Getting a dental crown is a significant procedure designed to restore a damaged tooth, protecting it from further decay and improving its appearance. However, lingering sensitivity after a month is unusual and warrants a closer look. While some minor sensitivity is expected immediately after placement, persistent discomfort suggests a potential underlying issue. Let's explore the reasons why your crown might still be sensitive after a month and what you can do about it.
Why Is My Crown Still Sensitive After a Month?
Several factors could contribute to ongoing sensitivity after a dental crown has been fitted. It's crucial to understand that this is not a typical outcome and requires professional assessment.
1. Irritation of the Tooth's Pulp (Nerve):
Even with proper preparation, the procedure might have inadvertently irritated the tooth's pulp. This irritation can manifest as lingering sensitivity, especially to hot, cold, or sweet substances. This is a serious possibility requiring a dental examination.
2. Inadequate Tooth Preparation:
If the tooth wasn't adequately prepared before the crown was placed, the crown might not fit perfectly. This imperfect fit can lead to gaps between the tooth and the crown, allowing irritants like food particles and bacteria to reach the sensitive dentin beneath the enamel. This, in turn, results in prolonged sensitivity.
3. Damaged Tooth Structure Underneath:
Sometimes, underlying decay or cracks might not be fully addressed before crown placement. These pre-existing issues can continue to cause sensitivity even after the crown is in place.
4. Allergic Reaction to Crown Material:
Although rare, some individuals may experience an allergic reaction to the metal or porcelain used in the crown. This can manifest as ongoing discomfort or inflammation in the gum tissue surrounding the crown.
5. High Crown Bite:
A crown that's too high or placed unevenly can exert excessive pressure on your teeth when you bite down. This can cause sensitivity and discomfort.
6. Gum Recession:
Gum recession can expose the root surface of the tooth, increasing sensitivity. While unrelated directly to the crown, this can lead to discomfort that's mistaken for crown-related sensitivity.
What Should I Do If My Crown Is Still Sensitive?
Do not attempt to self-treat. Lingering sensitivity after a month necessitates a visit to your dentist. They can properly diagnose the problem and provide the appropriate treatment.
1. Schedule an Appointment:
Contact your dentist immediately to report the persistent sensitivity. Describe the type and severity of the discomfort to help them understand the situation better.
2. Describe Your Symptoms:
Provide detailed information about the type of sensitivity (e.g., hot, cold, sweet, pressure). This helps your dentist pinpoint the potential cause.
3. Be Prepared for Diagnostic Tests:
Your dentist may conduct further tests like X-rays to rule out any underlying issues or assess the crown's fit.
Can a Sensitive Crown Be Fixed?
Depending on the cause, your dentist might take several corrective actions:
- Adjusting the Crown: If the problem is an ill-fitting crown or a high bite, the dentist might adjust the crown to ensure a proper fit and alleviate pressure.
- Treating Underlying Decay: If there's underlying decay, the dentist may need to remove the crown, treat the decay, and then re-cement the crown. In some cases, a new crown might be necessary.
- Medication: In cases of pulp irritation, your dentist might prescribe medication to reduce inflammation.
- Root Canal: In severe cases where the pulp is irreversibly damaged, a root canal may be necessary to save the tooth.
Important Considerations:
Ignoring persistent sensitivity could lead to more serious dental problems, potentially resulting in tooth loss. Prompt professional attention is crucial. Be proactive and schedule an appointment with your dentist as soon as possible if you're experiencing discomfort.
Remember, this information is for educational purposes and doesn't replace professional dental advice. Always consult your dentist for diagnosis and treatment.
