Why Does My Capped Tooth Hurt? Common Causes of Pain

Crowns are supposed to fix tooth problems, not cause them. So why is your capped tooth still aching? Let’s break down what’s going on.
Dental at The Met Staff
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3
min read
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Let’s just say it. If you have a capped tooth that hurts, and you’ve been wondering if it’s “normal” or if you’re just being dramatic... you’re not.

Tooth pain under a crown can happen. And there’s usually a reason.

Pain is your body trying to get your attention. It’s not always serious, but it’s also not something to brush off. Literally.

What a "cap" or crown actually does

Quick recap (pun intended). A dental crown is like a custom-made helmet that covers a damaged tooth. It protects what’s underneath—usually after a big filling, root canal, or a crack.

It’s meant to make things feel better. Stronger. Less sensitive.

So yeah, if you’ve got pain after getting a crown? That’s frustrating. But it’s also fixable.

Seven real reasons your crown might be hurting

You’ve Got a Biting Issue

If your crown is just a little too high, it can throw off your whole bite. That can cause soreness, jaw tension, even headaches. You may not notice it at first, but your teeth will.

The Nerve Inside the Tooth Is Still Angry

Even if the tooth was treated before the crown, nerves can be sensitive for a while. If your tooth didn’t have a root canal, there could still be a live nerve underneath—and it might be irritated or even infected.

There’s Decay Under the Crown

Yup, cavities can happen under a crown. Bacteria love to sneak in if the seal isn’t perfect, or if gum health has changed over time.

The Crown Is Cracked or Loose

Just like your phone screen, crowns can crack. And if they loosen or shift even slightly, that opens the door to bacteria, food getting trapped, and pain.

You’re Clenching or Grinding

Bruxism (aka clenching or grinding) puts serious pressure on your teeth—especially crowns. Even if you don’t realize you’re doing it (most people don’t), it can cause pain, sensitivity, and wear.

Gum Inflammation Around the Crown

If the tissue around the crown is swollen or irritated, you’ll feel it. This could be from poor flossing habits (no shame), food getting trapped, or just a reaction to the crown material itself.

It’s a Referred Pain Situation

Sometimes, the pain feels like it’s coming from your crown, but the actual issue is somewhere else—like a nearby tooth, sinus pressure, or TMJ problems. Your mouth likes to play tricks like that.

When it's time to call a dentist (us!)

If your crown has been bothering you for more than a couple of days—or if the pain is sharp, throbbing, or gets worse when you chew or drink something cold—it’s time to book an appointment.

Especially if you notice:

  • Swelling in your gums
  • Sensitivity to pressure
  • A bad taste or smell (possible sign of infection)
  • The crown feels loose or “off”

It’s not about toughing it out. It’s about getting answers and feeling like yourself again.

How to prevent crown pain in the first place

This part’s short and sweet:

  • Don’t skip your checkups
  • Keep your gums happy (yes, floss that thing)
  • Use a night guard if you clench or grind
  • Call us early if something feels off

Crowns are strong—but your bite, your habits, and your hygiene all matter.

Still hurting? We can help

You shouldn’t have to live with dental pain. Especially not after doing the “right thing” by getting a crown.

If your capped tooth is giving you grief, let’s take a look. We’ll figure out what’s going on, fix it, and make sure you leave feeling better—not confused.

Contact us any time. We’re your friendly Beltline dental crew, and your comfort is always the priority.

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