By: Dr. Lahiru Chandraweera

November 11, 2023

Unlocking Dental Crown Problems: Causes, Recommendations, and Prevention

Dental crowns, though hailed for their restorative prowess in the dental world, are not without their challenges. From unexpected cracks to discomfort in fit, they can sometimes become more of a hindrance than a help.

This blog post seeks to explore the lesser-known landscape of dental crown problems and complications, providing insights into what might go awry. More importantly, we’ll talk about dental crown care and maintenance, offering recommendations to mitigate issues and tips for preventing them in the first place.

By unlocking the mysteries surrounding dental crowns, we’ll help guide you towards a more confident and comfortable experience with this common dental procedure.

Summary of the Content

Hills Family Dental Centre
  • Recognizing causes like improper fitting, material failure, and decay is essential for effective care and maintenance.

  • Misplacement, allergic reactions, and fractures are dental crown problems that require a knowledgeable approach.

  • Regular dental check-ups, selecting appropriate materials, and prompt pain management help in controlling dental crown issues.

  • Committing to regular dentist visits, implementing oral hygiene routines, and being mindful of food and bite pressure support dental crown maintenance.

  • Choosing the right material for dental crowns, whether metal alloys, porcelain, or ceramic, balances aesthetics and durability.

  • Professional guidance and personalised assistance in navigating dental crown care make a confident and comfortable dental experience possible.

Understanding the Causes of Dental Crown Problems

Dental crown problems arise for a variety of reasons, making an understanding of these causes essential for effective dental crown care and maintenance:

  • Improper fitting:
    Misaligned crowns or issues with bite, including heavy bite forces or an excessive bite, can cause discomfort and complications.

  • Material failure:
    The durability of different crown materials, like porcelain, ceramic, or metal crowns, varies. Choosing unsuitable material for an individual’s oral hygiene habits or health can lead to dental crown failure.

  • Decay:
    Tooth decay under the crown can cause failure, complications and pain.

  • Root issues:
    Darker roots, fractures, or surface damage may necessitate root canal therapy. Problems here contribute to dental crown failure.

  • Sensitivity:
    Issues such as mild tooth sensitivity or cold sensitivity might signal underlying nerve problems, including nerve pain or damage.

  • Hygiene:
    Inconsistent oral hygiene practices can lead to complications with crowns. Regular visits to a professional dentist and maintaining proper dental hygiene can mitigate many dental health concerns.

  • Loose crown:
    A loose crown can occur over time or with an improper fit. Regular checks with a qualified dentist can help prevent or address this issue.

Common Dental Crown Complications

Navigating the landscape of dental crown care involves being aware of potential dental crown complications that might arise. Here’s a rundown of the ten most common dental crown problems, with brief descriptions to guide you in understanding these challenges:

  1. Improper crown placement:
    Misplacement during the dental crown process can lead to discomfort and additional wear on other teeth, requiring an experienced dentist’s attention.

  2. Material reaction:
    Allergic reaction to metal-based crowns or other materials used in crowns for people might cause irritation or other dental issues.

  3. Ill-fitting crown:
    An ill-fitting crown, whether temporary or a replacement crown, can result in extra pressure on the surrounding or opposite teeth and may cause gum disease.

  4. Crown fractures:
    Porcelain crowns or ceramic crowns might develop cracks, leading to dental crown pain or the need for an entire crown replacement.

  5. Sensitivity to temperature:
    Mild sensitivity to cold foods might occur after crown installation, typically if the natural tooth underneath is sensitive.

  6. Decay under the crown:
    Ignored signs of decay or dental decay can progress underneath the crown, impacting both the natural tooth and the overall oral health.

  7. Discolouration:
    Mismatch with natural tooth colour, especially with metallic crowns or composite resin, can affect the appearance of your smile.

  8. Wear and tear:
    Excessive wear from sticky foods or additional pressure can lead to damaged teeth, decayed teeth, or even severe pain, affecting weak or misshapen teeth as well.

  9. Gum issues:
    Improper care of dental bridges, implants, or lack of regular dental check-ups can lead to gum disease around the crown, necessitating dental crown maintenance.

  10. Nerve and root problems:
    Root damage or fracture under the crown might require dental intervention, such as root canal treatment, to restore a healthy smile.

Recommendations for Managing Dental Crown Issues

When it comes to dental crown problems, understanding what causes them and how to manage them is vital. The following recommendations are designed to assist in dental crown care and maintenance:

  • Learn about the procedure:
    Knowledge of the dental crown procedure can help you feel at ease and know what to anticipate.

  • Focus on oral hygiene:
    Implementing a daily oral hygiene routine can prevent complications like tooth decay, a common cause of dental crown failure.

  • Address tooth sensitivity:
    Consultation with an experienced dentist about persistent sensitive teeth may reveal underlying issues requiring attention.

  • Deal with pain promptly:
    If you experience excruciating pain or notice visible damage, schedule a dentist appointment at your local dental clinic without delay.

  • Regular dental check-ups:
    Regular visits to the dentist can aid in the early detection of dental crown complications, such as wear and risk of decay.

