Teeth rotted under the crown. Why can a tooth rot under a crown and what should be done? Preventive crown care

Remineralization is a process during which tooth enamel is saturated with the necessary mineral components, the hardness of the tooth surface is restored, and the upper layer is replenished with useful substances by acting on it chemically.

When is the procedure needed?

The opposite of remineralization is demineralization - the destruction of the upper layer of the teeth, which occurs as a result of tooth damage. Simultaneously with carious formations, the appearance is traced.

For this reason, the saturation of enamel with the necessary minerals is often carried out in parallel with other procedures aimed at improving the oral cavity: removal of tartar and,. It may also be necessary to treat diseases such as.

Reasons for teeth mineralization include:

In dentistry, this is one of the most effective methods of dealing with violations of the protective layer of teeth. The result is achieved quickly. The procedure is very effective in the initial stages of caries.

About contraindications

Like all medical and preventive procedures, this one has contraindications:

intolerance by some patients of the drugs used (allergic reactions are possible);
it is impossible to give in the teeth of people suffering from diseases of the pancreas, kidney diseases and having health disorders in which it is forbidden to use fluoride-containing preparations.

Variations on the Theme of Mineralization

Remineralizing therapy is of the following types:

Features of the natural enrichment of enamel with minerals

Natural remineralization is a process that is regulated by the body itself. If there is a shortage of important components of tooth enamel, their supply is automatically replenished from food.

That is why the diet of each person should be varied and balanced.

Food products will bring tangible benefits to the strength of tooth enamel:

milk;
beans;
beans;
nuts;
seeds;
fish;
liver.

What will be offered in the clinical setting

Professional remineralizing therapy is necessary when the body cannot cope with the problem on its own.

The specialist examines the condition of the patient's tooth enamel, prescribes the appropriate treatment. The course of such treatment and preventive procedures can last from 5 to 20 days.

This process takes place in several stages:

Tooth cleaning before the procedure.
Treatment with calcium gluconate in the form of a solution (for carious lesions of the enamel).
Covering the tooth surface with a special gel (in case of significant damage to the teeth, caps are used for this procedure).
Application of catalyst compositions.
Electrophoresis (physiotherapeutic process of exposure to constant electrical impulses in order to provide a local therapeutic effect).

Remineralization methods:

Implantation of hydroxyapatites- rubbing into the tooth enamel paste, which includes calcium phosphate. Thus, microcracks are filled with paste, their increase is prevented.
Applications that increase enamel resistance– procedures in which teeth or gel are used with a brush or special mouthguards. As a result of such treatment, the sensitivity of the enamel decreases.
Electrophoresis with calcium gluconate solution- movement of calcium ions from solution to tooth enamel under the influence of electric current.

How to help your teeth at home

The most accessible means of enriching teeth with essential elements are toothpastes and gels. Dentists recommend using dentifrice formulations from tested manufacturers.

Effective gels and pastes for remineralization of teeth at home:

Elmex– toothpaste clinically tested by European universities. It perfectly copes with the initial manifestations of caries, restores and exhibits a protective function.
Lakalut alpin- paste, actively cleansing enamel, provides a balance of trace elements.
Apa Care- means for caring for teeth, containing medical hydroxyapatite, filling cracks in the upper layer of the tooth coating.
Vivax Dent- a gel that reduces the severity of the effect of acids on tooth enamel. It is designed to combat caries, enamel erosion, increased tooth sensitivity.
R.O.C.S. Medical Minerals. Restores the balance of trace elements in the upper layers of the teeth, whitens the enamel, saturates the tooth surface with calcium, magnesium, phosphorus.

Benefits of remineralization at home:

there is no need to visit the clinic for each procedure;
you can independently choose a drug that is optimally suitable for the price;
the ability to carry out the procedure at a convenient time for yourself.

Manipulations to enrich the upper layer of teeth with the necessary substances using gels consist in applying the drug to the teeth on both sides with a toothbrush.

After that, for some time (it is indicated in the instructions for use of each drug), it is forbidden to drink liquids and eat. Rinse your mouth after this period is not necessary.

From the use of prophylactic pastes and gels, the result should be expected for about six months. This cannot be called a disadvantage of carrying out the procedure at home, since the effect appears gradually.

