Genetics, bad habits and the lack of oral hygiene take their toll on our teeth, resulting in decay and gum disease. Sometimes the damage is so advanced that fillings, inlays or veneers cannot mask it. This is when dental crowns provide the perfect solution. If placed carefully after sufficient preparation, they serve their purpose on a long term. But with time, our mouth alters, thus, replacements won’t fit perfectly anymore. Ill-fitting crowns and dentures can result in discomfort when eating or speaking, while the gap appearing between the replacement and the gums give way to serious gum infections, bad breath and sensitivity. Therefore, as in the case of all removable and fixed tooth replacements, dental crowns also need to be replaced from time to time.
Placement of Dental Crowns – The Process
When the decision is made in favour of a dental crown, first the dentist prepares the so-called core of the crown by removing precise amounts of tooth material. Once it is done, an impression is made of the tooth for a perfectly fitting end result. The colour of the dental crown is also selected carefully to be harmonious with the other teeth. Then, a temporary crown is attached until the permanent one is under preparation. Lastly, the finished crown is placed on the core, checked for colour, fitting and comfort, and glued in place with a special dental adhesive. The most widely used materials for crowns are ceramic, porcelain fused to metal or zirconia.
Living with a New Dental Crown – What to Expect?
After their placement one should get used to their new dental crowns fairly quickly without any complications. There are, however, some rare cases when special attention is required. During preparation the outer layer of the enamel is removed, revealing the dentin canals that lead to the inside of the tooth, making them sensitive. If that is the case, applying toothpaste produced specially for sensitive teeth usually solves the problem. Pain after having a dental crown placed can also be the result of mild inflammation in the teeth, caused by the preparation procedure. The inflammation usually ceases by taking anti-inflammatory medication or without any intervention. If the tooth dies because of the inflammation, root canal treatment is needed. It can be carried out without removing the dental crown, by simply drilling a hole in its surface.
Removal and Replacement of Dental Crowns – When is it Needed?
With time, the anatomy of our mouth changes. Therefore, dental crowns made for a previous state will not fit perfectly, and are prone to moving or wounding the gums. In addition, ill-fitting crowns can reveal the previously prepared tooth neck, which may make the tooth sensitive for changes in temperature. Thus, it is advised to get our dental crowns checked frequently, and having them replaced, if needed.
If placed and cared for thoroughly, dental crowns fulfil their duty for a long time. If you are considering this option, do not hesitate to book an appointment to one of our dentists at Forest & Ray Dental for advice and all-round treatment.