Pain after a temporary crown is common, but it’s nothing to ignore. After the procedure, you may experience sharp nerve pain and sensitivity in your teeth, even in your jaws and ears. This can occur because of exposed nerves, a high bite, or irritation from the crown material.
If your tooth hurts more after getting a temporary crown, you should understand why and how to relieve it fast.
In this guide, we will discuss the common causes of temporary crown pain, how to relieve it quickly, and when to see a dentist.
Let’s get started.
What Are the Possible Causes of Pain from a Temporary Dental Crown?
Getting temporary crowns is a common procedure before getting the final crowns placed. A little sensitivity is normal, but excessive or piercing pain may be a sign that something is wrong. Here are the top reasons behind temporary crown pain:
Your Crown Doesn’t Fit Properly
A temporary crown is not custom-made as is the permanent one. As a result, it may not provide a tight fit over your tooth. If the crown is overly high, it can put added pressure on when you bite down, causing discomfort. A crown that doesn’t fit well can also rub on your gums and irritate them.
In some cases, this irritation may even make the roof of your mouth hurt, especially if inflammation spreads to surrounding tissues. If your bite seems off or you have discomfort in your jaw, it’s wise to reach out to your dentist.
Tooth Sensitivity and Nerve Exposure
The natural tooth beneath the crown still has nerves. If the crown isn’t properly sealed, air, cold, or heat can get to the nerve, causing a sharp, uncomfortable sensation. Some patients say it hurts to drink hot coffee or eat ice cream. This may typically subside after the permanent crown is placed, but in some instances, a dentist may need to adjust the temporary crown.
Hidden Tooth Fracture or Damage
Sometimes, a crack or fracture below the crown is responsible. When you chew, a deep crack down to the inner pulp of the tooth can hurt, particularly when releasing your bite. If it is extensive, your dentist might advise a root canal prior to putting in the permanent crown.
Teeth Grinding (Bruxism)
If you grind or clench your teeth — especially at night — that can put extra stress on a temporary crown. Because these crowns aren’t as durable as permanent ones, too much pressure can lead to discomfort or even dislodge the crown. If you wake up with sore teeth or jaw pain, wearing a mouthguard while you sleep can help.
Cavities and Infection Under the Crown
It’s normal for the gum tissue to feel a little sore after getting a temporary crown. The procedure can irritate the gum tissue in itself, causing tenderness. But if the pain doesn’t subside after a few days, or it becomes worse, it could signal an infection or a poorly fitting crown that’s pushing against the gums.
What Should You Do If Your Temporary Crown Hurts?
While discomfort is normal for a day or two after placement, ongoing pain isn’t something to ignore. Here’s what you can do to manage it:
1. Check Your Bite
Does your bite feel uneven? If your temporary crown is too high, it can create excess pressure when chewing. Try lightly tapping your teeth together—if the crowned tooth is the first to hit, the crown may need an adjustment. A quick visit to the dentist can correct this.
2. Avoid Sticky or Hard Foods
Temporary crowns aren’t as strong as permanent ones and do not last long, so it’s best to avoid foods that can dislodge or put extra pressure on them.
Stay away from:
- Chewy candies
- Hard nuts
- Crunchy snacks
- Ice cubes
Stick to soft foods like yogurt, soup, and mashed potatoes to avoid pressure on your temporary crown. For a complete list, check out the best foods to eat after teeth removal.
3. Practice Good Oral Hygiene
Keeping your temporary crown clean is key to preventing infection. Brush gently around the area and floss carefully. Instead of pulling the floss straight out, slide it out from the side to avoid dislodging the crown.
4. Use a Nightguard If You Grind Your Teeth
If you clench or grind your teeth at night, your temporary crown may take a beating. Wearing a nightguard can protect both your natural teeth and your crown from excess pressure.
How to Relieve Pain from a Temporary Crown
While waiting for your dentist appointment, you can try these simple remedies to ease the pain:
1. Over-the-Counter Pain Relievers
Painkillers such as ibuprofen (Advil) or acetaminophen (Tylenol) may help manage pain and reduce inflammation. Use the recommended dosage on the label, and avoid taking painkillers for more than a few days without checking with your dentist.
