The Realities of Dental Crown Problems: Why They Happen and What You Can Do About Them

The Realities of Dental Crown Problems: Why They Happen and What You Can Do About Them By Maylands Dental Centre | May 12, 2023

The Realities of Dental Crown Problems: Why They Happen and What You Can Do About Them

Dental crowns have become a popular tooth restoration option for many people, thanks to their ability to effectively restore the function and appearance of a damaged or decayed tooth.

With the growing number of individuals opting for dental crowns, it’s crucial to be aware of the potential problems that can arise from this procedure. Knowing possible dental crown complications and their management will help you make informed decisions about your oral health and maintain a healthy smile.

In this blog post, we’ll explore various aspects of dental crown issues, including dental crown pain and dental crown failure. We’ll look into the causes and ways to manage these problems, as well as how to identify if your dental crown needs attention.

Additionally, we’ll discuss the different types of dental crowns and their impact on potential issues, when to consult your dentist regarding dental crown problems, and the role of regular dental check-ups in preventing these problems.

So, let’s delve into the realities of dental crown problems, why they happen, and what you can do about them. Keep reading to equip yourself with valuable information on this essential aspect of dental care.

Summary of the Content:

  • Dental crowns have become a popular tooth restoration option for various dental issues, but it’s essential to understand potential problems and complications associated with them.
  • Crowns are used to address several dental issues, and knowing the risks of this dental procedure helps patients manage their expectations and care.
  • Dental crown pain can have various causes, and tips for managing the pain include maintaining oral hygiene and seeking professional help.
  • There are signs and symptoms that indicate a dental crown needs attention. These will prompt patients to consult their dentist for proper evaluation and treatment.
  • Different types of dental crowns, such as porcelain, ceramic, metallic, porcelain-fused-to-metal, and zirconia crowns, have unique benefits and disadvantages, impacting potential issues.
  • Regular dental check-ups play a crucial role in preventing dental crown problems through early detection, proper crown fit, and maintaining oral hygiene.
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What are Dental Crowns and When Are They Used?

Dental crowns are custom-made caps that cover the entire visible part of a tooth, providing a durable solution to various dental issues.

The dental crown procedure involves several steps, including removing the damaged tooth enamel, shaping the remaining tooth structure, taking an impression of the prepared tooth, creating a temporary crown, and finally, placing the final crown on the prepared tooth. This process can address numerous dental concerns, such as:

  1. Protecting a weak tooth from further damage or decay
  2. Restoring a tooth with excessive wear or large fillings
  3. Holding a dental bridge in place
  4. Improving the appearance of a discoloured or misshapen tooth
  5. Covering a dental implant

Dental Crown Complications: What Can Go Wrong?

Dental crown treatments can sometimes lead to dental crown complications or problems despite their benefits. Some of the risks and possible complications associated with dental crowns include:

  1. Dental crown pain:
    Pain or sensitivity around the crowned tooth, which can be caused by various factors such as a poorly fitted crown or tooth decay under the crown.
  2. Dental crown failure:
    Failure can occur if the crown does not properly bond to the tooth, if there’s a crack in the crown, or if it becomes dislodged due to excessive bite force.
  3. Infection:
    Inadequate oral hygiene or gum disease, also called periodontal disease, can lead to infection around the dental crown.
  4. Aesthetic issues:
    Depending on the material used, the crown’s colour may not match the surrounding natural teeth, or the gum line may recede over time, exposing the metal base of some crowns.

Certain factors can increase the risk of complications, such as:

  1. Poor dental hygiene:
    Inadequate oral care can lead to gum diseases, dental decay, and other issues affecting the dental crown’s stability.
  2. Excessive wear:
    Grinding or clenching your teeth can put extra pressure on the crown, leading to cracks or damage.
  3. Improper crown placement:
    An ill-fitting crown or poor bonding can result in dental crown pain or failure. This may necessitate a replacement crown.

Understanding these complications can help you take proactive steps to maintain your dental health and the longevity of your dental crowns.

Dental Crown Pain: Causes and Management

Dental crown pain can result from various causes, making it essential to understand the underlying factors to find an appropriate remedy. Some common causes of dental crown pain include:

  1. Tooth sensitivity:
    The dentin, which lies beneath the enamel, can become exposed during the tooth preparation process, causing sensitivity to hot and cold temperatures.
  2. Nerve pain:
    In some cases, the reshaping of the tooth during the tooth preparation process can cause exposure of the nerve, leading to discomfort or even severe pain.
  3. Ill-fitting crown:
    An improperly fitted crown can result in pressure or pain when biting down.
  4. Decay under crowns:
    If bacteria manage to infiltrate the area beneath the crown, it may lead to decay and pain.

Here are some tips for managing dental crown pain:

  1. Use toothpaste for sensitive teeth:
    This can help shield the dentin from temperature changes and reduce discomfort.
  2. Take over-the-counter painkillers:
    Mild pain can be managed with over-the-counter pain relief medications.
  3. Maintain good oral hygiene practices:
    Regular brushing, flossing, and dental check-ups can help prevent further health concerns.
  4. Consult your dentist:
    If you experience persistent pain or severe symptoms, you must visit your dentist for a professional assessment.

