Do You Need to Replace Your Dental Crowns? Signs to Watch For

Q: Do You Need to Replace Your Dental Crowns? Signs to Watch For

Hello： It has been 14 years since your dentures were made, and due to the gaps, it is advisable to have them redone. <br>It is recommended that you visit a large hospital or medical center for better assurance. <br>If you are in Taipei or New Taipei, you may consider going to Nat

Do dentures need to be redone?

Fourteen years ago, due to family pressure about the appearance of my two prominent front teeth, I had two dental crowns placed by an unlicensed dentist.
Recently, I have been feeling that the crowns are somewhat loose (though I'm not entirely sure).
The symptom is that when I push down with my tongue, I feel a slight gap between my gums and the crowns, and when I push up, they fit tightly again.
There is no pain.
I would like to ask the doctor if this situation requires me to have the crowns redone, or if I should just wait for them to fall out on their own.
However, I am hesitant to return to the unlicensed dentist, even though my family says that the dentist's son has graduated from dental school and is licensed, implying that he was trained by his father and is now a legitimate dentist.
I still feel apprehensive, so I would like to ask if there are any recommended dental clinics in New Taipei City.
Thank you.

A Fei, 30~39 year old female. Ask Date: 2021/04/02

Dr. Lin Jiayong reply Dentistry

Hello: It has been 14 years since your dentures were made, and due to the gaps, it is advisable to have them redone.
It is recommended that you visit a large hospital or medical center for better assurance.
If you are in Taipei or New Taipei, you may consider going to National Taiwan University Hospital.
This is a response from Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/04/02

More Info

When it comes to dental crowns, especially those that have been in place for several years, it's essential to be vigilant about any changes or discomfort you may experience. Based on your description, it sounds like you might be experiencing some loosening or shifting of your dental crowns, which can be a sign that they need to be evaluated by a dental professional.

Signs that may indicate you need to replace your dental crowns include:
1. Loosening or Movement: If you feel that your crowns are becoming loose or if there is a noticeable gap between the crown and your gum line, this could indicate that the crown is no longer fitting properly. This can lead to food particles getting trapped, which can cause decay or gum disease.

2. Sensitivity or Pain: While you mentioned that you are not experiencing pain, any sensitivity to hot or cold temperatures can be a sign that the crown is compromised. If you start to feel discomfort, it’s crucial to seek dental advice.

3. Visible Wear or Damage: If you notice any chips, cracks, or discoloration on the crowns, it may be time to consider replacement. A damaged crown can lead to further complications, including damage to the underlying tooth.

4. Gum Health Issues: If you notice swelling, bleeding, or any other signs of gum disease around the crown, it’s essential to address these issues promptly. Gum health is critical for the longevity of dental restorations.

5. Changes in Bite: If your bite feels off or if you experience discomfort when chewing, this could indicate that the crown is not properly aligned. This misalignment can lead to further dental issues if not corrected.

Given your situation, it would be advisable not to wait for the crown to fall out on its own. Instead, you should schedule an appointment with a reputable dentist to have your crowns evaluated. It’s understandable to have concerns about returning to a previous provider, especially if you have doubts about their qualifications or practices. Seeking a second opinion from a licensed and reputable dentist can provide you with peace of mind and ensure that you receive the best care possible.

In terms of finding a dentist, consider looking for one with good reviews and recommendations from friends or family. You can also check online platforms that provide ratings and reviews for dental professionals in your area. Look for a dentist who specializes in restorative dentistry, as they will have the expertise to assess your crowns and recommend the best course of action.

In conclusion, while your crowns may not be causing you pain at the moment, the symptoms you describe warrant a professional evaluation. It’s better to address potential issues early on to avoid more significant problems down the line. Remember, maintaining your oral health is crucial, and finding a trustworthy dentist will help you achieve that.

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