cemented crown can allow bacteria to penetrate and cause further issues.
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Underlying Tooth Decay or Infection: Sometimes, sensitivity persists because of pre-existing conditions not fully addressed during the crown procedure. Untreated decay or infection beneath the crown can contribute to ongoing discomfort.
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Gum Recession: Over time, gum recession can expose the tooth's root, which is naturally more sensitive than the enamel. This can manifest as persistent sensitivity, even after crown placement.
What Should I Do If My Crown Is Still Sensitive?
If sensitivity persists beyond a month, scheduling an appointment with your dentist is vital. They can diagnose the underlying cause and recommend appropriate treatment. Self-treating is not advised, as it can potentially worsen the issue.
What if I have a high crown margin?
Your dentist might adjust the crown's margin by gently grinding it down to alleviate irritation. This is a relatively straightforward procedure.
What if the crown is poorly fitted or cemented?
A poorly fitted or cemented crown may require replacement. The dentist will carefully remove the existing crown and create a new one that fits perfectly.
What about underlying tooth decay or infection?
If underlying decay or infection is detected, your dentist might recommend root canal therapy or other necessary treatment before recementing the crown or placing a new one.
How Can I Manage Sensitivity in the Meantime?
While you await your dental appointment, you can try to manage sensitivity using over-the-counter products:
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Desensitizing Toothpaste: These contain ingredients like potassium nitrate or strontium chloride that help block nerve signals, reducing sensitivity.
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Gentle Brushing and Flossing: Use a soft-bristled toothbrush and floss gently to avoid irritating the area further.
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Avoid Irritating Foods and Drinks: Temporarily refrain from extremely hot, cold, acidic, or sugary foods and drinks.
When Should I Seek Immediate Dental Attention?
While lingering sensitivity warrants a dentist's attention, seek immediate care if you experience:
- Severe pain: Intense, throbbing pain indicates a more serious issue requiring prompt treatment.
- Swelling: Facial swelling around the crown suggests infection and requires immediate medical care.
- Loose crown: A loose crown can cause further damage or swallowing hazards.
Disclaimer: This information is for general knowledge and does not constitute medical advice. Always consult a qualified dental professional for diagnosis and treatment of any dental condition.
