Is it painful to replace a porcelain crown?

May 26, 2025 Source: Cainiu Health
Disease description:

I am 22 years old and would like to know if replacing a porcelain crown is painful.

Doctor's answer (1)
Dr. Liu Chao

In general, the process of replacing a porcelain crown usually does not cause severe pain, but individual experiences may vary, depending on factors such as personal pain sensitivity, effectiveness of anesthesia, and postoperative reactions.

Some individuals may feel pain from minor stimuli, while others have higher pain tolerance, resulting in significant differences in pain perception during crown replacement. If local anesthesia is required during the procedure, there may be a slight pricking sensation during injection, but the procedure itself is typically pain-free once the anesthetic takes effect. After the new porcelain crown is bonded, mild discomfort may occur, which usually resolves spontaneously within 3–5 days. If the crown causes high or low occlusion after placement, abnormal forces on the tooth may lead to pain, which can be corrected by adjusting the bite. Stimulation of the dental pulp during tooth preparation may cause sensitive pain, which requires observation for several days; if the pain persists or worsens, the crown may need to be removed and replaced.

Short-term pain can be relieved with ice application. Inflammatory pain can be managed with oral antibiotics such as amoxicillin capsules or metronidazole capsules, under a dentist's guidance. Although replacing a porcelain crown may cause some temporary discomfort, the procedure can be effectively managed and controlled when performed by a professional dentist. If you have any concerns or worries, it is recommended to discuss them in detail with your dentist before treatment.