A dental bridge is a popular way to replace a missing tooth and restore your smile’s appearance and function. They’re built to be durable, but in some cases you may feel pain in a tooth under your bridge.
It’s helpful to know what might be causing the issue and what steps you can take to feel better. Pain under a dental bridge often points to an issue with the supporting teeth or surrounding gums, such as decay, infection, or a change in fit. Knowing the signs can help you decide when it’s time to see your dentist for a professional dental exam.
4 Common Causes of Pain Beneath Your Bridge
Pain under your bridge often signals an issue with the teeth or gums that support it. Even though the teeth are covered by a crown, they can still develop problems. Here are a few reasons you might experience discomfort.
1. Decay & Infection
The spot where your bridge meets the tooth can become a gathering place for bacteria. If this area isn’t cleaned well, it can lead to a cavity in the supporting tooth. A cavity can progress and cause painful infections in the innermost part of the tooth, which may require a visit to a dentist to resolve.
2. Gum Disease Around the Bridge
Your gum tissue plays a large role in the health of your teeth. If plaque builds up around the gum line of the bridge, it can lead to gum irritation or disease. This can cause your gums to become swollen and tender, which you may experience as pain under your dental bridge.
3. A Change in Your Bite or Fit
Over time, your bite can change slightly, which might cause the bridge to no longer fit as it should. An improper fit can put too much pressure on the supporting teeth and lead to discomfort.
4. A Crack in a Support Tooth
The teeth that hold your bridge in place—the abutment teeth—are under pressure every time you chew. This pressure can sometimes cause a small crack to form in the tooth structure. A crack can expose the nerve and lead to sensitivity or sharp pain, especially when you bite down.
Signs & Symptoms of a Problem With Your Bridge
There are a few signs that point to a problem with your dental bridge or the teeth underneath it:
- Persistent or throbbing pain around the bridge
- Swollen, red, or bleeding gums near the bridge
- A bad smell or taste in your mouth that won’t go away
- Sensitivity to hot or cold temperatures
- Pain when you bite or chew
- The bridge feels loose or moves when you touch it
If you experience some of these symptoms, you should pay a visit to your dentist. Pain is your body’s way of letting you know something is wrong, and addressing issues early can often lead to a simpler solution.

Your Next Steps for Tooth Pain Relief
A Professional Examination & Diagnosis
Your dentist will carefully examine the bridge, teeth, and gums to find the source of the problem. A dental x-ray is often used to see what’s happening with the tooth structure underneath the crown. This helps identify the exact cause of your pain—whether it’s decay, an infection, or an issue with the fit.
Treatment Options for an Ailing Tooth
Based on the diagnosis, your dentist can recommend a path forward. In some cases, the bridge may need to be removed to treat the tooth underneath. Common treatments include root canal therapy to address an infected tooth or care for gum disease, which can help you feel comfortable again.
How to Care for Your Dental Bridge & Prevent Discomfort
Good oral hygiene is the foundation for a long-lasting and comfortable bridge. A consistent routine helps protect your teeth and keeps your gums healthy. These simple habits can make a big difference.
- Brush & Floss Daily: Make sure you brush twice a day and floss once a day. Pay special attention to the gum line around your bridge, as this is where plaque can build up.
- Use Special Tools: Learning how to floss properly with a floss threader or water flosser can help you clean the hard-to-reach space between the bridge and your gums.
- Avoid Hard Foods: Chewing on hard objects like ice or hard candy can put too much stress on your bridge and the teeth that support it. Being mindful of what you eat can help protect your dental work.
When to Schedule a Visit With Your Dentist
It can take a few days for a new bridge to settle, so some initial discomfort is normal. However, if the pain lasts longer than a week, it’s time to call your dental office. You should also make an appointment if you suddenly develop pain with a bridge you’ve had for years.
Don’t wait for the pain to become severe. At Wildwood Family & Cosmetic Dentistry, we are here to listen to your concerns and help you get back to a comfortable smile, so give our friendly team a call today at our Sylvania or Toledo locations.