Temporary crown had no issues; permanent crown is a painful disaster! Any suggestions?

Was the tooth painful ever since the permanant crown was placed or did the pain start a while later?I would recommend returning to your dentist to evaluate the crown and area. He/she may be able to do a simple in office bite adjustment of the porcelain and bite or you may need a referral to an root canal specialist. If the crown never "felt right" and was always uncomfortable and painful when biting or chewing, many times that is a sure sign that your "bite is off" and  some quick adjustments by your dentist can solve the issue. There is a possibility as well that you are experiencing a irreversible pulpitis of the nerve within the tooth and you may need a root canal.Have your dentist or a new dentist evaluate the crown and I hope it is corrected back to form, esthetics, function and health as soon as possible!

Hello Tony,I would recommend returning to your dentist for a complete evaluation to determine the issue. He/she may need to refer you to an endodontist. The pain you are experiencing could mean one of the following:1) Your bite is off some and needs to be adjusted by your dentist. This is usually a 5-10 minute procedure that can fix the problem.2) You may need a root canal through your crowned tooth.Good luck and I hope this helps. Follow me if you have more questions.Sarah Thompson, DMDSt. Louis, MO area (O'Fallon, IL)Real Self 100

Dear tonydweaver, Have you returned to your
dentist for an evaluation of your bite? Did the tooth under the crown have a
root canal treatment? Additional information is needed in order to find what’s
causing so much discomfort. It sounds like it might be the bite problem, but it
has been almost a year since you had it inserted. I would go back to your
dentist for re-evaluation.

Temporary crowns and permanent crowns are very different. They temporary is acrylic which is flexible and the temporary cement is very soft. Permanent crowns are more rigid and precisely hold the teeth together. Temporary crowns are very forgiving and permanent crowns aren't. It sounds as if the temporary improved the situation, possibly a cracked tooth, because it offered support but still allowed the tooth to flex. The permanent is stronger and more supportive long term, but if there is any inflammation within the tooth there is no room for expansion. I suggest visiting your dentist to determine if there are any bite interferences, if there are not any it's possible the tooth will need a root canal. The need for a root canal was not caused by the crown, the underlying problem was already there but the temporary acted as a bandaid.