Ensuring Dental Hygiene During Temporary Crown Procedures - Dentistry

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Cleaning issues in treatment?


Hello, doctor.
I previously had a single ceramic crown placed, but due to orthodontic extraction, I was wearing a temporary crown.
Yesterday, the crown came off, and during the process of reattaching it, the dentist only had me rinse my mouth, try on the crown, remove the crown, repair the crown, blow air, and then bond it back on while checking the occlusion.
Although I brushed my teeth before seeing the dentist, could this lead to cavities in the underlying tooth? Is rinsing and blowing air sufficient for cleaning?

Pp, 20~29 year old female. Ask Date: 2016/12/11

Dr. Huang Tingfang reply Dentistry


Dear Ms.
Pp: Hello! As mentioned, as long as it is dried properly, there should be no issues.
The temporary crown is usually adhered with a temporary cement, making it easy to remove for cleaning.
Please communicate frequently with your dentist! Thank you! Wishing you safety! Sincerely, Dr.
Huang Ting-Fang, Dentistry.

Reply Date: 2016/12/11

More Info


When it comes to maintaining dental hygiene during temporary crown procedures, it's crucial to understand the potential risks and necessary precautions to prevent complications such as tooth decay or gum disease. Temporary crowns, while serving as a placeholder for permanent restorations, can create challenges in oral hygiene, especially if they are not properly cared for.

Firstly, it’s important to recognize that temporary crowns are not as durable as permanent crowns. They can be more susceptible to wear and tear, and if they become loose or fall off, the underlying tooth can be exposed to bacteria and food particles, increasing the risk of cavities. In your case, since the temporary crown fell off and was reattached with minimal cleaning procedures (only rinsing and blowing air), there is a concern about whether adequate hygiene was maintained.

The process of reattaching a temporary crown should ideally involve more thorough cleaning of the tooth surface. While rinsing is beneficial, it may not be sufficient to remove all plaque and debris that can accumulate around the crown and on the exposed tooth. If the tooth was not properly cleaned before the crown was reattached, there is a risk that bacteria could remain, potentially leading to decay.

To mitigate these risks, here are some recommendations:
1. Enhanced Oral Hygiene: After any dental procedure involving temporary crowns, it is essential to maintain rigorous oral hygiene. This includes brushing your teeth at least twice a day with fluoride toothpaste and flossing daily. Pay special attention to the area around the temporary crown, as this is where plaque can accumulate.

2. Use of Antimicrobial Mouthwash: Incorporating an antimicrobial mouthwash into your routine can help reduce bacteria in your mouth and provide an additional layer of protection against cavities and gum disease.

3. Dietary Considerations: Avoid sticky, hard, or overly sugary foods that can dislodge the temporary crown or contribute to decay. Soft foods are generally safer during this period.

4. Regular Dental Check-ups: If possible, schedule follow-up appointments with your dentist to monitor the condition of the temporary crown and the underlying tooth. If you notice any discomfort, sensitivity, or changes in the crown, it’s important to seek professional advice promptly.

5. Temporary Crown Care: Be gentle when brushing around the temporary crown. Use a soft-bristled toothbrush and avoid vigorous scrubbing that could dislodge the crown.

6. Communication with Your Dentist: If you have concerns about the cleanliness of the tooth under the temporary crown, discuss this with your dentist. They may recommend additional cleaning or even a temporary replacement if they believe the current one is compromised.

In summary, while rinsing and blowing air can help, they are not substitutes for thorough cleaning. It’s essential to maintain a high standard of oral hygiene, especially when dealing with temporary crowns, to prevent any potential issues. If you have any doubts about your dental health or the integrity of your temporary crown, do not hesitate to reach out to your dentist for further evaluation and guidance.

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