Many consumers of such hygiene products noted that white pre-carious spots on the teeth disappear, the enamel becomes much whiter, but, of course, this should be expected some time after the start of the course of treatment.

It should be remembered that even before home remineralization, consultation with a specialist doctor is necessary.

Application of Rox Medical remineralizing gels at home:

Expert opinion

Word to doctors with many years of experience.

I am a periodontist. I have known R. O. C. S. gel for over 10 years. I recommend this remedy both as a practitioner and as a consumer. I started using it after childbirth, noticing a deterioration in the condition of tooth enamel. I can’t say that this product is a panacea, but it prevents caries and does an excellent job with enamel sensitivity!

Inna, Perm

In our clinic, we definitely use remineralizing gel after. This is necessary to prevent the increased sensitivity of the enamel to various irritants.

Ivan, Kirov

From the opinions of ordinary people

A selection of consumer reviews that use remineralizing gels and pastes.

My son is four years old, he showed signs of early development. I didn’t dare to use gels and pastes at home, I turned to a specialist at the clinic. After examining the child’s teeth, remineralization was prescribed. The effect became noticeable after a three-week course of procedures in the clinic: the enamel became less sensitive and acquired a better appearance.

Olga, Saratov

During pregnancy, I consulted a dental hygienist about the deterioration of the enamel,.

I was advised to use R.O.C.S. Medical Minerals Remineralizing Gel. I was very pleased that it can be used during pregnancy and breastfeeding. The effect was pleasantly surprising: the sensitivity of the enamel decreased, the teeth acquired a healthier shade.

I used it during pregnancy and continue to use it after the baby is born. Great product!

Elena, Moscow

My daughter is only 3 years old, but the dentist noticed during the examination on the teeth. According to him, this is how caries begins. He advised me to purchase a special remineralizing toothpaste GC Tooth Mousse.

We were satisfied with the result of using this product: the spots do not increase in size, the teeth do not deteriorate. My daughter is happy to brush her teeth, because the paste has a wonderful taste.

Sofia, Arkhangelsk

The doctor advised to use Lakalut alpin toothpaste to restore the level of minerals in the tooth enamel. At first I was skeptical about this advice, but I still bought the paste.

The result surprised me: the enamel became whiter, now I don’t feel pain when hot or cold food gets into my mouth. Great tool! I recommend to all.

Ilya, Nizhny Novgorod

What for what?

Remineralizing dental therapy in the clinic depends on the following factors:

the number of teeth that will be processed (on average, the price for a service for remineralization of the enamel of one tooth is 200–500 rubles);
the condition of the teeth (the higher the stage of demineralization, the higher the price of the service);
drugs used.

To perform such procedures at home, the costs will be much lower: toothpaste with a restorative complex of minerals costs from 90 rubles, gel - from 400 rubles, balm - from 300 rubles.

Remineralization is an important therapeutic and prophylactic procedure that helps to increase the resistance of enamel to caries.

It is from this disease that many others begin to develop. Therefore, it is necessary to start restorative therapy for hard dental tissues in time. Trusting a specialist or performing all procedures at home is the right of choice for each person.

Natural remineralization of teeth depends on the intake of essential minerals, accompanied by high-quality oral hygiene. When the conditions for this are not met, it remains to use the possibilities of modern dentistry. There are in-office procedures or special tools for use at home. Seek professional help, it is affordable and very important for dental health.

What is remineralization and when is it needed?

When we talk about the remineralization of tooth enamel, we mean the restoration of the required level of important trace elements. Among them: phosphorus, calcium, fluorine, carbon dioxide salts, magnesium. Renewal of the composition occurs throughout life, but often the process is disrupted due to a large number of influencing factors.

Remineralization in dentistry refers to therapeutic and preventive measures and in fact has no contraindications.

The appointment is made in the following cases:

Mineral imbalance due to genetic predisposition;
Special periods of high need for minerals (puberty, pregnancy, menopause);
Enamel caries (serious violations of the deep layers are not taken into account);
Acute enamel reaction to high and low temperatures, food with a high glucose content;
Carrying out procedures that thin the layer of enamel (removal of tartar, alignment of the bite);
Mechanical tooth injuries;
Damage to the enamel by chemicals;
High gum sensitivity;
Active formation of plaque on the teeth.

