How Long Can You Wear Temporary Dental Crowns Safely? - Dentistry

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How long can a temporary dental crown be worn?


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 at a medical center's dental department.
By early May, all four front teeth had been permanently filled after root canal treatment, and I was fitted with a temporary dental bridge that connects all four teeth.

Next, I was supposed to proceed with the implant procedure for the dentures.
However, due to the Level 3 alert, this has been delayed until now.
The dental clinic I am visiting has been closed due to the Level 3 alert, and in the near term, I will need to undergo a rapid COVID-19 test within 72 hours before each dental visit, which requires multiple appointments for the dentures.
It is not feasible for me to undergo rapid testing every time due to the cost and discomfort, so I may have to wait longer before starting the denture process.
During the root canal treatment, the temporary bridge had to be removed each time, and the dentist used a temporary adhesive to secure it.
The dentist mentioned that there is slight inflammation in the bone of my left gum because I experienced some pain when I previously trimmed the small front teeth and the adjacent spaces.
After the last permanent filling, the dentist informed me that a stronger adhesive would be used to attach the temporary denture.

Originally, I was scheduled to return in early June for an X-ray to check the status of the bone inflammation and to decide whether to proceed with the dentures.
However, due to the Level 3 alert, this has been postponed until now.
Additionally, due to new hospital regulations, I may not be able to start the denture process for a while.

I would like to inquire about how long I can wear the temporary bridge.
I am concerned about wearing it for too long or whether it might lead to issues such as gum ulceration or other problems.
Currently, my four temporary teeth are connected, so there are no gaps in between, and I am cleaning the area with super floss.
Is there a guideline on how long temporary bridges can be worn? Thank you.

Li Qiuqiu, 30~39 year old female. Ask Date: 2021/07/20

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 Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/07/20

More Info


When it comes to wearing temporary dental crowns, the general recommendation is to limit their use to a maximum of six months. However, the ideal duration is often much shorter, typically around a few weeks to a couple of months, depending on individual circumstances and the specific dental treatment plan. In your case, since you have been wearing a temporary crown for a while due to delays in your dental treatment, it is essential to monitor your oral health closely.

Temporary crowns are usually made from acrylic resin or composite materials, which are not as durable as permanent crowns. They are designed to protect the underlying tooth structure and maintain aesthetics while waiting for the final restoration. However, prolonged use of temporary crowns can lead to several issues, including:
1. Gum Irritation and Inflammation: If the temporary crown is not fitting properly or if there is any underlying infection, it can cause irritation to the gums. You mentioned that you have experienced some inflammation in the bone around your left side gums, which could be exacerbated by the extended use of the temporary crown.

2. Decay and Bacterial Growth: Temporary crowns can accumulate plaque and bacteria, especially if they are not cleaned properly. Since you are using super floss to clean around the crowns, it is crucial to ensure that you are maintaining excellent oral hygiene. If bacteria are allowed to thrive, it could lead to decay of the underlying tooth or even gum disease.

3. Discomfort or Pain: If the temporary crown is causing discomfort or pain, it may indicate that it is not fitting correctly or that there is an underlying issue that needs to be addressed. Given that you have had some pain while cleaning, it would be wise to consult your dentist as soon as possible.

4. Potential for Damage: Temporary crowns are not as strong as permanent ones, and excessive wear or pressure can lead to fractures or dislodgement. If you are experiencing any issues with the crown, such as looseness or discomfort, it is advisable to seek dental care promptly.

In your situation, since you are facing delays due to the pandemic and subsequent restrictions, it is crucial to keep in touch with your dental provider. They may be able to provide guidance on how to manage your temporary crowns effectively during this time. If you notice any signs of gum disease, such as swelling, bleeding, or persistent pain, it is essential to seek immediate dental attention, even if it means finding an alternative dental provider who can accommodate your needs.

In summary, while temporary crowns can be worn for a limited time, it is best to aim for a duration of a few weeks to a couple of months. If you find yourself needing to wear them longer due to unforeseen circumstances, maintain rigorous oral hygiene and keep an eye out for any signs of complications. Regular communication with your dentist will help ensure that you receive the necessary care and guidance during this waiting period.

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