Investigating the cause of coated tooth pain + treatment methods

Dental veneers are one of the most widely used restorative methods in dentistry. However, statistics show that some people who have dental veneers complain of pain and discomfort after veneers. This shows that crown tooth pain is an uncommon but significant problem. But what is the cause of covered tooth pain? Join us in this article from Dr. Benianian's dental website so that we can explore the causes of the pain of covered teeth and learn the solutions to treat this pain. Common problems after dental veneers It is true that dental crowns are supposed to protect your teeth from further serious damage. But this tooth protector may cause some problems by itself. We will introduce some of the problems below. **1. Tooth sensitivity** After dental veneers, some people experience sensitivity to cold, heat or pressure. A problem that usually occurs due to irritation of the tooth nerve or thin veneer thickness. If the sensitivity is mild, it may decrease over time. But in severe cases, the doctor may recommend the use of special sensitivity toothpaste or, in some cases, additional treatments. **2. Pain or discomfort when chewing** Some people feel pain when chewing after veneers. This problem may be due to improper crown height adjustment or excessive pressure on the tooth. In these cases, the dentist can slightly trim and modify the veneer to reduce the pressure on the tooth. **3. loosening or falling of the coating** In some cases, dental veneers loosen or even fall out due to the use of improper adhesive, chewing hard foods, or decay under the veneer. In such a situation, you should immediately go to the dentist to reattach the veneer or, if necessary, make a new veneer. **4. Gum inflammation or infection** Sometimes, after veneering the tooth, the surrounding gum becomes inflamed and even infected. This problem may be caused by poor oral hygiene, inappropriate pressure of the veneer on the gums, or the presence of bacteria under the veneer. To prevent this problem, it is necessary to observe oral hygiene, use antiseptic mouthwash, and in some cases visit a dentist for treatment. 5. Discoloration or wear of the coating Possible reasons for the pain of a covered tooth There are many possibilities that can lead to the pain of a covered tooth. For example: - Shaving teeth during preparation for veneer installation - Infection Applying pressure to properly adhere the veneer to the tooth - Insufficient coating bonding - Tooth nerve stimulation - Byte mismatch - Tooth decay under the veneer - Gingivitis - Cover fracture - Allergic reaction ### Shaving teeth while preparing for veneer installation One of the common causes of toothache is the process of preparing the teeth for the installation of the veneer. During this preparation process, the dentist has to shave a part of the surface of the tooth so that the veneer sits completely on that tooth. This tooth shaving removes the outermost layer, the tooth enamel, thinly and even completely. As a result, dentin (which is softer than enamel and is located under enamel) is exposed to the oral environment and interacts with air. Finally, the tiny tubes on the dentin that are connected to the nerve, by receiving signals from the environment, cause pain in that tooth. Fortunately, this pain is temporary and will decrease with time and as the tooth adapts to new conditions. But you may be a little bothered about this in the initial days. ### Tooth infection under the veneer Another reason that can cause tooth pain after a veneer is the presence of an infection under the veneer. This infection can occur for various reasons. For example, not treating the caries completely before placing the veneer, or improperly installing the veneer on the tooth and creating an empty space between the tooth and the veneer. In the article "How to tell if a covered tooth is infected", we provided you with very complete explanations about the causes of this infection and the ways to diagnose it. But if we want to explain about this issue in general, we must say that tooth infection under the cover is associated with constant pain, temperature sensitivity, gum swelling, pus secretion and bad breath. If you don't think of treating this infection in time, pain will be the smallest complication! More serious consequences such as tooth loss, widespread infection in the jaw, and even blood infection are other problems that may arise due to tooth infection under the veneer. **Read more:** What to do when the crown falls off Applying pressure to properly adhere the crown to the tooth In order for the crown to adhere to your tooth completely and firmly, the dentist has to apply pressure to your crown with his hand or a special paste. Pressure in the direction of the photo of your teeth and relatively intense. During the crown bonding process, the dentist uses a special adhesive that attaches the crown to the tooth. In order for this adhesive to work well and for the veneer to stick firmly to the tooth, pressure must be applied on this veneer for about 10 to 15 minutes. Pressure that can sometimes cause pain in your