At the moment, remineralization is the most effective method in the fight against violations of the protective layer of tooth enamel. The result is achieved directly at the moment of exposure to tissues in various ways; in the early stages of caries development, there is no better auxiliary procedure.

Methods used and procedure steps

If toothpaste for remineralization of tooth enamel does not have the desired effect, you should listen to the dentist and choose other methods. The most commonly used are and . The difference between them is in the drugs used, prescribed strictly according to the available indications of specialists. For a stable result, a long course of treatment is carried out from 5 to 20 days.

It is important to know that you can independently contribute to the process of restoring the level of minerals in the enamel. Remineralization and restoration of teeth with the help of nutrition is possible, this is a sufficient amount of water, a balanced diet and the use of vitamin and mineral complexes. Additionally, use specialized toothpastes, gels, rinses.

The remineralization procedure consists of several stages:

Preparatory procedure for cleaning teeth;
The use of calcium gluconate solution in the presence of carious lesions of the enamel;
Applying a special gel to the surface of the teeth; in case of serious tissue disorders, a cap is used to remineralize the teeth;
If necessary, the use of additional compositions-catalysts;
Electrophoresis.

Remineralization of teeth at home

As already noted, the natural remineralization of teeth begins with a change in eating habits. The body must receive all the necessary nutrients, a sufficient amount of water, it is possible to make up for the lack of vitamins and minerals with suitable complexes of dietary supplements.

Remineralization of teeth at home also includes improving the quality of oral hygiene. The means for this have long been known to everyone - the use of rinses and dental floss. Do not do without toothpastes with a special content of trace elements.

You should start using funds for self-remineralization of tooth enamel with the permission of the dentist. Remember that too frequent intake of vitamin-mineral complexes will only aggravate the situation, resulting in the washing out of inorganic salts from the enamel.

Nuts, meat, green vegetables, hard cheese, most dairy products (especially cottage cheese), legumes contribute to strengthening the protective layer. At the same time, pay attention to the combination of them with products that are characterized by high acidity. Otherwise, the absorption of the necessary trace elements will be difficult.

Restoration of the enamel of milk teeth in children

Temporary teeth require no less careful handling than permanent teeth - every parent should know about this. The manifestation of the first violations may be in the form of minor specks on the surface, this should not be ignored. Remineralization of milk teeth is required as a preventive measure and is indicated without restrictions, but it is important to entrust the treatment to a specialist.

Little patients easily endure visits to the dentist, because the procedures are absolutely painless. Remineralization of milk teeth in children in the office can be replaced by the use of an individual mouth guard, inside which an effective composition (xylitol, calcium glycerophosphate) is placed.

The course of treatment - up to a month, is selected on the basis of specific indications. As a result, the process of calcium leaching from enamel will be weakened, and protection against the action of pathogens will be enhanced. The procedure is also used as a prevention of caries, in the future it means a significant reduction in the need to use a drill.

What preparations and means are applied?

The most common remedy for remineralizing teeth, especially at home, is toothpaste.

Elmex. The composition of this paste has been tested and recommended by various European universities. It helps well with the initial manifestations of caries, there is a restorative and protective effect;
Lacalut alpin. The paste actively cleans the surface of the enamel, ensures the balance of microelements;
ApaCare. The active substance is medical hydroxyapatite, the agent fills microcracks on the surface of the teeth, prevents the formation of plaque and the effects of a pathogenic environment.

You can buy and use it yourself and, methods of application: applications, application of cap.

Vivax Dent. Reduces the effect of acids on enamel, enhancing its protective properties. Applied locally, indications: caries, enamel erosion, high sensitivity;
R.O.C.S. Medical Minerals. It has a restorative, whitening, preventive effect. Active ingredients: calcium, magnesium, phosphorus.

If you need home remineralization of teeth, preparations should also be chosen carefully. It is best to consult with a specialist, based on research, he will be able to suggest the best option.

From this article you will learn:

what to do if food gets under the crown,
what are the causes of bad breath
what to do if the crown fell off the tooth ...

