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 experiencing discomfort or sensitivity. This can range from mild to more pronounced and is often due to the crown being slightly too high or not fitting quite right. In some cases, sensitivity may occur if the tooth’s nerve was irritated during the procedure.
In many instances, this discomfort is temporary and resolves within a few days as your tooth adjusts to the new crown. During this adjustment period, using a desensitizing toothpaste can help reduce sensitivity. However, if the discomfort or sensitivity continues, it’s important to contact the dentist who placed the crown. A follow-up visit may be needed to evaluate the fit and make any necessary adjustments.
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
In rare cases, some individuals may experience allergic reactions to the materials used in dental crowns, such as certain metal alloys or ceramics. This can result in symptoms like gum irritation, inflammation, pain, or general discomfort.
If you suspect an allergic reaction, it’s important to contact your dentist promptly. They can help identify the source of the reaction and suggest an alternative crown material that’s better suited to your needs. If you have a history of contact allergies, be sure to inform your dentist—patch testing can be done ahead of time to help avoid potential complications.
6. Tooth Decay Underneath the Crown
One of the greatest benefits of dental crowns is their ability to protect and reinforce weakened teeth. However, without proper oral care, decay can still develop beneath the crown and lead to complications.
To help prevent this, it’s essential to maintain strong oral hygiene habits—brush and floss daily, and consider using an antimicrobial mouthwash to reduce bacteria. Pay extra attention to cleaning around the crown to keep the surrounding area healthy. Regular dental check-ups and cleanings are also key. Your dentist may use X-rays to monitor the tooth beneath the crown, and if decay is detected, the crown may need to be removed, the tooth treated, and a new crown placed.
7. Esthetic Issues
Dental crowns are designed to mimic the appearance of natural teeth. However, esthetic issues can arise, such as color mismatch between the crown and adjacent teeth or an unsightly appearance. If you're unhappy with the look of your crown, discuss your concerns with your dentist. They may recommend a new crown or alternative solutions, such as veneers or teeth whitening. Dentists can also work with dental laboratories to select a customized shade that closely matches your natural teeth, providing a more pleasing result.
Dental crowns are a common and valuable dental procedure that can restore the function and appearance of damaged teeth. However, they aren’t without potential challenges. By maintaining good oral hygiene, seeking prompt dental care when issues arise, and following your dentist's recommendations, you can address and prevent many common dental crown problems. Regular communication with your dentist is the key to ensuring the longevity and success of your dental crown.
Contact us to learn more about dental crowns, possible complications, and solutions.