How to Know if Your Dental Crown Needs Attention

It’s important to be aware of the signs and symptoms of dental crown complications that may indicate a dental crown needs attention. Some of these signs include:

  1. Loose crown:
    A loose dental crown can allow bacteria to enter and be in contact with the tooth, leading to infection or decay.
  2. Dark line forms at the gum line:
    This could indicate that the gums are receding, potentially exposing the margin of the metal core of porcelain-fused-to-metal crowns.
  3. Cold sensitivity:
    If your tooth becomes sensitive to cold foods or beverages, it may signal an issue with your dental crown.
  4. Persistent pain:
    Excruciating or consistent pain in the area of the dental crown warrants a dentist appointment for further evaluation, as this may lead to eventual dental crown failure.

By staying vigilant for these signs, you can address potential dental crown problems before they escalate, maintaining your overall oral health.

Different Types of Dental Crowns and Their Impact on Potential Issues

Understanding the various types of dental crowns can help you make informed decisions about your oral health, as each type comes with its own set of advantages and disadvantages.

  • Porcelain crowns:
    These crowns closely resemble natural tooth colour, making them a popular choice for restoring front teeth. However, they can be prone to chipping and may not be suitable for people with extensive dental wear or a tendency to grind their teeth. 
  • Ceramic crowns:
    Made entirely of ceramic material, these crowns offer a more natural appearance compared to other options. They’re biocompatible, reducing the risk of allergic reactions or gum recession. However, they may not be as strong as other materials and can be susceptible to cracks or damage.
  • Metallic crowns:
    These crowns are made from metals like gold, platinum, or other metal alloys. They are highly durable and resistant to wear. However, their metallic appearance may not be aesthetically pleasing to some individuals.
  • Porcelain-fused-to-metal crowns:
    These crowns combine the aesthetic appeal of porcelain with the strength of a metal base. They can offer a natural appearance while providing excellent durability. However, the porcelain surface can cause additional wear on the opposing teeth, and over time, the metal base may become visible and form a dark line at the gum margins, due to gum recession.
  • Zirconia crowns:
    Zirconia crowns are made from a strong, biocompatible material that closely mimics the natural tooth colour. They are resistant to cracks and chipping and can be used in areas with heavy bite forces. 

By being aware of the different types of dental crowns and their potential impact on dental crown problems, you can choose the most suitable option for your individual needs, minimising the risk of complications and making your dental restoration last as long as possible.

When to Consult Your Dentist Regarding Dental Crown Problems

Recognising the right time to consult your dentist about dental crown problems is crucial for maintaining your oral health. Here are some situations in which you should seek professional advice:

  1. Persistent or excruciating pain:
    If you experience consistent or severe pain around the dental crown, it’s essential to visit your dentist as it may indicate an infection, tooth decay, or exposure of the nerve which would require a root canal procedure.
  2. Sensitivity to hot and cold:
    Mild sensitivity is normal after a crown installation, but if it persists or worsens, it’s worth discussing with your dentist. They can help determine if the issue is related to the dental crown process or other factors.
  3. Visible signs of decay or damage:
    If you notice signs of decay or damage on the tooth beneath the crown, it’s essential to consult your dentist. They can evaluate the extent of the issue and recommend the appropriate course of action.
  4. Loose or dislodged crown:
    If your dental crown feels loose or has become dislodged, it’s vital to see your dentist as soon as possible. They can assess the underlying cause, clean the area, and reattach or replace the crown as necessary.

In many cases, over-the-counter pain killers can provide temporary relief from pain. However, it’s important to consult your dentist for long-term pain management tips and address your discomfort’s underlying cause.

By seeking professional advice when you encounter dental crown problems, you can preserve your oral health for the longevity of your dental restoration.

The Role of Regular Dental Check-ups in Preventing Dental Crown Problems

Regular dental check-ups are vital in preventing dental crown problems and maintaining overall oral health. By visiting your professional dentist routinely, you can reap the following benefits:

  1. Early detection of issues:
    Your dentist can identify potential problems with your dental crown before they escalate. You can avoid more severe complications by addressing issues such as tooth crown infection or decay in the early stages.
  2. Proper crown fit:
    During regular dentist visits, your dentist checks the fit and condition of your dental crowns. They can make any necessary adjustments to minimise tooth pain and susceptibility to future problems.
  3. Maintaining oral hygiene:
    A professional dentist can guide you on the most effective oral hygiene routine. Following their recommendations can prevent plaque buildup and gum disease around your dental crown, ultimately prolonging its lifespan.
  4. Professional cleaning:
    A dentist office visit often includes a thorough cleaning of your entire crown, removing plaque and tartar that may be difficult to eliminate with home dental hygiene practices. This helps keep your dental crown clean and maintain the health of the supporting tooth structure.
  5. Monitoring dental health:
    Regular check-ups allow your dentist to monitor the overall health of your teeth and gums. They can provide timely intervention and relief from pain when necessary, reducing the likelihood of dental crown problems.

In summary, scheduling routine dentist visits and adhering to a proper oral hygiene routine are essential for preventing dental crown problems and for the long-term success of your dental restorations.

Final Thoughts

Dental crown problems can be a source of discomfort and inconvenience. However, you can effectively manage and prevent these issues by understanding the different types of crowns, their potential complications, and the importance of regular dental check-ups.

If you’re experiencing dental crown pain or have concerns about your dental crown, don’t hesitate to reach out for professional help. Maylands Dental Centre is here to assist you with all your dental needs.

To book an appointment, visit our website or call our dental clinic. Together, let’s work towards maintaining a healthy and beautiful smile.

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Maylands Dental Centre
Content published on is intended to be used and must be used for informational purposes only. It is very important to do your own analysis before making any decision based on your own personal circumstances. You should take independent medical advice from a professional or independently research and verify any information that you find on our Website and wish to rely upon.

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