The smell from under the crown is a symptom of decay of the hard tissues of the tooth and food particles falling under it. In dentistry, this problem usually occurs due to the following reasons. Firstly, because of the poor quality of dental crowns, which leads to their inaccurate (not tight) fit in the area of the necks of the teeth, and as a result, to the ingress of food and bacteria under the crown. As a result, tooth decay begins under the crown, i.e. caries develops.

The second main reason is associated with the patients themselves - this is insufficient oral hygiene. For example, if a patient brushes his teeth irregularly, does not use dental floss to remove food particles stuck between the teeth after each meal, sooner and later this leads to the onset of decay of the tooth tissues. First, this happens where the crown wraps around the neck of the tooth (Fig. 1), after which the carious process spreads deeper and deeper under the crown.

Why there is a smell from under the crown -

As a result, food begins to get into the carious cavity that has appeared next to the crown (under the crown), and all this rots safely. This is the reason why there is an unpleasant smell from under the crown. Gradual decay of the tooth tissues under the crown leads to the fact that during chewing, a crown / tooth root fracture may occur, or the crown may simply fall out (Fig. 2-3).

Well, one more thing that we forgot to mention, and which can also give rise to these problems, is the mistakes of the orthopedist-stomatologist when cementing the crown. And in the event that the artificial crown fell out along with the stump tab, the reason is the violation of the technique for fixing the stump tab in the root canal (we will talk about this in more detail below).

A tooth rotted under the crown: what to do

Therefore, if the crown of your tooth was almost completely destroyed and it was restored with the help of filling material and a pin, the crown falling out will be a regularity, because. this design is simply not able to endure the usual chewing pressure. By the way, no less often in such situations, the pins lead to a root fracture, after which the tooth is generally removed.

If such a crown falls out, then a filling material with a pin protruding from it remains inside the crown. Just cementing it all over again in the root canal, of course, is possible (and we are sure that you will find dentists who will be ready to do this), but it is absolutely impossible to do this. Here you need to restore the tooth again - it is already desirable, after which it is already necessary to make a new crown. Otherwise, you will simply lose this tooth.

2) If the crown fell out along with the stump tab -

If a badly damaged tooth was restored not with a pin, but with a stump tab, crown loss also sometimes happens. This is usually also due to the mistakes of the dentist. The fact is that after fixing the stump tab in the root canal, many dentists, saving time, begin to file it with burs after 15 minutes and take an impression.

The fact is that after fixing the stump tab, a whole day must pass before you can start adjusting it with a drill. If the adjustment is made 10-20 minutes after fixation, which some dentists like to do to save time, then the vibration when processing the tab with a drill will lead to partial destruction of the cement that has not yet fully hardened. This leads to the fact that after a week, a month or six months, the crown falls out along with the stump tab.

How a tooth is restored with a stump tab -

What to do -
unlike the situation when the tooth was restored with a filling and a pin, such a design can still be re-fixed in the root canal (without the need to replace the crown), but only if you immediately contact the dentist.

The crown lies on the gum: what to do

Very often there are cases when inflammation of the gums begins around the artificial crown - as a result, the gum swells, grows, and chronic inflammation is constantly maintained in this place. Most often this is due to the fact that the crown injures the edge of the gums with its overhanging edges (which should not normally be).

In some cases, the problem can be solved with the help of surgical correction of the gingival margin, i.e. when part of the gum near the crown is removed. But according to the rules, the overhanging edge of the crown, injuring the gum edge, is a warranty case, and you have the right to demand a replacement of the crown (if the warranty period, which is usually 1 year, has not yet expired). We hope that our article was useful to you!

Sources:

1. Personal experience as a dentist
2. “Orthopedic dentistry. Textbook "(Trezubov V.N.),
3. "Orthopedic treatment with fixed prostheses" (Rozenshtil S.F.).

Almost everyone who has ever treated their teeth faces the problem of bad breath in the mouth. Violation of the integrity of the tooth always leads to filling. After a certain time, this problem appears. So how to eliminate it and what to do if there is a smell from under the crown? To do this, you first need to understand the causes of such a nuisance.

Causes of smell under the crown

All causes of smell come from decay. Particles of food that fall under the crown or the tissues of the tooth itself, on which it is attached, can rot. After the tissues all rot, the filling will fall out and, as a result, its owner will have to go to the dentist. It can also cause a smell that the device touches the gum, injuring its edge. Inflammation of the gums can lead to a similar problem.

