April 17, 2024

What’s Hiding Under Your Old Dental Crowns: The Silent Threat to Your Oral Health

When did you last think about those crowns in your mouth? For most people, after having crowns installed, they are soon forgotten about, being out of mind until another visit. However, there is often an issue under those crowns that may seem intact, especially if they have been around for more than a decade.

The Lifecycle of a Dental Crown

Dental crowns are remarkable restorations. Not only do they save damaged teeth, but they also enhance their functionality, while also providing a totally realistic appearance. But they don’t last forever; rather, most experts agree on an average period of 10 to 15 years. So why must crowns be replaced after some time?

The truth is, crowns don’t get old; instead, the problem lies at the crucial point where the crown intersects with your actual tooth.

The Invisible Battleground: The Crown Margin

The seam where your crown meets your natural tooth structure is called the margin. While very small, it is the most critical component of the entire crown repair process. However, over time, a variety of factors contribute to the weakening of this vital connection:

  1. Everyday Strain: Each time that you bite down, your crown is subjected to incredible amounts of pressure. Over the course of days and weeks, this can take its toll on the crown margin.
  2. Ideal Location for Plaque Accumulation: Because there is a ridge along the margin of your crown, it offers the perfect place for plaque accumulation – often right underneath the gums where it cannot be easily reached.
  3. Harmful Bacteria: Unlike other forms of plaque, this bacterial build-up secretes acid, which damages the margin area of your tooth.

The Hidden Decay Dilemma

What makes crown decay especially difficult is the fact that it goes unnoticed. One can easily observe the progression of decay on exposed teeth, but it is impossible to detect decay underneath a crown. There may be cases when the X-ray will help, yet sometimes the signs are not visible.

By the time the patient starts experiencing such unpleasant signs as sensitivity, pain, and a loosened crown, the decay has taken place to such an extent that a replacement of the tooth has become necessary, since further restoration with a crown becomes impossible.

Real-Life Consequences: A Patient Story

Consider the case of Michael, a patient who got a crown on his lower molar 13 years ago. On the external side, it all seemed fine, and there was nothing wrong with it. He did not feel any kind of pain or sensitivity and therefore concluded that everything was in order.

In one of our regular check-ups, we detected minor signs of discoloration near the margin of the crown. After carefully examining the margin of the crown using an explorer, we realized something was seriously wrong. As soon as we removed the crown, we were shocked to see that half of the tooth had already decayed.

Fortunately, we caught it in time. We managed to take out the decaying part of the tooth, built up the tooth structure once again, and gave him a new crown sealed properly. Otherwise, things would have been quite difficult for Michael if the crown had become loose or sensitive later on.

Prevention: The Crown Check Protocol

So how do you keep safe from anything hidden under your crowns? Let us give you some tips:

  1. Get Acquainted With Your Crowns’ Ages: Once your crowns reach the age of 10 years, then it is time for extra care.
  2. Have Professional Checks: Ensure your dentist is checking crown margins during your routine visits.
  3. X-Ray Checks: You can have X-ray checks done periodically to ensure there are no serious dental problems.
  4. Cleaning Your Crowns: Focus on cleaning your crown margins.

The Economics of Proactive Care

Think about these numbers: getting a new crown usually runs about $1,000-1,500. An implant for a tooth you had to remove? $4,000-5,000.

Taking care of yourself now is not only good for your teeth but can save you money in the long run.

Conclusion: What You Can't See Can Hurt You

Your dental crowns have served you well, but like all things, they have a lifespan. Being proactive about monitoring and replacing aging crowns isn’t an unnecessary expense – it’s an investment in preventing much more costly and invasive procedures down the road.

Proactive replacement isn’t just healthier for your mouth – it’s significantly friendlier to your wallet.

If it’s been over 10 years since your crown was placed, schedule a specific crown evaluation with your dentist. What’s hiding beneath might be nothing at all – or it might be a problem that’s much easier to address now than later.
Your future self (and wallet) will thank you.

Frequently Asked Questions

You may notice sensitivity, pain, bad breath, or a loose crown, but often only a dentist can detect it early.

Yes, if caught early, the tooth can be cleaned and a new crown placed. Severe decay may require extraction.

Brush and floss well, clean around the margins, and visit your dentist regularly.

Yes, crowns over 10–15 years old can fail silently and should be checked regularly.