A dental crown is designed to protect and restore a damaged tooth, but what happens if the tooth underneath begins to decay? Many assume that once a crown is in place, the tooth is safe from harm. However, decay can still develop under a crown without obvious symptoms at first. If not addressed, it can lead to pain, infection, or even tooth loss. If you have dental crowns in Winter Park, knowing the warning signs of decay can help you address problems early and avoid more complex treatments.
Signs That Your Tooth Under a Crown May Be Decaying
1. Sensitivity to Hot or Cold
The underlying tooth may be compromised if your crowned tooth suddenly reacts to hot coffee or ice water. Lingering sensitivity can indicate that decay has reached the tooth's inner layers.
2. Pain When Chewing or Biting
A healthy crown should not cause discomfort when eating. If you experience pain when chewing, it could mean that the crown has loosened, allowing bacteria to reach the tooth structure underneath.
3. Bad Taste or Persistent Bad Breath
If you notice a foul taste or odor around a crowned tooth, bacteria may be trapped underneath, leading to decay. Regular brushing and flossing should remove everyday buildup, but persistent bad breath can be a red flag.
4. Gum Inflammation or Recession
Swollen or receding gums around a dental crown could mean there is decay below the surface. If the crown is not properly sealed, bacteria can seep in, irritating the gums and causing infection.
5. Dark Spots or Discoloration at the Gum Line
A dark shadow or spot near the base of the crown may indicate decay beneath. While some metal-based crowns naturally have a darker edge, a sudden change in color could mean an issue is developing.
Why Does Decay Happen Under a Crown?
1. Poor Fit or Loose Crown
If a crown does not fit snugly, bacteria can enter through tiny gaps and begin breaking down the tooth underneath. A loose or shifting crown should be checked by a dentist as soon as possible.
2. Improper Oral Hygiene
Brushing and flossing around a crown is just as important as caring for natural teeth. Neglecting oral hygiene allows plaque to accumulate, which can lead to cavities forming under the crown.
3. Aging Crown or Worn Cement
Over time, the bonding material securing the crown may weaken. If this happens, bacteria can sneak in, leading to decay beneath the crown. Most crowns last between 10 and 15 years, but regular dental checkups can help monitor their condition.
What to Do If You Suspect Decay Under a Crown?
1. Schedule a Dental Exam
If you notice any signs of decay, visit your dentist for an examination. X-rays can reveal if decay is present under the crown.
2. Maintain Proper Oral Care
Brushing twice a day, flossing daily, and using antibacterial mouthwash can help prevent further decay. Pay extra attention to the gum line around your crown.
3. Avoid Hard or Sticky Foods
Chewing on ice, hard candy, or sticky foods can put stress on a crown and cause it to loosen, creating an opportunity for bacteria to enter.
Can a Crowned Tooth Be Saved If It Has Decay?
If decay is caught early, your dentist may be able to remove the crown, clean out the cavity, and place a new crown. In cases where the decay has reached the nerve, a root canal treatment may be necessary before placing a new restoration. If the tooth is too damaged, extraction might be the only option. The sooner you address the issue, the better the chance of saving the tooth.
Need Help with Dental Crowns in Winter Park?
If you have concerns about a dental crown or think decay might be present, don’t wait until the problem worsens. Our team at Winter Park Dental offers expert care to restore and protect your smile. Contact us today to schedule an appointment and keep your dental health on track.