How to get rid of the smell?

To get rid of the problem, you need to eliminate the causes of its occurrence. What to do if food gets under the crown? The ingress of food under the product will continue until the doctor puts a new one. If you do not come to the dentist in time, then the tooth can rot completely and eventually it can be lost completely.

What to do if the crown flew out. The product can fly out not only due to the fact that all the tissues of the tooth have rotted. Poor fixation of it on the tooth can also contribute to this. It is fixed with the help of special substances (cements). If the dentist makes a mistake, the patient will lose the crown in the future. To correct the situation, you must immediately contact the dentist. An experienced specialist will quickly and efficiently restore the aesthetic appearance of a smile.

What to do if a crown with a pin falls out. Before starting prosthetics, a pin is fixed in the root canal. If the doctor has committed violations, this may lead to the loss of the product. When fixing on the stump tab, if the crown fell out along with the tab, then this indicates obvious violations in the fixation technique. It consists in the fact that after the stump tab is fixed, at least a day must pass in order to make its adjustment with a drill.

Some inexperienced doctors like to perform it immediately after 10 minutes. Because of this, the destruction of the cement occurs, since it has not yet had time to harden. As a result, the crown falls out along with the tab. In this case, if you immediately consult a doctor, an experienced dentist will immediately put a crown. But this is if he does not find defects in it.

An unpleasant smell from under the crown can also occur if the crown touches the gum. In this case, an inflammatory process appears, accompanied by pain. The doctor may cut the gum if he does not find defects in the crown itself. If defects are found in the product itself, a new one will have to be installed.

Expert advice

When an unpleasant odor appears, a person can rinse his mouth with special delicious-smelling liquids and brush his teeth several times a day, chew mint chewing gum. All these methods only temporarily eliminate the problem. And the decay process continues. Many people don't even think about it.

The inability to find time to go to the doctor or the unwillingness to go through this unpleasant procedure again, the desire to solve the problem on our own - all this turns into sad consequences. Very often, the desire to make a trip to the dental clinic appears in people with the appearance of pain in the tooth. And even then some manage to escape with painkillers. As a result, complete decay of the tissues occurs and as a result, tooth loss occurs.

So it’s worth considering whether you need to create such problems for yourself and bring your natural tooth to such a finale, so that later you can put an artificial one in its place? All diseases of the teeth in the process of self-treatment do not go away, but rather become aggravated. If there is any hint of their painful condition, you should immediately go to the dentist.

Symptoms of tooth decay under a crown

Signs that the tooth under the crown is rotting are the following:

There is an unpleasant smell from under the crown;
The patient feels the hole under the crown with his tongue, where food is clogged;
It can be seen that the tooth under the crown turns black.

Such symptoms are priority arguments for an immediate appointment with the dentist. The options for what to do in this case will depend on several factors:

How timely is the patient's visit to the dentist?
Is the root intact, or is it also undergoing a process of decomposition?
How far has the inflammatory process "advanced"?
Are there any cystic formations at the apex of the root?
What method of prosthetics does the patient prefer in the future?

To restore a tooth in which the top under the crown is rotten, but the roots remain, you can use the stump tab. It is created according to an individual cast, for example, for a multi-rooted tooth, the tab will have several "processes" that will be attached to the channels (1/3 of the depth). Inlays can be made from silver, fiberglass or gold. Gold or fiberglass inlays are suitable for the frontal zone, as they do not shine through the thickness of the ceramic cladding. If the chewing tooth under the crown has rotted, you can restore the silver stump and install a new prosthesis on it.

What to do if both the tooth and the root have rotted under the crown?

In this case, it will not be possible to save the tooth - it is necessary to remove the remnants of decayed roots, treat inflammation of periodontal tissues and gums. After that, the question of how to restore such a tooth will become relevant. The most effective option is the installation of an implant and prosthetics on it. Also, we can talk about the implantation of two implants and conditionally removable prosthetics (if the bridge has fallen off the decayed supporting teeth).

In addition to implantation, it is possible to solve the problem with fixed prosthetics in the presence of supporting teeth, or removable dentures:

acrylic;
Nylon.

