If you've noticed that your gum line is receding, it can be an indicator that the crown was incorrectly bonded or needs replacement. This can also become problematic by allowing bacteria to gather around the base of the tooth to cause infection.
A dental crown is permanently bonded to the tooth and can last between 10 and 15 years. However, they can become cracked, chipped, or broken without proper care and maintenance. If your crown has visible damage or you experience severe tooth pain, it needs to be replaced.
Symptoms of an ill-fitting crown include looseness or mobility, tooth pain or sensitivity, irregular wear to the opposing teeth, and eventually dark lines along the border of the crown due to decay.
Tooth sensitivity to temperatures (hot or cold) or sugary foods and drinks. Pain or tenderness in the areas surrounding the crown. Increasing redness at the area of crown placement. A discharge of yellow, green, or clear fluid or pus that appears to be draining or leaking out around or under the crown.
Brown and Grey Spots in the Affected Area
Spots can be visible on the white portion of a veneer, almost appearing like mould. With crowns, if there has been recession exposing the root, decay can start if plaque is allowed to build up and you would see a brown spot.
But, what many do not realize is that sometimes it is possible to get decay under a dental crown. This can happen if all of the infected tissue was not taken out of the root, or if the crown was not placed correctly, allowing bacteria to cause decay. If decay gets under a crown, it might need to be replaced.
It may be that the crown has not bonded properly to your tooth, or has become infected due to improper placement. Either way, you should seek the attention of your dentist if pain persists or gets worse after two weeks.
If the crown is made out of porcelain, it's difficult to reshape the crown but slight adjustments can be made if need be. However, if a larger adjustment is needed, the entire process may need to be redone.
Dentists commonly adjust a new crown to your bite by grinding or filing it down. But the dentist must check your bite in intervals to ensure that not too much—or too little—of the crown is adjusted.
You may be eligible to sue a dentist for bad, poorly fitted or poorly shaped crowns that result in pain, issues with chewing and biting, and even gum disease and tooth decay.
Crown removal is not a painful procedure, and it doesn't take long for your dentist to remove it. Your dentist will not even use an anesthetic to remove and add in the permanent crown.
Dentists can repair damaged crowns with composite resin in certain cases. However, if the damage is too severe or if they are not properly equipped to restore the crown, then a new crown may need to be installed.
If your crown and tooth are in good shape, it can simply be reattached with dental cement, and this repair will last for years to come. However, it may be possible that either the crown or tooth is damaged, making crown reattachment inadvisable.
The crown is gently moved until the adhesive seal is broken. The weak cement releases as the crown is pried and removed from the tooth. Definitively cast and cemented crowns however are more challenging to remove. There are different mechanisms available to the doctor to remove a failed crown.
The survival of the fittest seems to apply.
A study by Dhima evaluated 226 all-ceramics placed in both front and back-tooth applications. It found that: 6% had failed by 3.3 years (on average) after placement. Of those that hadn't failed, at 5 years 95% were still in service, at 10 years 93%.
All the crowns need to have certain minimal thickness to ensure adequate strength. The patient may feel the new crown bulkier immediately after placement eventually the patient gets adjusted to the new crown in little over 2 weeks. If it doesn't feel good after that also he may need to visit the dentist office again.
A bridge is a dental treatment that uses multiple crowns connected together in order to replace a missing tooth. At the minimum, a bridge includes two crowns on either side of a “fake” tooth called a pontic. Bridges are classified according to the number of units, which just means the number of teeth they cover.
You don't like the tooth cap and there is nothing wrong with it. You can replace the crown as many times as you want if there is nothing wrong with it. What we mean by that is that there is no tooth decay underneath the cap.
Contact your dentist as soon as possible to schedule a follow-up visit and get the necessary treatment. Pain that persists for more than a day or two, or becomes worse over time, warrants a call to the dentist regardless of whether you're currently experiencing other symptoms.
This can happen when the enamel is trimmed away as part of the crowning process, and the dentin underneath is exposed. If the crown doesn't cover the tooth quite as fully as it should, even on a microscopic scale, a potentially sensitive dentin surface could become exposed.
The affected tooth may also feel sensitive and painful, and visible grey or brown spots may appear at the base of the tooth. A dental x-ray is needed to confirm tooth decay under a crown.
Change in color
If the tooth is dead, it will often get darker in color, and a person may notice a yellow, gray, or black discoloration. A change in color usually occurs because the red blood cells are dying. This is a very similar effect to bruising.
With regular dental check-ups, your dentist will be able to perform an x-ray of your teeth to determine whether there is any damage or decay underneath your crown. In some cases, the dentist may need to conduct a more in-depth oral examination to identify whether there is a cavity.