What happens to teeth under crowns?

When a tooth that is not covered with a crown is exposed to acids, the time it gets to eat away at the tooth is limited, since it is washed away by saliva. That means a tooth under a crown is more susceptible to decay than one that is not if the prosthetic becomes compromised.

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Does a tooth decay under a crown?

However, what patients may not know is that tooth decay under a dental crown is still possible. Like natural teeth, not maintaining proper oral hygiene and allowing bacteria and plaque to accumulate is why tooth decay under a dental crown is an issue.

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How long do teeth last under a crown?

Professionally-fitted dental crowns usually have about five to 15 years of longevity on average. Crowns are made of resilient materials, like porcelain or metal alloys, which allows them to stand up to a lot of potential wear and damage.

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How much tooth is left under a crown?

One important factor in a successful dental crown is how much tooth structure is left after decay or damage has occurred. On average, at least a fourth (about 2 millimeters) of natural tooth material needs to remain for a dental crown to be attached. This means that a crown is a possibility for many patients.

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What happens if the tooth under a crown is black?

In most cases, a black line forms because the metal from the crown is showing through. Since older dental crowns are typically made of porcelain fused to metal, the metal will eventually become exposed as the gumline moves and recedes over time.

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What to do when a tooth decays under a crown? - Dr. Ranjani Rao

31 related questions found

Can food get under a crown?

However, sometimes a cavity starts underneath a crown, and it no longer has a tight “seal” over the tooth. In other cases, a dental crown wasn't designed correctly and doesn't touch the adjacent teeth the way it should. Without a contact point, there's an open space that can easily collect food.

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Can a tooth be too far gone for a crown?

In most cases, your dentist will try to leave as much of the tooth as possible so they can restore it to its original shape and size when placing a crown. Unfortunately, if there isn't enough tooth remaining or if a significant amount of a tooth's structure has been removed, your dentist can't place a crown.

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Why do they remove so much tooth for a crown?

Before a crown is placed, the remaining tooth must be ground down to accommodate it. Usually this means grinding it down (after your dentist has taken an impression if necessary). Some of the healthy tooth will probably be ground away to allow the crown to fit properly.

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Do crowns eventually fall out?

And while crowns can be long lasting, they are subject to the same kinds of wear and tear as our teeth, and they do fall out. There's usually no need to panic, but you should be sure to see your dentist as soon as possible.

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Do gums grow back around crowns?

When your dentist places a dental crown on your tooth, he or she will remove the majority of the original tooth to make new restoration. The chewing surface and some of the supporting structure remains after this process, which is why it's possible for your gum to grow back on crown.

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Why is the gum turning GREY around my crown?

The gray line around the edge of your old crowns is most probably caused by the metal edge of the crown showing through the gum.

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How long does it take for gums to grow over a crown?

If only the gum is removed and not the bone, the gum tissue will grow right back after about 8 weeks, negating the purpose of the crown lengthening. The bone removal, typically only 1-3mm, is required for a good, lasting result.

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Can a dentist see decay under crown on an xray?

Dentists can not see through a metal restoration in an x-ray (whether it is a crown/bridge or filling), thereby inhibiting their ability to diagnose or determine if there is a problem underneath. However, they can still see the root of the tooth so an x-ray is still needed.

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What are the downsides of getting a crown?

Disadvantages of Dental Crowns
  • Placement over areas of untreated tooth decay.
  • Discomfort due to improper fitting.
  • Increased risk of infection.
  • Increased sensitivity to hot and cold foods and beverages.
  • Loosening or detaching of the crown.

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Is it better to have a crown or extraction?

Teeth crowns are better than extractions because they preserve the root of the teeth. Dental crowns are often done as a last resort when all dental treatments fail or the teeth are severely damaged.

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Is removing a permanent crown painful?

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.

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How do you treat decay under a crown?

A crown is connected to a natural tooth underneath it. Because of this, decay can form around the edges of a crown. The only way to permanently fix a crown with decay around the edges is to remove the old crown, remove the decay, and do a new crown.

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Why does my crown smell bad when I floss?

An odor originating from your crown is usually a sign that there is bacteria growth or an infection related to your crown. This bacteria can spring up due to a failed root canal or a crown that doesn't fit properly whether it is loose, cracked or there is a gap between adjacent teeth.

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Why does it smell bad under my crown?

Why does my crown smell bad? Dentists use dental cement to put crowns in place. Over time the cement wears down, leaving space for material like bacteria and food to enter. This bacteria can lead to a bad smell.

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What foods to avoid with a crown?

Avoid chewy or sticky foods, such as caramel, taffy, and gum. These foods can grab and pull out the crown. Avoid chewing hard foods, such as granola, hard candy, and ice. These goods can break off or dislodge the crown.

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Why do gums go black with crowns?

This blackline surrounding your gum occurs because light, which can pass through natural teeth, is unable to pass through the crown's metal, makes the crown's porcelain fusion look darker, and restricts the amount of light in the root and gum areas.

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Why is my tooth yellow under my crown?

If the crown is damaged, the tooth beneath may become infected or discolored due to anything leaked into and trapped beneath the crown. This is likely the case if a crown's yellowed or stained appearance is not solved by brushing.

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Should a crown go to the gum line?

A crown is placed over the entire visible surface of a tooth down to the gumline. This is essential to help prevent harmful bacteria from leaking underneath your restoration. If a gap forms between the gum tissue and the restoration, it's a sign your crown no longer fits.

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Why is my crown not touching my gums?

Why Do These Gaps Occur? More often than not, the reason that these spaces between crown and gum appear is because the crown either doesn't fit or was not placed properly. Sometimes, though, the crown can come loose as a result of eating sticky foods like caramel and gummy candy.

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