Why Do I Have Pain After the Permanent Crowns Have Been Placed. I Had No Pain with the Temporary's at All?

It sounds as though the tooth is going to need a root canal. Though you did not have sensitivity in your temporaries, there are times when a tooth will "flare up" after the permanents have been seated.  If the pain is gradually getting worse you should consider having the root canal completed. The pain should subside rather quickly after the procedure. Good luck.    

Sounds like your new crown may be hitting too hard. Have the dentist check the bite especially in the chew cycle. Additionally, you may be grinding or clenching your teeth which would need some attention. Your dentist can help you out with that.

What you're describing sounds like the permanent crown needs a bite adjustment. If there is a "high spot" on the permanent crown, that tooth will be getting extra forces compared to the other teeth, which will irritate the tooth's nerve and cause it to become sensitive. When your dentist checks the bite, they should check it while you're sitting up in the chair, not laying down and they should have you tap on the teeth and grind around on it as well. You may want to take 800mg of ibuprofen 30 minutes before this appointment so you can bite firmly on the tooth and have it adjusted without feeling discomfort. This allows for the most accurate reading of the bite. Hope this helps!

Hi;

It sounds like you need an occlusal adjustment and a need for a occlusal splint.  Consult your dentist for fabrication of a splint and possible occlusal adjustment.

Good luck.

Dr. Mahnaz Rashti.

Thank you for your questionAs my colleagues have explained - there are many possible reasons for pain after a new permanent crown(s) is fitted. Unfortunately for you and your dentist, some of the solutions are easier to check (where the crown is high) than others (whether the tooth nerve us dying). Sometimes this means, at least after the easier things are done, that you will have to wait until the tooth reveals more - either via dental tests or x-ray changes - both of where happen later in the process. Good luck finding a solution and kind reagrdsThomas Dey, BDS, MSc 

Hi:Most likely you need to adjust the bite and check for any clenching or grinding pressure on the tooth.  Best,Dr. Maddahi

Allie, thank you for a great question. Porcelain is a lot harder material then plastic, which a temporary crown is made of. Any discrepancy in bite, i.e. premature contacts, can trigger discomfort you are describing. It is most common in people, who grind. Make sure to let your doctor check your bite, especially protrusive movements.
Hope this helps.

Allie, if teeth do have pain with new crowns when you did not have pain with the temps sometimes it is caused by the hydraulic pressure from the permanent cement. Or, it can be the bite that needs to be refined. If your bite is incorrect and does not feel perfect then it can cause the symptoms you mention. If it persists sometimes the nerve is weakened such that it may not recover. I would suggest you have your dentist recheck your bite. Good luck, Allie.

From your description it sounds like root canal symptoms.  The tooth could also have a crack but the end results is still the same.  Your more than likely need a root canal


 

Unfortunately, your symptoms mimic those of a tooth in need of a root canal. Although the nerve is "far enough away" there could be other problems such as a crack. This happens often and is not able to be diagnosed from an xray.