It is necessary to choose the appropriate option based on the advice of the dentist, your "dental" budget, as well as having studied the aesthetic characteristics of each method from photos of examples of similar work.

The main thing: if you already have the “experience” of a decayed tooth under a crown, be attentive to the new installed prostheses, improve the quality of hygiene procedures and regularly undergo diagnostics with a dentist.

Why does a tooth smell like rot after a crown is placed?

In the vast majority of cases, to determine the cause of the problem, it is necessary to remove the crown. A putrid smell can be caused by the destruction of dental tissues due to the prosthesis of a poorly treated tooth or when installing a prosthesis on a unit that has begun to collapse and must be removed.

The carious process under the structure also occurs when oral hygiene is not observed - irregular or poor-quality brushing of teeth, lack of care for crowns using special tools and devices.

Often an unpleasant smell under the crown is associated with insufficiently careful observance of prosthetic technology, so the reason may be as follows:

The design does not fit snugly to the gum, particles of food, saliva get into the space separating them. Favorable conditions are created for the active reproduction of bacteria. The rotting of food residues and waste products released by microbes become a source of a specific smell.
Leakage connection of the crown with the tooth. This may be due to the poor quality of the cementing material or improper installation of the prosthesis. Loosening of the product contributes to the penetration of food particles and microorganisms under it, because of which, under the crown, it smells unpleasant from the tooth itself and from the inflamed gums.
If the product is made of cermet, the ingress of air and saliva during depressurization of the structure leads to metal oxidation. It can also cause an unpleasant odor.
After grinding the tooth and taking its measurements the surface was not protected from infection temporary crown before fabrication and installation of a permanent structure.

The general nature of the symptoms

First of all, the patient's concern is putrid bad breath, it seems that both the tooth and gums and surrounding tissues stink.

There is a feeling of accumulation of food residues at the junction of the crown to the gum. If you look closely, you can notice the darkening of the base of the tooth, which indicates the beginning of its destruction.

In this case, pain may not be felt, since before prosthetics, as a rule, the tooth nerve affected by inflammation is removed.

alarm bell

These symptoms indicate the development of an inflammatory process with the formation of pus. Inflammation can lead to complications such as the occurrence of a purulent cyst on the root of a tooth or a flux - an abscess in the periosteum. To eliminate abscesses, you will need to resort to surgical methods of treatment and antibiotic therapy.

Pus-filled neoplasms are the focus of infection, from which pathogenic microorganisms spread to neighboring units of the dentition, soft tissues of the oral cavity, enter the bloodstream and spread with it to other organs. The consequence of this is otitis, sinusitis, blepharitis, tonsillitis, osteomyelitis and many other inflammatory processes.

If you do not start treatment of a tooth that is collapsing under the crown in time, after a while it will rot and it will have to be removed in order to then restore the dentition with the help of an implant or a bridge.

What should be done in such a situation?

Immediately after the appearance of an unpleasant odor from under the crown of the tooth, it is necessary to contact the dentist, attempts to do something on their own to save the tooth will not bring the desired result, since they will not help eliminate the very cause of the inflammatory process.

Before visiting the clinic, you can rinse your mouth with an infusion of herbs that have anti-inflammatory properties, such as a decoction of calendula, oak bark or chamomile. You can also try to remove food particles accumulated under the prosthesis with a special brush.

After removing the crown in the presence of a purulent process, treatment is carried out aimed at preserving the tooth. After sanitation, a new, newly made prosthesis is placed on it. If there is no inflammation and the cause of the smell is a loose fit of the structure to the gum, the tooth surface is thoroughly cleaned of dirt.

Then the product is corrected or a new one is placed, optimally corresponding to the size of the tooth and tightly adjoining the gum without the formation of gaps.

In this case, as in the case of loosening and depressurization of the prosthesis due to the use of poor-quality cement or poor fixation of the pin, the replacement of the product is free of charge. Most medical institutions provide their customers with a guarantee for a certain period of time for all types of treatment and prosthetics.

Symptoms of dental decay under a crown

The doctor installs a crown on teeth that have deteriorated badly, are affected by caries, are worn out or broken. Since the product is put on in order to prevent the destruction of the dental tissue, it is impossible to rot or destroy the tooth under the implant if the technology of prosthetics is observed.

