Pressure pain under the crown when chewing
If a crown is firmly in place, it is possible that it will cause a pressure pain during chewing when getting used to it. In most cases, this pressure pain disappears completely after a few days. The ground tooth requires a certain wearing phase, since the crown only sets after cementation.
If the pain continues after about one and a half weeks, the occlusion should be checked by the dentist in charge, since pre-contact can be the cause. The tooth would then be subjected to too much stress when chewing and would therefore cause discomfort. After grinding in, this pain usually subsides quickly.
Crown after a root canal treatment
After the root canal treatment is completed, affected teeth become brittle because they are devitalized and no longer supplied with nutrients. This brittleness means that the teeth are at risk of breaking even at low loads. This is the reason why they should be crowned shortly after the root canal treatment.
If the root canal treated tooth breaks off, it often breaks off so deeply that it is no longer worth preserving and must be extracted. The crown, on the other hand, protects the tooth weakened in this case from the outside and creates a new stability comparable to that of a vital tooth. Before the crowning, in most cases, a pin is placed, which protects against pulling (extruding) forces and also provides more hold for the crown and stability.
The post and crown are planned and fabricated as soon as the tooth is free of complaints after optimal root canal filling (usually after 2 – 4 weeks). In general, the tooth should not be subjected to such heavy chewing loads during this time and, if necessary, it can be ground slightly out of occlusion so that it has less contact than the rest of the teeth when biting. The other teeth then briefly take over the chewing load of the treated tooth, which they can compensate for a certain period of time.
