Tooth Decay After Getting Dental Crowns: What You Need to Know - Dentistry

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Tooth decay after getting dental crowns can be a significant concern, especially when it involves previously treated teeth, such as those that have undergone root canal therapy. Your situation raises several important points that need to be addressed to ensure your oral health is maintained.

1. Risk of Tooth Loss: If you have deep decay between the crown and the gum line, it is crucial to address it promptly. Ignoring this issue can lead to further decay, which may compromise the structural integrity of the tooth. In severe cases, this could result in the need for extraction. The fact that your dentist suggested you could "think about it" before making a decision is concerning, as it may indicate a lack of urgency in addressing a potentially serious issue. It is advisable to seek a second opinion from another dental professional who can assess the situation more critically.

2. Temporary Adhesive Concerns: The use of a temporary adhesive instead of a permanent one can indeed contribute to the problem. Temporary adhesives are designed for short-term use and may not provide the same level of sealing as permanent materials. This can allow bacteria to infiltrate the margins of the crown, leading to decay. If the temporary adhesive failed to hold the crown securely, it could have created a space for food particles and bacteria to accumulate, exacerbating the decay process. This is particularly relevant if the right side of your mouth has experienced more severe decay compared to the left.

3. Treatment Options: Given your current situation, you have a couple of options to consider. If the decay is not too extensive and the tooth structure is still sound, it may be possible to remove the existing crown, treat the decay, and then place a new crown. However, if the decay is extensive and has compromised the tooth significantly, dental implants might be a more suitable long-term solution. Implants provide a stable foundation for replacement teeth and do not rely on the remaining tooth structure, which can be beneficial if the tooth is at risk of further decay or fracture.


Additional Considerations
- Regular Dental Visits: It’s essential to maintain regular dental check-ups, especially after receiving crowns or other restorative work. This allows for early detection of potential issues before they escalate into more significant problems.

- Oral Hygiene Practices: After getting crowns, it is vital to maintain excellent oral hygiene. This includes brushing twice a day with fluoride toothpaste, flossing daily, and possibly using an antibacterial mouthwash to reduce plaque buildup around the crown margins.

- Dietary Choices: Be mindful of your diet, as sugary and acidic foods can contribute to tooth decay. Opt for a balanced diet rich in vitamins and minerals that support dental health.

- Communication with Your Dentist: If you feel uncertain about the treatment plan or the advice given, do not hesitate to ask questions or seek clarification. A good dentist will be willing to explain the rationale behind their recommendations and help you understand your options.

In conclusion, it is crucial to address the decay around your crowns as soon as possible to prevent further complications. Whether you choose to redo the crowns or consider implants, ensure that you are comfortable with your decision and that it aligns with your long-term dental health goals. Seeking a second opinion may provide you with additional insights and options for your treatment.