Dental Crown Tooth Pain: Causes And Treatment (Best Guide For 2023)

Our in-depth 2023 guide covers dental crown tooth pain, including its causes and treatments. Learn essential strategies for managing discomfort, maintaining optimal oral health, and preserving your confident smile through various stages of the process.

8 min readDental Crown Tooth Pain: Causes and Treatments

 Dental crowns are a popular and effective solution for various tooth problems, such as damaged, weakened, or discolored teeth. However, it's not uncommon for patients to experience tooth pain or discomfort associated with their dental crowns at various stages of the process, be it before, during, or after the procedure is complete.

In this comprehensive guide for 2023, we'll delve into the underlying causes and treatments for dental crown tooth pain, providing essential knowledge for coping with this discomfort and ensuring optimal oral health.

What Causes Tooth Crown Pain? Top Causes

Experiencing tooth pain after dental crown placement can be attributed to numerous factors. Identifying the specific reason is crucial for determining the best course of action to alleviate the discomfort and address any potential issues.

Dry Socket

Dry socket, also known as alveolar osteitis, occurs when the blood clot that forms at the tooth extraction site is dislodged, disturbed, or dissolves prematurely, leaving the exposed bone and nerves vulnerable to pain and infection. This condition can cause severe tooth crown pain, making it crucial to seek immediate treatment to prevent further complications and alleviate the discomfort.


Oral Infections can emerge as a result of dental procedures, including crown placement. Bacteria can infiltrate the tooth or surrounding gum tissues, leading to inflammation, swelling, and tooth pain after the permanent crown has been affixed. Treating infections in a timely manner is essential in order to avoid potential complications and prevent the infection from spreading to other areas of the mouth.


A tooth can be cracked or fractured during the crown preparation process or due to incidents following the placement. Either case can lead to tooth pain after the dental crown is in place, especially when biting down or applying pressure to the affected tooth. Seeking professional dental consultation is vital in order to diagnose and treat the fracture, thereby alleviating the pain and preserving the long-term integrity of the dental crown.

Treatment Options For Dental Crown Tooth Pain

Now that we've discussed the top causes of tooth pain after dental crown placement, let's explore some effective treatment options for addressing and managing the discomfort.

Tooth Decay

Tooth decay is a common issue that can lead to a black dot on your tooth. When present beneath the crown, tooth decay can result in persistent tooth pain, and you may require professional dental assistance. In such cases, your dentist will need to remove the crown, treat the underlying decay by cleaning out the affected area and filling it, and finally, re-cement the existing crown or place a new one.

Sore Gums

Another potential reason for a black dot on your tooth is sore or inflamed gum tissue surrounding the crowned tooth. The crown preparation or cementation process might irritate the gum tissue, resulting in sore gums and discomfort along the tooth margin. To alleviate this issue, your dentist may recommend over-the-counter pain medication or prescribe a stronger painkiller, depending on the severity of the inflammation.

Teeth Grinding (Bruxism)

Teeth grinding or bruxism can also contribute to a black dot on your tooth by putting extra pressure and strain on a crowned tooth, leading to tooth pain in the process. Patients who experience tooth pain while biting down, especially after recently having a crown placed, should consider the possibility of bruxism. To address this issue, your dentist may recommend wearing a custom-fitted night guard to protect your teeth while you sleep.

Recessed Gums

Recessed gum tissue can expose the tooth's root, making a crowned tooth more sensitive and susceptible to pain, as well as the appearance of a black dot. Gum recession occurs when the gum tissue recedes or pulls away from the tooth, leaving more of the tooth's root exposed. Maintaining good oral hygiene and visiting the dentist regularly can help prevent gum recession and related pain. If gum recession does occur, your dentist can suggest appropriate treatment options, such as gum grafting, to help restore the gum tissue.


Cavities can develop near or under the crown, resulting in a black dot on your tooth and referred tooth pain after the crown is placed. Proper oral hygiene practices, such as brushing and flossing daily and regular dental checkups, can help prevent the formation of cavities and detect them at their early stages. If a cavity is detected, your dentist may remove the crown to treat the affected area and place a new crown to restore your tooth's function and appearance.

Tried And Tested Ways To Relieve Tooth Crown Pain: An In-Depth Look At Remedies

When experiencing tooth crown pain, there are several remedies available that can help provide relief. The appropriate remedy will largely depend on the root cause of the pain you are experiencing. In this section, we will explore various remedies in greater detail, outlining how they may be effective in alleviating your discomfort.

Over-The-Counter Pain Relievers

Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can provide relief for mild to moderate tooth crown pain. These medications work by reducing inflammation and blocking pain signals in the body. When using these medications, it's crucial to follow the recommended dosages provided on the packaging or as instructed by your healthcare professional. If the pain persists, be sure to consult with your dentist to confirm whether a different medication or treatment option would be better suited for your needs.

Herbal Remedies


Chamomile has been known for its soothing and anti-inflammatory properties, which can alleviate inflammation and discomfort resulting from tooth crown pain. You can use chamomile in various forms, such as chamomile tea, which can be sipped or used to gargle and rinse your mouth. Alternatively, you can apply chamomile essential oil diluted with carrier oil (like olive or coconut oil) directly to the affected area for localized relief.


Cloves are another herbal remedy that can help with tooth crown pain. They contain a natural anesthetic called eugenol that acts as a numbing agent, providing relief from toothache and gum pain. You can apply a small amount of clove oil directly to the painful area or simply chew on a whole clove to release its soothing properties.


