Denture issues
I am currently undergoing dental restoration, and the outer layer is made of ceramic.
During the try-in, I found that the three restored teeth are too low, so the dentist took them back to the lab to add an additional layer.
Can this dental prosthesis be secure, and will the added layer wear down over time?
Xiao Zhuang, 50~59 year old female. Ask Date: 2015/08/25
Dr. Zhang Xiangyuan reply Dentistry
Dear online user,
Based on your description, your dentures are currently temporarily bonded.
During the fitting process, if any abnormalities are detected, the dentist can make adjustments or send them back to the dental lab for repairs.
Areas with insufficient occlusion will be addressed by the dental lab (with porcelain glazing) before being returned for fitting.
Once the fitting is confirmed to be satisfactory, they will be permanently bonded.
Thank you for your inquiry.
Reply Date: 2015/08/25
More Info
When it comes to dental crowns, particularly those made of ceramic, understanding their longevity and durability is crucial for maintaining oral health and ensuring the best possible outcomes after dental procedures. Based on your inquiry regarding the adjustments made to your crowns and the potential for wear over time, let’s delve into the factors that influence the strength and lifespan of dental crowns.
Longevity of Dental Crowns
Dental crowns are designed to restore the function and appearance of damaged teeth. The longevity of a crown can vary significantly based on several factors, including the material used, the location of the tooth, the patient's oral hygiene practices, and the underlying tooth structure. Generally, ceramic crowns can last anywhere from 5 to 15 years, depending on these factors.
In your case, since you mentioned that your crowns are being adjusted to ensure proper height, it’s essential to understand that the fit and alignment of the crown play a significant role in its durability. A well-fitted crown will distribute chewing forces evenly, reducing the risk of chipping or cracking.
Adjustments and Their Impact
When your dentist adds an additional layer to the crowns to correct their height, it is typically done to ensure that your bite is comfortable and functional. This adjustment can be beneficial, but it’s important to consider the following:
1. Bonding Strength: The strength of the bond between the crown and the tooth is crucial. If the additional layer is properly bonded, it should remain secure. However, if there are any issues with the bonding process, it could lead to complications down the line.
2. Material Considerations: The type of ceramic used can affect durability. Some ceramics are more prone to wear than others. If the added layer is made from a less durable material, it may wear down faster than the underlying crown.
3. Wear and Tear: Over time, all dental materials can experience wear. The additional layer may be subject to the same forces that affect the original crown. Regular dental check-ups will help monitor the condition of your crowns and address any wear issues before they become significant problems.
Maintenance and Care
To maximize the lifespan of your dental crowns, consider the following maintenance tips:
- Oral Hygiene: Maintain a rigorous oral hygiene routine, including brushing twice a day and flossing daily. This helps prevent decay around the crown and ensures the surrounding gums remain healthy.
- Regular Dental Visits: Schedule regular check-ups with your dentist. They can assess the condition of your crowns and make necessary adjustments or repairs.
- Avoid Hard Foods: Be cautious with hard foods that could potentially chip or crack your crowns. If you have a habit of grinding your teeth (bruxism), discuss protective measures, such as a night guard, with your dentist.
- Monitor for Sensitivity: If you experience any sensitivity or discomfort with your crowns, consult your dentist promptly. This could indicate issues with the fit or the underlying tooth structure.
Conclusion
In summary, while the adjustments made to your dental crowns are intended to improve their fit and function, it’s essential to remain vigilant about their care and maintenance. With proper oral hygiene and regular dental visits, you can help ensure that your crowns last as long as possible. If you have any concerns about the durability of the additional layer or the overall integrity of your crowns, don’t hesitate to discuss these with your dentist. They can provide personalized advice based on your specific situation and dental health.
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