If something is done wrong during the installation of the prosthesis, the stump hidden under the crown will begin to rot and collapse. The following symptoms indicate this:

bad breath that is not eliminated by brushing your teeth, mint gum and rinses;
remnants of food get stuck under the implant, while the tongue gropes for a hole into which it falls;
the tooth darkened under the crown;
if the canals were not depulped, pain occurs on the side of the prosthesis;
the soft muscle tissue that covers the roots of the teeth (gingiva) near the implant swells, sometimes the cheek.

Causes of bad breath

Teeth rot under a crown for the following reasons:

non-compliance with prosthetic technology;
poor fixation of the implant;
depressurization of the crown;
poor root condition or untreated canals before prosthetics;
injury to the soft tissues of the oral cavity by the implant;
poorly made prosthesis;
a crown is placed on a tooth that should have been removed;
improper oral hygiene.

The smell from under the implant is usually the result of improper prosthetics, as a result of which the dental tissue begins to rot and collapse. This usually occurs due to poor preparation of the stump for the procedure, loose fixation of the implant or its depressurization.

With poor fixation, a gap remains between the prosthesis and the stump, into which food collects even with the slightest gap. As a result, the tooth begins to rot, turns black, and there is a smell from under the crown.

Depressurization of the implant leads to damage to the stump. The fact is that during installation, the structure is fixed with cement on a previously prepared stump. If the adhesion between it and the tooth tissue is broken, depressurization occurs, which leads to food residues entering the gap and subsequent decay.

Poor quality or improperly made crown is another cause of tooth damage. This usually happens when the impressions of the prepared stump are taken incorrectly or the implant manufacturing technology is not followed. Because of this, it is loosely installed, which leads to the ingress of food debris between it and the dental tissue.

A poorly treated tooth, on which a prosthesis was placed, also leads to decay of the stump. If a temporary crown was not installed for the patient during the manufacture of the implant, this can also cause destruction of the dental tissue, since the stump was left without protection for some time, which led to the accumulation of plaque on it and the multiplication of bacteria.

An implant installed on a tooth that is to be removed or has been destroyed almost to the gum line will not last long. Pretty soon, the dental tissue will be completely destroyed, which will lead to the appearance of an unpleasant odor and the loss of the crown.

What to do?

The doctor should determine the cause of the unpleasant odor in the area of the prosthetic tooth, so the first thing to do is to consult a dentist. Based on the results of the examination, the doctor will prescribe treatment to eliminate the problem.

If the nerve was not completely removed, it is removed after the crown is removed and a temporary model is put on. In the absence of pain over the next two weeks, a permanent implant is installed. If the dental tissue under the crown rots and the tooth deteriorates, it must be healed. In the presence of severe destruction, the stump will have to be removed.

Fighting odor

In the space between the crown and adjacent teeth there is a place where food debris will definitely accumulate and rot, emitting a bad smell. To completely get rid of them with a toothbrush and paste will not work. This is the answer to the question why dentists recommend using floss and various rinses to clean your teeth, which kill bacteria and get rid of unpleasant stench.

Denture cleaning

A good assistant in the care of the oral cavity and crowns will be an irrigator (Waterglass). This is the name of a device that, with the help of pulsations of water or a special solution, is able to remove food debris and plaque. With the help of an irrigator, it is possible to clean the prosthesis and hard-to-reach areas of the oral cavity well.

Why can you taste blood in your mouth?

The appearance of the taste of blood in the mouth may be associated with inflammation of the gums near the crown (gingivitis). Various reasons can provoke tissue inflammation. The fact is that the crown covers the root of the tooth and directly adjoins the muscle tissue, which can lead to irritation.

In some cases, the crown injures the soft tissue, causing it to become inflamed. This means that the implant was placed incorrectly and you need to contact your dentist to resolve the problem.

Inflammation in the mouth may be associated with poor dental treatment, if the pulp or canals were poorly sealed, the root was not removed before prosthetics. If the tooth begins to rot at the same time, this causes not only the appearance of an unpleasant odor, but also bleeding gums, pain.

One of the causes of gingivitis is a poorly made crown. In this case, the implant must be replaced with a product of a higher quality.

