Will Dental Crown Preparation Damage Adjacent Healthy Teeth? - Dentistry

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Dental fracture due to a car accident?


Due to a car accident, a front tooth was broken and a dental crown is needed.
Will the preparation for the crown involve grinding down the adjacent healthy teeth? What are the effects of grinding down healthy teeth, and what should I be particularly cautious about?

Zheng, 10~19 year old female. Ask Date: 2020/04/06

Dr. Zeng Guanghui reply Dentistry


Hello Ms.
Zheng: If a dental crown breaks, a dental crown restoration is needed.
Typically, only the affected tooth will be prepared for the crown, and the adjacent healthy teeth will not be affected.
The prepared tooth may have exposed dentin, which can lead to sensitivity to hot and cold stimuli.
Therefore, before placing a permanent crown, a temporary crown made of resin or metal will be used to protect the prepared tooth.
Dr.
Tseng Guang-Hui, Nantou Hospital.

Reply Date: 2020/04/06

More Info


When preparing for a dental crown, particularly after an injury such as a broken tooth, it is natural to be concerned about the potential impact on adjacent healthy teeth. The process of preparing a tooth for a crown typically involves reducing the size of the tooth to create space for the crown to fit properly. This reduction can sometimes lead to the adjacent teeth being affected, especially if they are very close to the tooth being treated.


Impact on Adjacent Healthy Teeth
1. Potential Damage: During the crown preparation process, the dentist will use various tools to shape the tooth. If the adjacent teeth are very close, there is a risk that they may be inadvertently touched or even slightly ground down. This is particularly true if the dentist is not careful or if the anatomy of the teeth is such that they are very close together.

2. Sensitivity: If any healthy tooth structure is removed, it can lead to increased sensitivity in those teeth. This is because the enamel, which protects the underlying dentin and nerve endings, may be compromised. Increased sensitivity can manifest as discomfort when consuming hot or cold foods and beverages.

3. Alignment and Bite Issues: If adjacent teeth are inadvertently altered, it can lead to misalignment or changes in the bite. This can cause discomfort and may require further adjustments or treatments to correct.


Precautions and Considerations
1. Choosing the Right Dentist: It is crucial to select a skilled and experienced dentist who understands the importance of preserving healthy tooth structure. A good dentist will take care to minimize any impact on adjacent teeth during the crown preparation process.

2. Communication: Before the procedure, discuss your concerns with your dentist. Make sure to express your worries about preserving the health of adjacent teeth. A thorough discussion can help the dentist plan the procedure more carefully.

3. Follow-Up Care: After the crown is placed, it is essential to maintain good oral hygiene and schedule regular dental check-ups. This will help monitor the health of both the crowned tooth and the adjacent teeth.

4. Consider Alternatives: In some cases, if the adjacent teeth are at risk of being damaged, your dentist may suggest alternative treatments, such as a bridge or an implant, depending on the extent of the damage and the overall condition of your dental health.


Conclusion
In summary, while the preparation for a dental crown can potentially affect adjacent healthy teeth, careful planning and execution by a skilled dentist can minimize this risk. It is important to communicate openly with your dentist about your concerns and to follow up with proper care after the procedure. By taking these steps, you can help ensure that your dental crown is successful while preserving the health of your surrounding teeth.

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