Getting a dental crown done is generally not painful during the procedure because dentists use local anesthesia to numb the tooth and surrounding gums, so you should feel little to no pain while the tooth is being shaved down and impressions are taken. You may feel pressure, vibration, and hear drilling, but not sharp pain. After the anesthesia wears off, it is common to have some mild soreness, sensitivity to hot and cold, and gum tenderness around the prepared tooth for a few days to a week, especially if a temporary crown is placed. This discomfort is usually manageable with over-the-counter pain relievers like ibuprofen and should improve quickly. Some people experience sensitivity when biting for a short period. If the tooth had a root canal before crowning, there is usually less sensitivity because nerve is removed. Severe pain after crowning is not normal and could indicate bite is too high, cement irritation, or underlying infection, and you should contact dentist. The second appointment to cement permanent crown is usually painless and quick. Overall, getting a crown is considered a routine, low-pain procedure similar to getting a filling, with most discomfort being post-procedure soreness rather than during.
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