Dental crowns are one of the most common dental procedures, which are used to restore and protect damaged teeth. They are the go-to solution for many patients who present with cracked, decayed, or weakened teeth that are causing discomfort or pain. However, dental crowns aren’t a perfect science and are prone to some issues, from sensitivity to falling off.
1. Discomfort and Sensitivity
One of the most common concerns after receiving a dental crown is discomfort or sensitivity. This discomfort can range from mild to severe and often stems from issues such as the crown not fitting properly or being positioned too high on the tooth. Sensitivity may also occur if the tooth’s nerve was irritated during the crown placement process.
In many cases, discomfort and sensitivity are temporary and will resolve within a few days as the tooth adjusts to the new crown. During this adjustment period, using desensitizing toothpaste may help ease sensitivity. However, if the discomfort or sensitivity persists beyond a few days, it’s important to consult the dentist who performed the procedure. They can assess the crown and determine if any adjustments are necessary to improve fit and comfort.
2. Chipping or Fracturing
Dental crowns are designed to be durable, but they can still chip or fracture if exposed to excessive force or wear. Common culprits are chewing on hard objects, grinding teeth at night, or using them to open packaging.
If you notice a chipped or fractured crown, your dentist should be contacted immediately to assess the extent of the damage and provide treatment. To avoid another chip or fracture after repair, avoid chewing on hard foods or objects, and wear a nightguard if you’re prone to grinding your teeth while you sleep.
3. Loosening or Falling Off
It’s not uncommon for dental crowns to become loose or fall off, which usually happens due to inadequate cementation, decay under the crown, or trauma to the tooth.
These are situations that require immediate attention from your dentist, and you should avoid attempting to reattach the crown yourself to avoid further complications. If your dentist cannot see you right away, use dental adhesive from the pharmacy to temporarily reattach the crown. This is a short-term solution that should help until you can see your dentist.
4. Gum Recession and Crown Margin Exposure
Gum recession is when the gum tissue pulls away from the base of the tooth, exposing the crown's margin, which is the space between the crown and the natural tooth. This can make the crown appear unsightly and cause decay in the underlying tooth structure.
This is a scenario that is often caught during a routine dental exam when your dentist checks your gum health. Gum grafting is a corrective option to restore lost gum tissue and cover the exposed crown margins, which your dentist may recommend depending on the degree of recession.
5. Allergic Reactions to Crown Materials
Some individuals may develop allergic reactions to the materials used in dental crowns, which can include metal alloys or ceramics. This can lead to symptoms such as gum inflammation, pain, or discomfort.
If you suspect an allergic reaction, consult your dentist immediately. They can determine the cause of the reaction and recommend an alternative crown material. If you are prone to contact allergies, let your dentist know, as patch testing can be performed to identify an allergy prior to a crown being placed.
6. Tooth Decay Underneath the Crown
One of the biggest advantages of dental crowns is their ability to protect and strengthen damaged teeth. However, if oral hygiene is neglected, tooth decay can develop underneath the crown and cause issues.
In order to avoid this, maintain excellent oral hygiene with regular brushing, flossing, and the use of an antimicrobial mouthwash to prevent decay. Make sure to clean around the crown area thoroughly and consistently. Also, visit your dentist for regular check-ups and cleanings to detect any signs of decay early. Your dentist can take X-rays to check the condition of the tooth underneath the crown. If decay is found, your dentist may need to remove the crown, treat the decay, and replace the crown.
7. Esthetic Issues
Dental crowns are carefully designed to replicate the look of natural teeth, but aesthetic concerns can sometimes occur. Issues like a color mismatch with adjacent teeth or an unappealing appearance may arise. If you’re dissatisfied with the look of your crown, it’s important to share your concerns with your dentist. They might suggest solutions such as replacing the crown, veneers, or teeth whitening to improve your smile. Dentists can also collaborate with dental laboratories to customize the shade of your crown for a better match with your natural teeth, ensuring a more harmonious result.
While dental crowns are a reliable solution for restoring the function and appearance of damaged teeth, they can present occasional challenges. Practicing good oral hygiene, addressing issues promptly, and following your dentist’s advice can help prevent and resolve many common problems. Regular communication with your dentist is essential to maximize the longevity and success of your dental crown.
If you’d like to learn more about dental crowns, their potential complications, and available solutions, contact us today.