tooth. Of course, this pain is not as severe as you think! Rather, it is only a temporary sensitivity that becomes less and less after a few hours. But if you feel that your pain is not getting better, you should definitely visit your dentist so that the cause of the pain of your veneered tooth is not getting better. Don't forget that although the pressure applied to attach the crown can cause pain in your tooth; But this pressure is necessary to ensure that the coating is firm and works properly. So work with your dentist and let the process of bonding your veneers complete properly. ### Insufficient bonding of tooth veneer As we said, dentists use a special and strong adhesive to attach the veneer to your tooth, and perform a process called bonding. If this adhesion is not strong enough, a space may develop between the crown and the tooth. A space that can become a place for the accumulation of bacteria and food, and as a result, lead to tooth decay under the veneer, inflammation of the gums, and ultimately pain and discomfort. This factor will only depend on the quality of the adhesive and the level of expertise of the dentist in installing the veneer (insufficient preparation of the tooth surface before gluing the veneer, the presence of moisture during the bonding process and insufficient pressure when gluing the veneer). So, to prevent its occurrence, be sure to visit a skilled and experienced dentist. Don't forget that, apart from pain, insufficient bonding of the coating will lead to many other problems such as loosening of the coating, its breakage and finally the need to replace the coating. Therefore, it is very important to be careful in choosing a dentist and using quality materials. Read more: Zirconia dental veneers ### **dental nerve stimulation** There are nerves inside the tooth that are responsible for transmitting the sensation of pain, temperature and pressure. In the process of preparing the tooth for the installation of the veneer, the dentist has to shave a part of the tooth tissue so that the veneer sits well on the tooth. The dentist may (unintentionally) damage or irritate your tooth nerve during this shave. As a result, after installing the crown on your tooth, you will experience a sharp pain that is similar to shooting. This pain becomes more intense when exposed to hot and cold foods, pickles and sweets, and sometimes it becomes so intense that it leaves you with no other option but to take painkillers. **Read more**: The price of ceramic dental veneers ### Non-alignment of the veneer with other teeth Another common reason that leads to tooth pain after installing a crown is the misalignment of the crown with other teeth and problems with the bite. It means that the crown is too short or too long compared to other teeth. When the crown is not properly placed on the tooth, or is not aligned with the adjacent teeth, it can cause excessive pressure on the teeth and jaw joint. Excessive and intense pressure that can lead to pain, discomfort and even damage to the teeth and surrounding tissues. Signs of non-alignment of the coating are very clear and difficult signs! From the pain when chewing food to the collision of teeth when talking, headache, jaw pain, sensitivity to temperature and difficulty in closing the mouth, all are among the symptoms of this condition. If you were facing these symptoms in your dental crown, you should visit the dentist immediately so that the dentist can align it with your adjacent teeth by shaving the crown. If the problem of misalignment is severe, it may be necessary to make a new veneer. ### Tooth decay under the veneer If you cover your tooth before the decay is completely treated, the bacteria will still remain under the cover, gradually penetrating the inner tissues of your tooth and causing further tooth decay. In such a situation, your tooth hurts under the cover and feels like shooting. ### Gingivitis If your dental crown is not made correctly or is not placed accurately on your tooth, it will cause pressure on the gum and as a result, it will cause severe inflammation in your gum. It may even be that the edges of your cover are sharp or rough, or even that bacteria can get under your cover. As a result of this condition, you will experience toothache, gum sensitivity, bleeding gums when brushing or flossing, and even tooth abscess. **Read more:** Bleeding gum treatment ### Fracture of cover When the veneer breaks, the sharp edges can damage the gums and cause inflammation and pain. They can even open the way for bacteria to penetrate into the lower teeth and cause a change in the way the teeth are positioned. As a result of all these events, which all stem from a simple fracture or crack, your tooth will hurt under the veneer. ### Allergic reaction Finally, the last and least likely thing that could lead to pain in your veneered tooth is your body having an allergic reaction to your veneer. Of course, dental veneers are usually produced from hypoallergenic materials; However, your tooth may still be sensitive to the raw material of the veneer and it may hurt. The cause of tooth pain during the installation of veneers