  • Select appropriate materials:
    Discussing options with your dentist, such as metal-based crowns or porcelain crowns, makes certain that the selection of crowns is suitable for your individual needs.

  • Manage weak or damaged teeth:
    Treatments tailored to weak teeth or dental crown replacement might be necessary, depending on the severity of the dental issues.

  • Prevent and manage periodontal disease:
    Active dental hygiene practices and regular brushing can mitigate the risk of gum disease that might affect the stability of dental crowns.

  • Avoid potential trauma:
    Being mindful of activities that may risk dental trauma will contribute to the long-lasting success of the dental crown.

  • Consider crown replacement and repair:
    If dental crown complications occur, know that replacement or repair options are typically available during a single visit.

  • Monitor for nerve complications:
    Regular dental check-ups can identify early signs of nerve damage or infection, allowing for timely intervention.

  • Prioritise aesthetics:
    Collaboration with dental professionals can achieve a natural appearance, enhancing your smile with dental crowns that match your natural tooth colour.

By following these insights, managing dental crown problems can become a more straightforward aspect of dental health.

Prevention Strategies for Dental Crown Complications

Preventing dental crown complications involves comprehensive dental practices, lifestyle choices, and professional guidance. Here are strategies to help you avoid dental crown problems:

  • Commit to regular check-ups:
    Scheduling regular dentist visits can detect early dental crown complications such as decay or nerve issues.

  • Implement an oral hygiene routine:
    Daily dental hygiene practices aid in preventing tooth decay, thereby supporting dental crown maintenance.

  • Choose a temporary crown carefully:
    If a temporary crown is required, consult a dental health professional for the correct placement.

  • Mind your bite:
    Timely bite correction can prevent undue stress on dental crowns, reducing the risk of fracture.

  • Be mindful of food packing:
    Attention to food that might get stuck between teeth can prevent additional stress on crowns. Your dentist can advise on handling this problem.

  • Consider dental fillings:
    Fillings can add additional strength to the tooth structure, complementing dental crown treatment.

  • Monitor for root canal issues:
    Understanding the root canal process and being vigilant about symptoms such as root fracture or nerve infection can prevent severe damage.

  • Observe dark lines:
    If dark lines appear near the gum line, schedule a dental visit. These might indicate underlying issues needing professional care.

  • Discuss benefits with your dentist:
    Learn about the advantages and benefits to patients, such as the use of crowns to preserve dental structures or enhance a beautiful smile, with a qualified health practitioner.

  • Respond to nerve symptoms:
    Address symptoms like irritated nerve sensations or tooth pain with professional dental crown care to avert complications.

Comparing Dental Crown Materials: Pros and Cons

When considering dental crown care, one of the critical decisions involves selecting the right material. Each option carries specific attributes that may suit various dental crown problems and preferences. Here’s a comparison of different materials:

Metal Alloys

  • Pros:
    • Durability: Often long-lasting dental crowns, resisting wear.
    • Bite correctness: Allows proper crown fit, minimising complications.

  • Cons:
    • Aesthetics: Does not match the natural tooth colour.
    • Risk of complications: Sensitivity to metal or soft tissue reactions can occur.

Porcelain Fused to Metal (with Metal Core)

  • Pros:
    • Appearance: Closer to a natural appearance.
    • Strength: The metal core adds stability.

  • Cons:
    • Potential dental crown damage: Risk of porcelain fracture.
    • Soft tissue impact: This may affect surrounding gums.

Ceramic Crowns

  • Pros:
    • Natural look: Mimics natural tooth colour.
    • Conservative option: A choice for those wanting to avoid metals.

  • Cons:
    • Less durable: More prone to wear and potential deep decay over time.
    • Needs crown lengthening: May require additional procedures for proper fit.

Resin-Based Crowns

  • Pros:
    • Affordable options: Generally cost-effective.
    • Adaptability: Can be crafted to manage pieces of food and bite pressures.

  • Cons:
    • Durability: Less resistant to long-term wear.
    • Risk of complications: Potential for dental crown damage.

The selection of the right material for dental crown maintenance should be a thoughtful discussion with your dental health professional. By understanding the advantages and disadvantages of each option, you can make a knowledgeable decision that balances aesthetics, function, and your specific dental crown care needs.

Final Thoughts

Dental crown problems and complications may seem daunting, but with the proper understanding and approach, dental crown care and maintenance can become a seamless part of your oral health routine. Knowledge of the different materials and processes can empower you to make wise decisions that align with your unique needs and preferences.

Preventative measures, regular check-ups, and working with dental professionals can greatly reduce the risk of dental crown complications, fostering a positive experience with dental crowns. Small practices like proper bite management and being mindful of food that might cause wear are impactful in dental crown maintenance.

At Hills Family Dental Centre Kalamunda, we are committed to assisting you in navigating dental crown care. Whether it’s addressing complications or providing personalised recommendations, we’re here to support your journey towards a healthy smile. Feel free to reach out to us for more information or to schedule a consultation.