Dentist advice: how to determine that you have incorrectly installed the crown
'30.05.2019'
Source: AiF.ru
Discomfort, taste in mouth and unpleasant smell. After installing the crown may appear various unpleasant symptoms. Which of them are natural and which require immediate treatment, says general dentist Tigran Grigoryan.
Even if the installation of the crown cost you a round sum, it does not guarantee that you can forget about the problems with the tooth for a long time, writes AIF. Sometimes unpleasant symptoms may appear immediately after the procedure. Is it worth it to immediately go to the doctor or eventually everything will pass by itself, explains general dentist Tigran Grigoryan.
- You are concerned: the feeling that the crown is in the way
Tigran Grigoryan: The feeling of discomfort after installing the crowns is absolutely normal. It is quite rare to encounter a situation where nothing bothers the patient after such a procedure. Even a new small filling is constantly felt in the mouth at first, because for our body it is a definite innovation that we need to get used to. A crown is a more serious interference with the usual course of things; naturally, it always feels stronger, a bit troublesome and causes initially discomfort.
- Bothering you: chewing discomfort
This is an absolutely normal symptom. Again, the body needs to get used to the changes. Chewing discomfort is normal for 1-2 weeks after installing the crown.
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- You worry: bad smell from under the crown
And here you need to be vigilant. The smell from the mouth in this case is associated with infection of the gums, which can eventually become inflamed. Installing the crown leads to gum trauma. Therefore, the dentist must necessarily warn the person who has undergone prosthetics, a more careful attitude to brushing your teeth in order to avoid such unpleasant symptoms. The patient should very carefully clean the gingival part of the tooth with a brush, get rid of food debris and bacteria and not be afraid of the appearance of blood. Its presence during tooth brushing suggests that the body is fighting infection. For faster recovery of the gums to patients after dental prosthetics, daily use of an irrigator is recommended. If after a thorough cleaning of the teeth and the use of the irrigator, the smell from under the crown remains, it is necessary to urgently consult a dentist. Perhaps the reason lies in the incomplete adherence of the crown to the cervical part of the tooth, which is also fraught with inflammation of the gums due to the constant ingress of food residues.
- You worry: food started to get stuck between the crown and adjacent teeth
This is a good reason to go to the dentist. If food gets stuck between adjacent teeth and a crown, this is a reason to replace it with the last one. But first you need to establish the reason for which this began to happen.
- You are concerned: black border around the gums, which appeared after the installation of metal-ceramic
The black border can be formed when the installation work on the crown was carried out in violation of the regulations (or when the gums are squeezed). Several years ago it was decided to grind the teeth under the crown without a ledge, because of this it turned out that the crown fell on the gum, which led to its squeezing and the appearance of a black border. Today teeth grinding is performed with a ledge and does not provoke such negative consequences.
- Bothering you: swollen gums
The gums can swell for several reasons. One of them is associated with poor oral hygiene: the patient did not scrub the leftover food from the gum section of the tooth, which led to the appearance of infection and inflammation. Another reason is incorrect installation of the crown (in violation of the “equator”): when, when bitten or chewed, there is a direct hit of food on the gum, it is thus traumatized. In this case, during the prosthesis, the anatomical shape of the tooth was broken. This is a good reason to remake the crown.
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- You are concerned: the gum next to the crown is bleeding
The reason for this phenomenon may lie in the lack of oral hygiene, which has led to an inflammatory process. By the nature of my work, I often have to deal with the fact that patients simply do not know how to brush their teeth. And these are not children, but adults. It seems to them that you only need to clean the part of the tooth that rises above the gum, and in fact you need to brush over not only the surface of the teeth, but also where the gum passes into the tooth. In this place are the "pockets" (circular ligament of the tooth), which often clogged food debris: they are the ones that lead to the occurrence of infection and bleeding. Another reason is a strong injury to the gums when installing the crown, which also contains food debris, and there are much more of them left. Good oral hygiene and the obligatory use of an irrigator will help to cope with the situation. After installing the crowns, the dentist may prescribe oral rinsing with special solutions or herbs, this should not be neglected: they will help the gums to recover faster. I repeat once again that one should not be afraid of the sight of blood when brushing one's teeth: in this situation there is nothing terrible, on the contrary, an infection is released with blood.
- You are concerned: bitter taste in the mouth after installing the crown
This happens rarely, but it still happens. Basically - when the patient was installed cermet. In this case, the bitter taste is a sign of metal oxidation, which is a good reason to replace the crown.
- You are worried: the tooth under the crown reacts to hot and cold
This happens when the crown does not sit tight enough. In such a situation, you should immediately contact your dentist so that he reduces the sensitivity of the tooth with the help of special materials.
- You are worried: a tooth hurts near the crown
The crown on the next tooth can not affect! If the adjacent tooth hurts, you need to contact your dentist to determine the cause.
- You are worried about: aching pain under the crown
Most likely, here we are dealing with inflammation of the gums. Another reason - the installation of the crown was made without removing the nerve. When it comes to cermets or gold, removal is mandatory. Zirconia crowns and ceramic veneers allow installation without removing the nerve. Most often, dentists make decisions about removal, so that later neither they, nor patients have any problems. But sometimes the doctor goes to meet the client and still leaves the nerve. And here no one will give you a guarantee that afterwards under the crown the tooth will not ache, therefore it is most reasonable to remove nerves before installing the crown.
