Temporary dental crown
Hello Doctor, last month my second molar fractured after biting into something hard like a nut.
After an examination at the hospital, it was decided that I would need a crown.
Recently, I had a temporary crown placed, but since then, I have experienced some discomfort and a dull ache at times, along with slight swelling in the gums.
During my next appointment, I am scheduled to receive the permanent crown, but I am concerned that it might be even more uncomfortable.
I am considering whether it might be better not to proceed with the crown.
If I decide not to continue with the crown, is there any way to repair the smaller tooth that has been ground down? Thank you, Doctor.
Miss Lin, 30~39 year old female. Ask Date: 2023/07/21
Dr. Lin Jiayong reply Dentistry
Hello: If you are experiencing discomfort with your temporary crown, it is essential to inform your dentist to determine whether a root canal treatment is necessary before switching to a permanent crown.
If financial considerations prevent you from affording a permanent crown, be sure to communicate this to your dentist, who will advise you on how long the temporary crown is expected to last and other important considerations.
Teeth that have been reduced in size cannot be restored to their original shape using filling materials.
Reply Date: 2023/07/21
More Info
When dealing with a temporary dental crown, it's not uncommon to experience some discomfort, especially if the crown is not fitting perfectly or if there is some irritation to the gums. Here are some insights and recommendations based on your situation.
Understanding Temporary Crowns
Temporary crowns are designed to protect the tooth while you wait for your permanent crown to be made. They are typically made from acrylic or composite resin and are not as durable as permanent crowns. Discomfort can arise from several factors, including:
1. Fit: If the temporary crown does not fit well, it can cause pressure on the surrounding teeth and gums, leading to pain or discomfort.
2. Gum Irritation: The edges of the temporary crown may irritate the gums, especially if they are not smooth or if there is any excess cement.
3. Sensitivity: The tooth underneath may still be sensitive, particularly if it has been recently treated or if there is any underlying decay.
Managing Discomfort
To alleviate discomfort, consider the following:
- Over-the-Counter Pain Relief: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation.
- Saltwater Rinse: Rinsing your mouth with warm salt water can help soothe irritated gums.
- Avoid Hard Foods: Stick to softer foods that won’t put additional pressure on the temporary crown.
- Maintain Oral Hygiene: Continue to brush and floss carefully around the temporary crown to prevent plaque buildup, which can exacerbate gum irritation.
Future Options
If you are considering not proceeding with the permanent crown, it is essential to understand the implications:
1. Tooth Integrity: If the tooth has been significantly reduced in size to accommodate the crown, it may not be possible to restore it effectively without a crown. Leaving the tooth unprotected can lead to further damage or decay.
2. Risk of Decay: Without a crown, the exposed tooth structure is more susceptible to decay, which can lead to more severe dental issues down the line.
3. Aesthetic Concerns: If the tooth is visible, not having a crown may affect your smile and overall appearance.
Consultation with Your Dentist
It is crucial to communicate your concerns with your dentist during your next appointment. They can assess the fit of the temporary crown and determine if any adjustments are needed. If the discomfort persists, they may suggest alternative solutions or modifications to the treatment plan.
Conclusion
In summary, while temporary crowns can cause some discomfort, it is usually manageable with proper care. However, opting out of a permanent crown can lead to further complications. It is advisable to discuss your concerns openly with your dentist, who can provide tailored advice based on your specific dental health needs. Remember, maintaining the integrity of your tooth is essential for long-term dental health, and a permanent crown is often the best solution to protect and restore function.
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