Why Does My Crowned Tooth Hurt When I Bite Down

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Why Does My Tooth with a Crown Hurt When Biting Down?

December 1, 2023

Have you recently noticed intense discomfort or pain when biting down on a crowned tooth? You are not alone. Many people experience this issue, and it can be quite distressing. In this article, we share insights into the common causes of tooth pain when biting down on a crowned tooth, discuss possible treatment options, and provide tips for effective prevention. Whether you’re currently dealing with this issue or simply seeking knowledge for the future, this guide has got you covered.

Understanding Crowned Teeth

A dental crown, often termed a cap, is a custom-made prosthetic designed to envelop a tooth that has suffered from damage or decay. This aids in reinstating the tooth’s original form, dimensions, and structural integrity. The crown acts as a protective covering, ensuring the underlying tooth remains stable and functional. Crowns are often used to improve the appearance, strength, and functionality of teeth affected by extensive decay, fractures, or cosmetic concerns.

Why Does a Crowned Tooth Hurt When Biting Down?

A hurting crowned tooth when biting down may happen because the crown or the tooth underneath could be damaged or have an infection. This makes the tooth sensitive. It’s important to see a dentist who can fix the issue to stop the pain and restore your smile. Understanding the root cause is crucial in resolving the issue and seeking appropriate treatment.

Common Causes of Tooth Pain When Biting Down

Let’s explore some common causes of tooth pain when biting down on a crowned tooth:

  • Tooth Decay or Cavities

Tooth decay can affect the tooth beneath the dental crown, leading to pain and sensitivity. Bacteria and plaque can accumulate around the crown’s edges, causing decay and cavities to form. Without treatment, decay can advance and impact the nerve of the tooth, leading to pain when applying pressure or biting down.

  • Dental Fractures or Cracks

Over time, dental crowns may become susceptible to cracks or fractures due to prolonged wear and tear, accidents, or grinding/clenching of teeth (bruxism). These cracks can expose the underlying tooth structure, irritate the nerves, and result in pain when biting down.

  • Failed Root Canal Treatment

In certain cases, a dental crown is utilized to encase a tooth following a root canal procedure. If the root canal procedure fails or is incomplete, the tooth can become infected or develop an abscess. This can cause significant pain and sensitivity, particularly when pressure is applied during biting.

  • Infected Gums or Abscessed Tooth

Infection can occur around the gum line of a crowned tooth, leading to pain and discomfort upon biting down. The infection may be caused by poor oral hygiene, gum disease, or an abscessed tooth. It’s important to address these issues promptly to alleviate the pain and prevent further complications.

When to Seek Professional Help

Experiencing continuous or intense toothache, especially when biting down on a tooth with a crown, necessitates professional consultation for dental crowns in Houston. It’s normal to feel some sensitivity right after a crown is placed, but if the pain persists or intensifies, it could be a sign of deeper problems. Your dentist is equipped to identify the root cause of this discomfort and advise the best treatment plan.

How Is Tooth Pain Diagnosed?

When you visit your dentist with tooth pain while biting down, they will conduct a thorough examination to determine the cause. This may involve:

  • Visual examination of the crown, surrounding teeth, and gums
  • Probing the tooth and surrounding tissues for signs of inflammation or infection
  • Dental X-rays to assess the root structure and detect any hidden issues
  • Analyzing your dental history and discussing your symptoms

Following the examination, your dentist will offer a precise diagnosis and suggest appropriate treatment solutions to relieve your discomfort.

Treatment Options for a Crowned Tooth Hurting When Biting Down

The treatment for a crowned tooth that hurts when biting down will depend on the underlying cause. Here are some commonly recommended options:

  • Dental Fillings or Bonding

If tooth decay or cavities are causing your pain, your dentist may need to remove the decayed portion and fill the cavity with a dental filling or bonding material. This aims to eliminate the discomfort and restore the tooth’s integrity.

  • Root Canal Therapy

If the pain is due to a failed root canal treatment or an abscessed tooth, a root canal procedure may be necessary. The procedure includes the removal of the infected pulp, followed by a careful cleaning of the root canals, and finally sealing them to prevent any future infections. Typically, successful completion of a root canal treatment results in diminished pain.

  • Dental Crowns Replacement or Adjustment

In cases where the pain is caused by a cracked or damaged dental crown, your dentist may recommend replacing the crown. A new crown will ensure a proper fit and alleviate the discomfort. Sometimes, a crown may only require slight adjustments to correct the bite alignment, resolving the issue without the need for a complete replacement.

  • Tooth Extraction and Replacement Options

If the tooth beneath the crown is severely damaged or decayed, it may be necessary to extract the tooth altogether. However, this is usually a last choice before the dentist attempts to restore your smile and oral health with dental implants, bridges, or partial dentures.

  • Tips for Managing Pain at Home

While awaiting your dental appointment, there are a few measures you can take to manage the pain:

  • Avoid chewing on the affected side, opting for softer foods instead.
  • Rinse your mouth with warm saltwater to alleviate discomfort.
  • Temporary relief from pain can often be achieved with over-the-counter pain reliever yet consulting your dentist before taking any medication is crucial.
  • Tips for Preventing Tooth Pain after Crown Placement

To prevent tooth pain after a crown placement or minimize the risk of recurrence, consider these preventive measures:

  • Ensure excellent oral hygiene through regular brushing, twice a day, and consistent flossing.
  • Arrange for routine dental examinations to catch any issues at an early stage.
  • If teeth grinding or clenching is a concern for you, think about using a nightguard.
  • Steer clear of chewing on hard materials or employing your teeth in place of tools.
  • Comply with any tailored care directions given by your dentist regarding your dental crown.

If you want your dental crowns to last as long as possible and cause you the least amount of pain, be sure to follow these preventative measures.


Experiencing tooth pain when biting down on a crowned tooth can be distressing, but understanding the causes and seeking professional help can lead to effective solutions. From addressing tooth decay and fractures to root canal therapy and dental crown adjustments, there are various treatment options available. Adhering to advised preventative steps and upholding proper oral hygiene routines can help reduce the likelihood of experiencing tooth pain and contribute to the lasting effectiveness of your dental crowns.

Securing a trustworthy dental office in Houston is key for managing tooth pain and keeping your smile healthy. That’s where Asure Dental comes into the picture. Asure Dental, a trusted name in Houston’s dental care, is your go-to destination for all your dental needs. Don’t let tooth pain hold you back – take action and prioritize your oral health today!

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