Dental Crown Polishing: Common Concerns and Solutions

Q: Dental Crown Polishing: Common Concerns and Solutions

Hello Mr. Chen： 1. Dentures can be adjusted, but they need to be polished afterward to avoid irritating the gums or tongue. 2. Generally, after polishing, they should not feel rough; however, if a metal crown is ground down and breaks, it may feel very rough.

Orthodontic bracket polishing and grinding?

Hello, Doctor.
I have a tooth that underwent root canal treatment, had a screw placed in it, and was then capped.
Recently, during a routine dental cleaning, I mentioned to the dentist that the gum around this tooth occasionally feels swollen.
He said he would grind it down a bit.
After that, when I got home, I felt that the surface was rough, and my tongue started to feel unusual.
About a week later, after talking, my tongue began to hurt.
I then went to a large hospital's dental department, where the dentist said that dentures shouldn't be ground down, as it would make them rougher.
I later returned to the dentist who had initially ground my tooth, and he treated it again, saying he polished it this time.
After that, it felt about 50% better.
However, whenever I talk a lot, the unusual sensation in my tongue returns.
I have continued to seek his help, and it seems to improve slightly each time, but my tongue still feels strange.
This has been going on for over half a year.
I would like to ask the doctor the following questions:
1.
Can dentures be ground down?
2.
After grinding, will the dentures become rough again over time? If so, how quickly?
3.
I have become hesitant to speak, and I have been using a whitening toothpaste to brush my teeth.
Could this help make the dentures smoother?
4.
I have visited several clinics, and they all said they wouldn't grind them down since they weren't done there, fearing damage.
Could you please provide some guidance or let me know if you can handle this? Thank you, a patient on the verge of despair.

Mr. Chen, 30~39 year old female. Ask Date: 2023/12/21

Dr. Zeng Guanghui reply Dentistry

Hello Mr.
Chen: 1.
Dentures can be adjusted, but they need to be polished afterward to avoid irritating the gums or tongue.
2.
Generally, after polishing, they should not feel rough; however, if a metal crown is ground down and breaks, it may feel very rough.
3.
It is recommended to return to the dentist for polishing.
4.
It is advisable to go back to the original dentist who made the dentures for further handling.
Director He Jianxian, Ophthalmology, Nantou Hospital.

Reply Date: 2023/12/21

More Info

Hello! Thank you for your detailed questions regarding dental crowns and the associated concerns. Let's address your queries one by one, focusing on the polishing of dental crowns, the potential issues you are experiencing, and the best practices for maintaining your dental health.

1. Can dental crowns be polished?
Yes, dental crowns can be polished, but it should be done with caution. Polishing is typically performed to smooth out any rough edges or surfaces that may irritate the surrounding tissues, such as the gums or tongue. However, excessive polishing can lead to the removal of material from the crown, which may compromise its integrity and fit. It’s essential that this procedure is performed by a qualified dentist who understands the materials used in your crown (e.g., porcelain, metal, or resin) and the appropriate techniques for polishing them.

2. Will a polished crown become rough again over time?
Yes, it is possible for a polished crown to become rough again over time due to wear and tear from normal chewing and grinding. The surface of dental crowns can accumulate plaque and tartar, which can contribute to a rough texture. Additionally, if the crown is not properly maintained, it may develop surface irregularities. Regular dental check-ups and cleanings can help maintain the smoothness of the crown.

3. Can using whitening toothpaste help smooth the crown?
While whitening toothpaste may help in removing surface stains, it is not specifically designed to polish dental crowns. In fact, some whitening toothpastes contain abrasives that could potentially scratch the surface of your crown, making it rougher over time. It’s best to use a non-abrasive toothpaste and consult your dentist for recommendations on maintaining the polish of your crown.

4. What should you do if you are experiencing discomfort?
If you are feeling discomfort or abnormal sensations in your tongue or surrounding areas, it is crucial to communicate this with your dentist. It may be necessary to reassess the fit of the crown and ensure that it is not causing irritation. If the crown is too high or has sharp edges, it can lead to discomfort and should be adjusted accordingly.
5. Seeking a second opinion:
If you have consulted multiple dentists and they are hesitant to perform adjustments on your crown, it may be beneficial to seek a specialist in prosthodontics. These professionals specialize in crowns, bridges, and dentures and may provide more tailored solutions for your situation.

6. Long-term care for dental crowns:
To maintain your dental crowns, practice good oral hygiene, including brushing twice a day with a soft-bristled toothbrush and non-abrasive toothpaste, flossing daily, and visiting your dentist regularly for check-ups and cleanings. Avoid hard foods that can chip or damage the crown, and consider using a night guard if you grind your teeth.

In conclusion, while dental crowns can be polished, it is essential to approach this with care to avoid damaging the crown. Regular maintenance and communication with your dentist about any discomfort are key to ensuring the longevity and comfort of your dental work. If issues persist, do not hesitate to seek further evaluations from dental specialists. Thank you for your questions, and I hope this information helps you find relief and clarity regarding your dental concerns!

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