crowning teeth pain

If you thought a crown could spare you from pain as debilitating as a toothache, you may be surprised. Even though crowning a tooth does fix a lot of problems, if the nerve on the tooth is still alive, it can cause some pain.

In this short post, we will review whether or not a tooth with a crown can hurt (hint: yes), and what the procedure for getting a crown is. That is if you are not a royalty (bad joke intended).

Can Your Tooth Hurt After Crown?

Yes! While sensitivity varies from patient to patient, experiencing some degree of pain after receiving a dental crown is extremely common.

The pain usually subsides within 2 weeks. Oftentimes, the crown needs adjustments like when the bite is too high or it is not aligned with the rest of the teeth bite. But, if the crown fits perfectly, there may be other causes that need immediate attention.


  • Pressure on a traumatized nerve: It usually happens when the dentist fits the tooth crown without removing the tooth pulp through a root canal procedure. There are also instances when the dental pulp inside your tooth is infected and the soft tissue containing nerves and blood vessels is swollen.
  • Old tooth fillings that leak opening a hole in your teeth where bacteria could inhabit and cause nerve infection.
  • Teeth grinding can cause tooth crown pain, especially when there are areas where the tooth is higher than the bite. It can cause jaw pain, swelling on some part of the face and pain in the affected area. You can reduce the pain by using a mouth guard which you can purchase at drug stores and by taking relaxation or meditation exercises to reduce stress before sleep.

If you feel any discomfort after the crown was placed, make an urgent appointment with your dentist to identify and address the cause before it gets worse. Especially if the crowned tooth had already had a root canal procedure.

Treatment at Home

If you are grinding your teeth at night (bruxism), you can try wearing a mouth guard. There is no shortage of dental guards in local drug stores, but in time, you would want a custom one made from your dentist. 

You can treat the level of pain with pain-killers, but this should not last more than 3 days. If the crowned tooth continues to hurt (like a regular toothache), you should visit your dentist. 

Crowning a Tooth Procedure

The dentist will numb your tooth and the tissues around it with local anesthesia. But, the dentist may recommend a buildup or a filling procedure to ensure that the tooth will be strong enough to hold the crown before anesthetizing it. This procedure is advisable for those who had root canal treatment or tooth fractures.

Next, the dentist will shave down a bit of your enamel or file it for the crown to fit.

Then, a digital scanner is used to make an impression of the prepared tooth. It ensures that your crown fits your normal bite.  In most cases, they will take pictures of your teeth so that the crown would match the rest of your teeth.

They may advise you to consider a teeth whitening treatment to make sure that the crown will match your natural teeth. If you have discolored teeth, it is challenging to make a crown that matches the shade of your teeth without whitening.

Afterward, they will make a temporary crown and cement it with temporary cement to protect your exposed dentin from bacteria and damage caused by food collecting on the tooth area.

After a few weeks, you have to return for the removal of your temporary crown. They will put the permanent crown and make adjustments to make sure it fits perfectly and has smooth margins. They will cement it with a secure adhesive.

Author: Peter Mayhew

Peter is a dental hygienist in the city of Chicago, IL. In his free time he likes to write blogs and product reviews on anything dental health related.