Crowns and Bridges: When Problems Arise

When you have a tooth or multiple teeth with extensive damage, your dentist may recommend a crown or bridge to restore your smile. Most of the time these restorations provide complete and successful results, but occasionally problems arise.

Tooth decay:
Good hygiene is imperative after a crown or bridge because plaque can build up in the area where the tooth and crown meet. Your crown can’t decay, but your tooth still can. Follow your dentist’s instructions for proper brushing, flossing, and fluoride use.

Gum disease:
Plaque buildup around a crown can cause gum disease called gingivitis, and if untreated advance to periodontitis.

Chipping or breaking:
Crowns and bridges are susceptible to damage like fracturing or chipping. Many crowns are made of porcelain, which can chip or completely fail. Heavy wear or stress such as teeth grinding can cause this type of damage, as well as an accident like hitting your restoration. Small chips may be repaired with composite filling, but larger damage can mean total replacement.

Incorrect color:
When having your crown or bridge made, you can choose from a selection of colors. However, the whitest shade is not advised because it likely won’t match the rest of your smile or it can look fake. Make sure you consider the color carefully or else you’ll be faced with redoing the restoration if you dislike it.

Falling out:
Several problems can cause your crown to fall out. The core may fail so that the interior portion of your crown is unable to provide a strong base for the restoration. Less likely, the cement can fail so that the crown simply needs stronger adhesion. Or, the post crown can dislodge so that you’ll see a large post sticking out of your crown. If your crown falls out, be sure to save it for your dentist in case it can be reinserted.

In most circumstances, these problems with your crown or bridge do not occur and you can enjoy a long lifespan with your restoration. If you do notice any of these issues, schedule an appointment with your dentist to ensure optimum oral health.

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