Turmeric boasts potent anti-inflammatory effects due to the presence of the compound curcumin. Adding turmeric to your daily diet, either in the form of a supplement or by using it as a culinary seasoning, may help reduce inflammation and discomfort caused by tooth crown pain.

Rinsing Your Mouth With Warm Salt Water

One of the simplest yet effective ways to relieve tooth crown pain is by rinsing your mouth with a warm saltwater solution. The combination of salt and warm water works together to help disinfect the area, soothe irritated gums, and flush out any debris from the extraction site or around the crown.

To prepare a saltwater rinse, dissolve a half-teaspoon of salt in 8 ounces of warm water, swish the solution around your mouth for 30-60 seconds, and then spit it out. Repeat this process several times throughout the day as needed for relief.

While these remedies can provide temporary relief for tooth crown pain, it's always essential to consult with your dentist to address any underlying issues that may be causing the pain. Early intervention and professional treatment can help prevent further complications and maintain good oral health.

Problematic Foods And Dietary Considerations

When aiming to alleviate tooth crown pain, one crucial factor to consider is your diet. It's essential to avoid certain hard, crunchy, or sticky foods that may irritate the crowned tooth or extraction site, leading to increased discomfort. Instead, opt for softer foods and maintain a balanced diet to promote overall oral health.

Here are some specific foods to avoid:

  • Hard candies or nuts
  • Foods with small seeds (like berries or sesame seeds)
  • Chewy candies, such as caramel or taffy
  • Tough meats

On the other hand, consider eating soft foods that are gentle on your teeth:

  • Mashed potatoes
  • Cooked vegetables
  • Smoothies
  • Rice

Taking these dietary precautions can play a significant role in reducing tooth crown pain.

Hydrogen Peroxide

Using diluted hydrogen peroxide (typically mixed in a ratio of 1 part peroxide to 3 parts water) as an oral rinse can help to reduce inflammation and clean the area around the crown. This aids in the prevention of infections and provides a safer environment for the crowned tooth to heal.

Cold Compress

Applying a cold compress to the face near the affected tooth can be a simple yet effective method to help reduce inflammation and provide temporary pain relief. When using a cold compress, remember to use a cloth or towel between the compress and your skin to avoid cold-induced skin injuries.


Teeth grinding or bruxism could be a potential cause of your tooth crown pain. In this case, a custom-made nightguard from your dentist can protect your teeth and alleviate discomfort while sleeping. The nightguard acts as a barrier between your upper and lower teeth, preventing grinding-induced tooth damage.

Clove Oil

Clove oil has been known for its natural analgesic and anti-inflammatory properties, which can help alleviate toothache and tooth crown pain. To apply clove oil, dampen a cotton ball or swab with the oil and gently press it against the painful area. However, it is essential to note that clove oil should be used sparingly and with caution, as it can cause irritation if applied in excess or to sensitive areas of the mouth.

Comprehensive Analysis Of Tooth Pain Under Crown: Causes And Fluctuations

Tooth pain under a crown can be a perplexing issue, as it may come and go sporadically, leaving you unsure of whether it's a problem to address. There are several factors that can contribute to this intermittent pain, such as food sensitivity, changes in temperature, or pressure applied to the tooth while eating. In order to determine the cause and receive appropriate treatment, it's crucial to consult with your dentist.

Can A Crown Tooth Hurt Years Later?

Although it might seem unusual, it's entirely possible to experience tooth pain years after having a crown placed. This delayed discomfort can be the result of a few different factors, such as decay beneath the crown, gum recession exposing the sensitive tooth structure, or issues with the tooth itself, like cracks or nerve damage. Regular dental checkups and proper oral hygiene can aid in detecting and addressing these issues before they develop into severe problems.

How Normal Is Pain And Sensitivity With Temporary Dental Crowns?

If you have a temporary dental crown, you might be curious if it's normal to feel pain or sensitivity. Mild discomfort and sensitivity are common with temporary crowns, but if you experience severe or persistent pain, it could indicate a problem with the crown's fit, the tooth's nerves, or even decay beneath the crown. In these situations, it's important to contact your dentist promptly to discuss your concerns and determine if any adjustments or treatments are necessary.

Tooth Pain After Crown Placement: How Long Does It Last?

It's normal to experience some tooth pain after having a crown placed, but this discomfort should subside within a few days to a week. However, you might still experience some sensitivity lasting up to a few weeks, particularly when eating or drinking hot or cold foods and beverages. If your pain doesn't subside, intensifies, or is accompanied by other symptoms, it's essential to consult with your dentist.

Identifying Infections After A Tooth Crown Procedure

Post-crown placement infections, although uncommon, are a concern to be aware of. Signs that your tooth might be infected after the procedure include persistent pain, swelling, redness around the gum line, pus discharge, or a bad taste in your mouth. If you suspect an infection, don't hesitate to contact your dentist immediately for an evaluation and appropriate treatment.

Nighttime Tooth Pain With Temporary Crowns: Potential Causes

Experiencing pain at night while wearing a temporary crown can be especially distressing. This nighttime discomfort could be due to various factors, such as an ill-fitting crown or teeth grinding (bruxism), which places excess pressure on the crowned tooth. The pain may become more noticeable at night due to increased inflammation and a lack of distractions. If your nighttime tooth pain persists or worsens, it's important to consult your dentist, who can investigate the issue and recommend potential adjustments or treatments.