A fixed dental prosthesis became loose due to dental cleaning?
Hello: I have a fixed dental prosthesis with eight units in the upper arch, which has been in place for about 23 years.
Since my original dentist has retired, I changed clinics for a dental cleaning.
About a week after the cleaning, I felt that the prosthesis was loosening.
Could improper dental cleaning cause the prosthesis to loosen? Can a loose prosthesis be reattached?
Qin Qin, 40~49 year old female. Ask Date: 2024/04/02
Dr. Zeng Guanghui reply Dentistry
Hello Miss Qin Qin: If a fixed denture is used for a long time, the internal adhesive may gradually wear off.
If you feel that the denture is loose after having your teeth cleaned, you should return to the clinic to have the fixed denture removed, clean the inside of the denture thoroughly, and then reattach it.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2024/04/02
More Info
Improper teeth cleaning can indeed contribute to issues with dental crowns, including the loosening of crowns. When dental crowns are placed, they are typically cemented onto the underlying tooth structure. This cement creates a seal that helps keep the crown in place. However, if the surrounding area is not cleaned properly, plaque and tartar can build up, leading to gum disease or decay in the underlying tooth. This can compromise the integrity of the crown and lead to it becoming loose over time.
In your case, since you mentioned that your dental crowns have been in place for about 23 years, it is possible that the longevity of the cement and the health of the underlying tooth have been affected by inadequate cleaning. If the crowns are not cleaned properly, bacteria can accumulate, leading to inflammation of the gums (gingivitis) or even periodontal disease. This can weaken the support structure of the crown, making it feel loose.
After a dental cleaning, it is not uncommon for patients to experience some sensitivity or a feeling of looseness, especially if there was significant tartar buildup that was removed. This feeling may subside as your mouth adjusts, but if the crowns continue to feel loose, it is essential to consult with a dentist.
Regarding whether a loose crown can be re-cemented, the answer is generally yes, but it depends on the condition of both the crown and the underlying tooth. If the crown is intact and the tooth structure is healthy, your dentist can usually clean the crown and the tooth and re-cement it. However, if there is decay or damage to the tooth, further treatment may be necessary, which could include a root canal or even a new crown.
To prevent future issues with your dental crowns, it is crucial to maintain a diligent oral hygiene routine. This includes brushing at least twice a day with fluoride toothpaste, flossing daily, and using an antibacterial mouthwash to help reduce plaque buildup. Additionally, regular dental check-ups and cleanings are essential to monitor the health of your crowns and the surrounding teeth and gums.
If you are experiencing looseness in your crowns, do not hesitate to reach out to your dentist. They can assess the situation and determine the best course of action to ensure your dental health is maintained. Remember, while it may be tempting to delay treatment, addressing these issues promptly can prevent more significant problems down the line.
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