2. Saltwater Rinse
A warm saltwater rinse can calm sore gums and also eliminate bacteria in the mouth. Just mix a teaspoon of salt in warm water and swish it around your mouth for 30 seconds and then spit it out.
3. Clove Oil for Numbing Relief
Clove oil has natural analgesic properties to numb the pain. Apply a small amount to a cotton swab and dab it on the affected area. Take care — clove oil is powerful, so a little goes a long way.
4. Cold Compress for Swelling
If your gums are swollen or tender, place a cold compress against the outside of your cheek for 15 minutes at a time. This may help get rid of the contaminants and temporarily reduce inflammation.
5. Avoid Extreme Temperatures
If your temporary crown isn’t perfectly sealed, hot and cold foods can trigger pain. Avoid sudden sensitivity, so stick to lukewarm drinks and meals.
6. Try a Numbing Gel
Topical numbing gels — such as benzocaine — can provide temporary relief when applied to the affected area.
When to See a Dentist
Most temporary crown pain improves within a few days. However, you should contact your dentist if you experience:
- Severe or throbbing pain lasting more than a week.
- Swelling, redness, or pus, which may indicate an infection.
- Crown feels loose or falls off.
- Pain that worsens instead of improving
- Potential Risks of Ignoring Pain
According to the American Association of Endodontists (AAE), untreated nerve pain can escalate into severe infections needing emergency treatment. Such as:
- Infection spreading to other areas of the mouth
- Permanent nerve damage, requiring a root canal
- Difficulty eating, leading to nutritional issues
What to Do If Your Temporary Crown Falls Out and Causes Pain
Temporary crowns are designed to be removed easily, so they can occasionally become loose or fall out before your permanent crown is ready. If this happens, follow these steps:
1. Retrieve the Crown (If Possible)
If your temporary crown has fallen out, find it and store it in a clean container. Your dentist may be able to reattach it rather than making a new one.
2. Call Your Dentist Immediately
Let your dentist know as soon as possible. They will advise you on whether you should come in for an appointment or try to reattach it at home using temporary dental adhesive.
3. Protect the Exposed Tooth
Without the crown, your tooth is more sensitive to hot, cold, and pressure. To minimize discomfort:
- Avoid chewing on the affected side.
- Stick to soft foods that don’t require much biting or chewing.
- Use over-the-counter pain relievers if the exposed tooth is causing discomfort.
4. Reattach the Crown (If Advised by Your Dentist)
If your dentist suggests placing the crown back temporarily, follow these steps:
- Rinse the inside of the crown and the affected tooth with warm water.
- Apply a small amount of dental cement (available at most pharmacies) or toothpaste inside the crown.
- Carefully place the crown back over your tooth, ensuring it sits properly.
- Avoid chewing on that side until you can visit your dentist for a permanent fix.
If your crown falls out repeatedly, don’t attempt to fix it yourself multiple times—this could damage the tooth underneath.
Last Words
If you experience pain from a temporary crown, basic home remedies such as saltwater rinses, cold compresses, and over-the-counter pain relievers can help in the short term, but we advise seeing your dentist if the pain continues for longer than a week.
FAQs
Is pain from a temporary crown normal?
Yes, some discomfort is common, especially in the first few days after placement. However, sharp, intense, or prolonged pain may indicate a problem requiring a dentist’s attention.
How long does pain from a temporary crown last?
Most mild pain or sensitivity resolves within 3–5 days. If pain persists for more than a week, consult your dentist.
Can I drink coffee with a temporary crown?
Yes, but be cautious. Hot drinks can trigger sensitivity, so try lukewarm beverages instead.
What is the best painkiller for temporary crown pain?
Ibuprofen (Advil, Motrin) is often recommended for its anti-inflammatory effects. Acetaminophen (Tylenol) is another option.
Should I avoid eating on the side with the temporary crown?
Yes, it’s best to chew on the opposite side of your mouth to prevent dislodging or damaging the temporary crown.
Will a permanent crown stop the pain?
In most cases, yes. If the temporary crown was causing discomfort due to an improper fit, nerve sensitivity, or bite misalignment, a well-fitted permanent crown should resolve the issue. However, if the pain continues after the permanent crown is placed, consult your dentist.
