Dental crowns are frequently used to restore damaged or weakened teeth, providing strength, durability, and protection. However, like all dental restorations, they require regular maintenance and check-ups to ensure their effectiveness. Over time, decay can develop beneath the crown, potentially causing problems for your oral health. Recognizing the signs of decay beneath crowns and knowing how to treat them is critical to preventing further damage.
What is Decay Beneath a Dental Crown?
Decay beneath a dental crown occurs when bacteria penetrate the area between the crown and the underlying tooth. This can happen if the crown’s seal breaks due to wear and tear, improper placement, or gum recession. If left untreated, decay can spread and further damage the tooth, potentially leading to tooth loss.
While dental crowns can last many years, they require proper maintenance and attention. Understanding the signs of decay beneath the crown is critical for early detection and treatment.
5 Signs of Decay Beneath Crowns
Recognizing decay beneath a crown early on can help to avoid more serious complications, such as infections or the need for a root canal. The following signs may indicate that decay has developed beneath your dental crown:
- Pain or Discomfort: Pain around the crowned tooth, particularly when chewing or biting down, may indicate that decay has reached the tooth beneath the crown. If left untreated, this pain may worsen over time.
- Sensitivity to Temperature: Another common sign of crown decay is increased sensitivity to hot, cold, or sweet foods and drinks. The exposed tooth pulp can become irritated, causing increased sensitivity.
- Bad Breath or Unpleasant Taste: An unpleasant taste or persistent bad breath may indicate bacterial buildup beneath the crown. If the seal around the crown is compromised, bacteria can accumulate and cause decay.
- Visible Staining or Darkening: If your crown or the surrounding tooth has discoloured or darkened, this could indicate decay beneath the crown. The stain may indicate the presence of bacteria or the breakdown of the tooth structure underneath the crown.
- Loose or Shifting Crown: A crown that feels loose or moves when you bite or chew may indicate that the bond between the crown and tooth has weakened. This can result in bacteria entering and causing decay underneath.
How to Address Decay Beneath Crowns
You should see your dentist immediately if you suspect decay beneath your crown. Early intervention is critical for avoiding further damage and preserving the underlying tooth. Here’s how the process of addressing decay normally works:
- X-Rays and Diagnosis: Your dentist will most likely perform an X-ray of the affected area to determine the extent of the decay. This will help determine whether the tooth can be saved or if the crown needs to be replaced.
- Crown Removal: In many cases, your dentist must remove the crown to access the tooth beneath it. Once the crown is removed, any decay will be thoroughly cleaned and removed.
- Treating the Decay: If the decay is limited, your dentist may use a filling to restore the tooth. However, if the decay has spread to the tooth pulp, a root canal may be required to save the tooth. In extreme cases, extraction may be necessary.
- Restoring the Tooth: After the decay is addressed, your dentist will restore the tooth with a filling or a root canal, depending on the severity. Once the tooth is restored, a new crown will be placed to protect it.
- Preventive Measures: Regular check-ups are essential to monitor your crown’s and surrounding teeth’ health after treating the decay. Professional cleaning and routine exams can detect any problems early on, helping to extend the life of your dental crown.
How to Prevent Decay
Proper care and routine maintenance can help prevent decay beneath a crown. Here are some ways to keep your crowns and underlying teeth healthy:
- Practice Good Oral Hygiene: Good oral hygiene requires brushing your teeth twice daily and flossing regularly. Pay particular attention to the area around your crown to keep it clean and free from plaque buildup.
- Visit Your Dentist Regularly: Scheduling professional cleanings and examinations every six months can help detect potential crown issues before they worsen.
- Avoid Chewing Hard Foods: Avoid chewing on hard objects like ice or candy, as they can damage or loosen your crown over time.
- Monitor Changes: If you notice any changes in your crown or have symptoms such as pain or sensitivity, contact your dentist immediately. Early intervention is essential for saving your tooth and crown.
Frequently Asked Questions
1. Can decay be prevented beneath dental crowns?
Good oral hygiene practices and regular dental visits can help prevent decay beneath crowns by keeping the area around the crown clean and free of bacteria.
2. How do I know if my crown needs replacement?
Signs such as pain, sensitivity, bad breath, or a loose crown could indicate that it needs to be replaced or that decay has developed underneath.
3. What happens if decay under my crown isn't treated?
If left untreated, decay can spread to the underlying tooth, causing infection, additional damage, and possibly requiring a root canal or tooth extraction.
Taking care of your dental crowns is essential for long-term oral health. If you suspect decay beneath your crown, please contact Sunshine Dentistry in Richmond Hill to schedule a consultation and protect your smile.
