Dental Crowns and Periodontal Disease: Your Questions Answered - Dentistry

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When it comes to dental crowns and periodontal disease, it’s essential to understand the relationship between the two and how to manage any issues that arise. Based on your concerns, let’s break down the situation and provide some clarity.

Firstly, the sensation of discomfort or a "sour" feeling in your crowned tooth could stem from several factors. One possibility is that there may be an underlying issue with the tooth's root or surrounding structures. If the tooth has undergone root canal treatment, it is possible for the root to develop complications, such as a fracture or infection, which could lead to discomfort. Additionally, the crown itself may not be fitting properly, allowing bacteria to enter and cause inflammation in the surrounding gum tissue. This could also be a sign of periodontal disease, which you mentioned you have been diagnosed with.

Regarding your concerns about the quality of the crown you previously had, it’s crucial to understand that poorly made crowns can lead to various complications, including gum irritation and decay at the margins. If your previous crown was of low quality and lasted for thirteen years, it might have contributed to the development of periodontal disease, especially if it was not sealing properly against the tooth structure.

Now, concerning your current situation with the new crown and the ongoing treatment for periodontal disease, it is essential to communicate openly with your dentist. Generally, periodontal disease treatment can often be performed without removing the crown, especially if the crown is well-fitted and not contributing to the disease. Your dentist may recommend a deep cleaning (scaling and root planing) to remove plaque and tartar buildup from below the gum line, which is crucial for managing periodontal disease.
In terms of cleaning your dental crown, it is vital to maintain excellent oral hygiene practices. Here are some tips:
1. Use Dental Floss: Flossing is crucial, especially around the crown and adjacent teeth. Consider using a floss threader or super floss, which can help you navigate around the crown more effectively.

2. Interdental Brushes: These can be particularly useful for cleaning around crowns, especially if there are spaces between the crown and the adjacent teeth.

3. Electric Toothbrush: Using an electric toothbrush can provide a more thorough cleaning compared to manual brushing, especially if it has a timer to ensure you brush for the recommended two minutes.

4. Antimicrobial Mouthwash: Rinsing with an antimicrobial mouthwash can help reduce bacteria in your mouth, which is beneficial for both your crowns and your periodontal health.

5. Regular Dental Visits: Continue to see your dentist regularly for cleanings and check-ups. This will help monitor the health of your gums and the integrity of your crown.

If you are feeling anxious about your periodontal disease and the health of your teeth, it may be beneficial to seek a second opinion from a periodontist. They specialize in gum health and can provide targeted treatment options that may be more effective for your specific situation.

In conclusion, while it is understandable to feel overwhelmed by your dental health concerns, maintaining open communication with your dental care providers and adhering to a strict oral hygiene routine can significantly improve your situation. Remember, periodontal disease is manageable, and with the right care, you can achieve and maintain a healthy mouth.