Can a Tooth Rot Under a Crown? What You Need to Know

September 1, 2024

Dental crowns are crucial in dentistry, protecting and restoring damaged teeth. They are custom-made caps that encase the visible portion of a tooth, aiming to restore its shape, size, strength, and appearance. However, a common concern among patients is whether decay can still occur beneath a crown. This blog shares insights into the factors contributing to this possibility and provides insights into recognizing and preventing decay under crowns.

Can a Tooth Rot Under a Crown?

Despite their protective nature, dental crowns do not make teeth entirely impervious to decay. Potential decay may result from bacterial infiltration in the space where the crown and natural tooth meet. This may occur for a number of reasons, such as poor oral hygiene, persistent dental issues, or an incorrectly fitted crown.

Signs and Symptoms of Decay Under a Crown

Recognizing decay under a crown is crucial for timely intervention. Some common signs include heightened sensitivity to hot or cold foods and beverages. Patients may also experience discomfort or pain when biting down, indicating possible issues beneath the crown. Additionally, discoloration around the edges of the crown can signal underlying decay.
  • Sensitivity to Hot or Cold Foods/Drinks: One of the early signs of decay under a crown is increased sensitivity to temperature changes. Patients might feel discomfort or pain when consuming hot or cold foods, which suggests that the tooth beneath the crown could be compromised.
  • Pain or Discomfort When Biting Down: When you bite into food and feel pain or discomfort, it may be a sign that decay has gotten under the crown. This discomfort occurs because the decay affects the integrity of the tooth structure, causing sensitivity and pain during chewing.
  • Discoloration Around the Edges of the Crown: Visual cues are important in identifying decay under a crown. Discoloration, especially around the edges where the crown meets the natural tooth, can indicate bacterial infiltration and decay. This discoloration may appear as dark spots or stains, signaling the need for prompt dental evaluation.

How to Prevent Decay Under a Crown

Taking care of your dental crowns is important to keep them in good shape. To do this, make sure to brush and floss your teeth regularly. Also, don’t forget to visit your dentist for check-ups so they can keep an eye on your crowns and catch any issues early. Avoid habits like biting hard objects or using your teeth as tools, as these can damage your crowns.
  • Importance of Good Oral Hygiene: Consistent brushing and flossing routine contributes significantly to maintaining oral health and preserving the integrity of dental restorations.
  • Regular Dental Check-Ups and Cleanings: Regular dental health check visits to a dental clinic in Dallas, TX, ensure that any signs of decay under a crown are detected early. Professional cleanings and examinations by dental experts help keep teeth and gums healthy, minimizing the risk of complications.
  • Avoiding Habits that Can Damage the Crown: Patients should refrain from chewing on ice or using teeth to open packages, as these actions can weaken or damage dental crowns. Protecting dental restorations from unnecessary strain and trauma extends their longevity and effectiveness.

Treatment Options for Decay Under a Crown

If decay is found under a crown, it needs to be treated right away to prevent further damage to the tooth. The treatment options relies on the severity of the decay. Usually, the first step is to remove the crown and check the tooth underneath. Sometimes, the tooth will need a root canal to remove the diseased tissue and fix it. After the treatment, the crown may be repaired or replaced to ensure the tooth works properly and looks good.
  • Removal of the Crown and Assessment: The first step in addressing decay under a crown involves removing the existing restoration to evaluate the extent of damage to the natural tooth. This allows dentists to assess the condition of the underlying tooth structure and plan appropriate treatment.
  • Possible Root Canal Treatment: If decay has progressed to the inner pulp of the tooth, a root canal procedure may be recommended. This procedure entails the extraction of contaminated tissue, sterilizing the root canal, and closing it to inhibit the spread of more infection. Root canal treatment is a procedure that maintains the integrity of the tooth’s structure and enables the possibility of placing a new crown if needed.
  • Replacement of the Crown: After addressing decay and restoring the tooth’s health, the crown may be replaced with a new one. Modern dental materials and techniques ensure the new crown fits seamlessly and provides long-term protection and aesthetics.

Conclusion

Dental crowns offer effective protection and restoration for damaged teeth but are not entirely immune to decay. Patients need to be aware of the possibility of decay under a crown and recognize early signs such as sensitivity, pain, or discoloration. Good oral hygiene, regular dental check-ups, and prompt treatment are key to preventing and addressing decay under crowns.

Ready to Protect Your Smile? Book Your Appointment Today!

We recommend that you prioritize your dental health by arranging a comprehensive dental examination at Yes Dental PLLC today. Our dental experts provide individualized treatment and answer inquiries about dental crowns in Dallas and oral hygiene. Contact us to book your appointment and ensure your smile remains healthy and vibrant.
Click to listen highlighted text!