Concerns About Wearing a Temporary Dental Crown for 10 Years

Q: Concerns About Wearing a Temporary Dental Crown for 10 Years

Hello： If you have already noticed a significant gap, it is advisable to switch to a permanent dental crown for safety. <br>If you can return to the original hospital, it would be ideal to compare the new and old X-rays, but since it has been over 10 years, it is also acceptable

Wearing a temporary dental crown for an extended period?

Hello, doctor.
I suspect that I have had a temporary crown on my upper right second premolar for the past 10 years.
My dental condition is poor; I have been visiting the dentist frequently since childhood, and almost every tooth has been filled or had root canal treatment, which makes it difficult for me to keep track of what has happened to each tooth.
However, I clearly remember that I have 8 fixed crowns because I have paid a significant amount for each fixed crown.
A few months ago, I noticed something strange about my upper right second premolar while feeling my teeth; there seems to be a gap between the tooth and the gum.
After looking in the mirror and comparing colors, I am fairly certain that it is a crown (the 9th crown).
After some effort to recall, I believe that I had one or two temporary crowns placed at a hospital while studying abroad about 10 years ago (but I can't remember which tooth it was...
it’s also possible that the crown was not placed by that hospital...).
I distinctly remember that one crown cost 1000 NTD.
Later, I called that hospital, and the staff checked my medical records and informed me that the tooth had undergone root canal treatment but had not been fitted with any crown.
I am unsure how the doctor would recommend handling that tooth.
There is quite a large gap between the crown and the gum, which I can feel with my finger (while for the other 8 crowns, I have to use my fingernail to feel the gap).
The dentist who treated me 10 years ago has also left for another clinic.
If a temporary crown has been in place for 10 years, what issues might arise? Is there a risk of the tooth root breaking easily? (Or could it actually just be a normal fixed crown...?)

Ian, 20~29 year old female. Ask Date: 2021/06/20

Dr. Lin Jiayong reply Dentistry

Hello: If you have already noticed a significant gap, it is advisable to switch to a permanent dental crown for safety.
If you can return to the original hospital, it would be ideal to compare the new and old X-rays, but since it has been over 10 years, it is also acceptable to switch to another facility.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/06/20

More Info

Wearing a temporary dental crown for an extended period, such as 10 years, can lead to several significant concerns regarding oral health and the integrity of the underlying tooth structure. Temporary crowns are designed to be short-term solutions, typically used while a permanent crown is being fabricated. They are not intended for long-term use, and prolonged wear can result in various complications.

Potential Issues with Long-Term Use of Temporary Crowns
1. Wear and Tear: Temporary crowns are generally made from less durable materials compared to permanent crowns. Over time, they can wear down, crack, or become loose. This deterioration can lead to gaps between the crown and the tooth, as you've observed with the noticeable space between your crown and gum line. Such gaps can trap food particles and bacteria, increasing the risk of decay and gum disease.

2. Tooth Sensitivity and Damage: If the temporary crown is not providing adequate protection, the underlying tooth may become sensitive to temperature changes or pressure. Additionally, if the crown is not properly fitted, it can lead to misalignment of the bite, causing undue stress on the tooth and potentially leading to fractures or even tooth loss.

3. Gum Health: The prolonged presence of a temporary crown can lead to gum irritation or recession. If the crown does not fit well, it can cause inflammation of the surrounding gum tissue, leading to periodontal issues.

4. Root Health: While a temporary crown itself is not likely to cause the root to fracture, the underlying tooth may be at risk if it is not adequately protected. If the tooth has undergone root canal treatment, as you mentioned, it may be more susceptible to fractures, especially if it is not properly supported by a well-fitted crown.

5. Misdiagnosis of Dental Issues: Since you have had multiple dental procedures and a history of dental issues, the presence of a long-term temporary crown may complicate the diagnosis of any new problems. It is essential to have a thorough examination to determine the current state of the tooth and surrounding structures.

Recommendations for Your Situation
Given your circumstances, it is crucial to seek a dental evaluation as soon as possible. Here are some steps you should consider:
1. Consult a Dentist: Find a reputable dentist who can assess the condition of your tooth and the temporary crown. They can take X-rays to evaluate the health of the tooth and surrounding bone structure.

2. Replacement with a Permanent Crown: If the tooth is still viable, replacing the temporary crown with a permanent one is advisable. A permanent crown will provide better protection and restore function.

3. Address Any Underlying Issues: If there are signs of decay or gum disease, these should be addressed before placing a new crown. Your dentist may recommend treatments such as fillings or periodontal therapy.

4. Regular Dental Check-ups: Moving forward, regular dental visits are essential to monitor your oral health, especially given your history of dental issues. This proactive approach can help catch any problems early.

5. Consider Financial Options: If cost is a concern, discuss payment plans or financing options with your dentist. Many dental offices offer solutions to help manage the financial aspect of dental care.

In conclusion, wearing a temporary crown for an extended period can lead to various complications, including damage to the underlying tooth, gum issues, and increased risk of decay. It is essential to seek professional dental care to address these concerns and ensure the long-term health of your teeth and gums.

Similar Q&A

How Long Can You Wear Temporary Dental Crowns Safely?

I have had root canal treatment on all four of my upper front teeth (two on the left and two on the right) for over 20 years and have not worn braces due to significant discoloration and some small pits from the extensive fillings. At the end of March this year, I began treatment...

Dr. Lin Jiayong reply Dentistry
Hello: If you experience localized symptoms such as gum inflammation, redness, and pain, it is advisable to return for an examination as soon as possible. Generally, temporary dental crowns are made of acrylic resin and should not be used for more than six months. Sincerely, Lin ...

Switching Dentists: Key Considerations for Dental Prosthesis Replacement

What should I pay attention to and inform the new doctor about my current situation? Current condition: I have undergone tooth reshaping and am currently wearing a temporary crown that extends slightly into the tooth (right lower second molar). I hope to avoid grinding down the n...

Dr. Lin Jiayong reply Dentistry
Hello: After changing your dentist, it is essential to communicate any concerns or issues you may have to the dentist before starting treatment. Only proceed with the treatment after receiving satisfactory responses. Most dental procedures are considered "irreversible,"...

Post-Root Canal Orthodontics: Concerns About Tooth Sensitivity and Safety

Hello, doctor. I had a root canal treatment on one of my front teeth four years ago, and I am currently undergoing Invisalign treatment. The dentist mentioned that my tooth structure is sufficient, so there is no need for a temporary crown. However, after putting on the aligners,...

Dr. Huang Tingfang reply Dentistry
Dear Miss Pain: Hello! The force shouldn't be that strong, but it's still best to seek medical attention immediately! Take care! Wishing you all the best and smooth recovery! Sincerely, Dr. Huang Ting-Fang, Dentistry.

Common Concerns About Dental Crowns and Temporary Adhesives

Hello Dr. Lin, I would like to ask the following questions: (1) Is it standard procedure to initially use temporary cement to attach a crown (or prosthesis) and observe it for one to two weeks? When applying the permanent cement for the final crown (or prosthesis), could mixing...

Dr. Lin Jiayong reply Dentistry
Hello: 1. When switching to a permanent adhesive, the temporary adhesive will be thoroughly removed first. 2. It depends on the composition of the permanent adhesive; if there are concerns about affecting the adhesive, you may wait a week before getting a dental cleaning. 3. If t...