Toothache under a crown: the causes, what to do

Often found state after a dental treatment, when the tooth was ill under the prescribed orthopedic design, immediately or some time later. And is designated task: to remove the pain, preserving the design. Since orthopedic work is expensive, the patient often tries to do something at the initial stage itself. Home-made rinses, lotions, compresses. This question is quite relevant, reveal its details.


To orthopedic intervention

If you have a toothache under a crown is better without delay to consider what caused it. Causes of toothache heterogeneous. In most cases, the remove teeth before placing crowns, but is sometimes not carried out this step. Before the intervention the orthopedic surgeon assesses the radiograph at the end of therapeutic treatment. According to the testimony runs secondary treatment or extraction. Toothache under a crown on the background of transformations in the tooth.

When a toothache under a crown then the reasons may be due to therapeutic treatment:

  • leaving the fragment polovoy tissue at resection.
  • inappropriate use of antiseptic.
  • create holes for radix: at the stage of mechanical cleaning hand and machine tools, in the process of the post.
  • breaking the apex.
  • leaving the fragment of boron or an endodontic file: a defect of the equipment of rotation of the tool in the channel, the secondary use of tools, therapy in the narrow strongly curved channels.
  • the closure extensions of the channel seal nekorrektno and not to the end.
  • removing the apex seal mass.

Pain after orthopedic tactics: before and after installation of crowns

Toothache under a crown manifests itself after treatment with a prosthetist. A method of treating an orthopedist, due to the clinical picture of the mouth. Depending on the choice of certain structures (pressed and sintered) to remove the pulp of the tooth.

Under the crown hurts when you wrongly made initially the diagnosis or cause of the discomfort the result of a medical treatment tactics. The doctor diagnosed a healthy tooth (no defects) and started the intervention with insufficient cooling. Is hyperthermia and the neurovascular bundle becomes dead. Or when dissection at the same time the water supplied, but there was inflammation on toxins of microbial flora.

Pain under a crown effect and after installation. This affects defect occlusion. If you do not perform time correction, there will be a strain when biting, and there is inflammation. And also appear changes in the work of the temporomandibular joint. Another option discomfort injuries to the gums, during the passage of the structure into the interdental space deep. Either there is no connection of the structure with the gums. At a deep location is a permanent local trauma to the gums, causing inflammation, manifested pereraspredelyatsya pain. The gap between design and fabric fills quickly when eating. Gradually the defect solid tissues of the tooth.

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Common symptoms

Why a toothache under a crown? After installation of crowns possible discomfort for several days on the background of the adaptation of the mucosa to a foreign body. The orthopedic surgeon must inform the patient and prescribe painkillers: Nise, ketarol, Ketanov. To prevent the occurrence of inflammation in the swelling of the mucous membrane attaching antihistamines: diazolin, suprastin, tavegil. Due to the part of the histamine blocking mechanisms triggering discomfort. Medications should be assigned in correlation with the organs and pathologies should also be told of the negative effects (the craving for sleep, decrease in concentration).

Under orthopedic design the pain is caused and infectious process in the canal or in the apical part. Symptomatology is manifested by redness in the gums, a gumboil with detachable, granuloma, an unpleasant odor.

The patient may note the uneven closure, dryness, burning sensation, rash on the mucous membrane, the skin (allergic reaction), metallic taste in saliva, change of color of the crowns and the surrounding teeth, headache, malaise (galvanic syndrome with the installation of orthopedic structures made of metals of different alloys). Recommended urgently to appear at the doctor when she’s sick under the crown in the form of throbbing, aching, prolonged pain; allergies and galvanic manifestations.

What to do and how to treat?

Folk therapy: what to do?

When you have a dead tooth under a crown for a short time, to alleviate the condition will help treatment at home as a rinse. Soda irrigation is the preferred method since the baking soda has anti-inflammatory and antimicrobial action. Preparation: 1 teaspoon per Cup of warm water; the mouth of the bath is carried out, concentrating the solution around the affected tooth. The number of applications to the exhaustion of the solution. Irrigation of the mouth produce and infusions of medicinal herbs. Sage tea is used 5 times a day total time of 30 minutes. Helps sore gums and relieves inflammation within the gums. You can use oregano in addition to anti-inflammatory action will have a calming effect. Used 5-7 times in 1 hour.

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Treats dentist: what will he do?

Each crown has an expiration date. Depending on the type and material delivery times vary. For stamped designs 10-15 years, metal-ceramic 15-20 years. Because we must understand that the tooth may not be healthy under the crown always. However, if after installation there is pain or in the near future, it is necessary to think and to visit the dentist again.

Doctor’s tactics in this case

  • repeated passage of unsealing, machining, sealing.
  • replacement of traumatic or overestimating the bite of the crown.
  • tooth extraction, plan for prosthesis again, given the new clinical picture.

Clinical variants pain

Every clinical case has its own tactics.

Pain, observed shortly after the establishment of the crown

Acute throbbing pain caused by the overheating of polovoy tissue and subsequently edema:

    Trepanation crowns:

  1. an entrance into the cavity of the tooth, respectively, the mouth of the channel.
  2. The disclosure of the mouth of the root in the problem and healthy.
  3. Processing channel, creating a taper ledge.
  4. Filling the voids in the root filling: a method of lateral, vertical condensation.
  5. X-ray inspection.
  6. Replacement crowns.
  7. To make the control radiograph after six months and 1 year;

Nagging long-lasting pain due to the fact that vascular-nervous plexus was lost on the background of the initial presence of microflora (toxins), hyperthermia, leading to tissue necrosis.

  • The creation of the entrance to the estuary through the crown.
  • The opening of the mouth in the roots.
  • Cleansing of the channels using mechanical or chemical purification.
  • Alternating treatment with antiseptics.
  • Filling the canals with modern materials.
  • To do an x-ray examination.
  • Replacement crowns.
  • Control examination after six months or a year;

Pain under tooth crown, after a long time


In the case of pain after six months or more after the establishment of the orthotic design must first do an x-ray examination. Upon detection of pathologic resorption of the apical region and the inability of therapy to produce a combination of therapeutic and surgical interventions.

  1. Define an entry point in the mouth.
  2. Open and clean the channels.
  3. Expand the channels, creating taper to ¾ the length of the root
  4. Close the cavity with a filling material.
  5. To do control the closure of the x-ray.
  6. Resect the root apex.
  7. Replacement crowns.
  8. Re-checking after six months and a year;
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When defective secondary processing channels perform tooth-preserving surgery: cystotomy, cystectomy, amputation, hemisection.

A very important aspect of any intervention that the appearance of discomfort after the establishment of the prosthetic ends with replacement crowns.

If necessary, pharmacological therapy is added in the form of an antibiotics in severe infectious consequences.


If a toothache under a crown what can you do to prevent pain after orthopaedic intervention? After the establishment of the crowns is necessary to carry out regular oral hygiene. Brush your teeth 2 times a day to clean interdental spaces thoroughly, especially at the point of contact of the crown with the gum, as these areas quickly accumulate food remnants, plaque. To do this, use basic and additional means of hygiene. Basic tools: toothbrush and paste (preventive). It is necessary to maintain hygiene and optional features: rinses, foams, floss (floss), gum. You can not eat hard food, chew sunflower seeds, seeds.

If the patient did not bother to visit the podiatrist is necessary 2 times a year for a checkup.