Crown care - preventive measures

In some cases, the smell from under the crown is associated with improper care of it and insufficient oral hygiene. To prevent this, you must carefully listen to all the recommendations of the dentist for the care of the oral cavity and the crown and adhere to them.

Be sure to brush your teeth twice a day using a special toothpaste. In places of contact with the oral mucosa, special brushes should be used. And don't forget to rinse your mouth after every meal.

Causes of tooth decay

consequences:

signs

What to do?

If decay has not yet begun, and the cause of the unpleasant odor is decaying food debris that has fallen under the crown, you can get by with replacing the prosthesis.

How to care for a crown?

Bundle brush. Its bristles are a bundle of fibers designed to clean the inner surface of the prosthesis.
An interproximal brush with a brush on the head that can reach hard-to-reach places, including the gap between the crown and adjacent teeth.
Floss - dental floss for removing food from hard-to-reach places.
Irrigators - means for washing out food and saliva from hard-to-reach places using a special solution supplied under pressure. They will help to cope with the accumulation of dirt not only in the interdental spaces, but also in the cervical areas of prostheses.

Sources:

A well-installed crown, which is properly cared for, lasts a long time and reliably protects the tooth from external aggressive factors. In some cases, the fabrics under the structure deteriorate, which causes unpleasant consequences. What to do if a tooth rotted under a crown?

Why does a tooth deteriorate under a prosthesis?

If food gets stuck between the structure and the tissues, an inflammatory process will begin that destroys the tissues of the tooth.

In the vast majority of cases, the cause of tissue destruction under the crown is its incorrect installation (in this case, errors can be made at any stage of prosthetics). As a result, the patient may experience the following troubles:

the doctor used low-quality cement to fix the product,
the formation of a gap between the structure and the mucosa, into which food particles and infection enter. The gap between the prosthesis and the gum may appear over time, or may be the result of poor-quality prosthetics,
the preparation was done negligently: caries, pulpitis and other diseases were not completely cured,
serious damage to the tooth before prosthetics (in some cases it is more expedient to remove the chewing unit and choose an alternative method of prosthetics, but not cover it with a crown in any way),
the product injures the mucous membrane, which provokes the development of a chronic inflammatory process,
poor-quality processing and filling of root canals at the stage of preparation for prosthetics leads to the development of inflammation, as a result, the tooth is gradually destroyed.

Poor oral hygiene can also cause tissue destruction under the prosthesis.

Characteristic symptoms

An unpleasant smell is one of the characteristic symptoms of decay.

It is not always possible to detect something wrong in time until the moment when bad breath appears - the result of tissue decay. You can also suspect a problem by looking at the following: featured:

pieces of food get stuck under the product (this is another reason for an unpleasant odor),
darkening of tissues around the crown,
often patients feel the tongue gap in which food gets stuck.

It is impossible to cope with the problem on your own, you need to go to the doctor. The crown will have to be removed to assess the situation. If the tooth can still be saved, the doctor will treat it and replace the crown. In case of severe damage, the chewing unit will have to be removed and an alternative method of prosthetics chosen.

What will happen next?

The further fate of the tooth will depend on several factors:

at what stage of the complication the patient came to the clinic,
condition of the root canals,
how far the inflammatory process has spread,
what method of prosthetics the patient chooses.

If the root is destroyed, the tooth cannot be saved.

There may be several options for the development of events after the removal of the crown:

if the cause of the bad smell is stuck pieces of food, the doctor will simply replace the prosthesis with a new one,
with whole healthy roots and a destroyed crown part, it would be advisable to use a stump tab - a prosthesis that is made according to individual casts and is a support for the structure,
If the roots are damaged, the tooth cannot be saved. After removal, anti-inflammatory therapy is carried out and the optimal method of prosthetics is selected.

If the clinic gives a guarantee for the work of its doctors, the re-installation of the crown will be carried out at the expense of the clinic in case of a specialist error at the stage of prosthetics.

How to organize care to avoid trouble?

High-quality prosthesis care is the best method of preventing various troubles. Caring for the structure is easy, but you need to know some of the nuances:

- use a tufted brush, which is convenient to clean the inner surface of the product,
- buy a floss - it removes plaque and food debris from the most inaccessible places,
- interproximal brush qualitatively cleans the area between the prosthesis and adjacent teeth,
- get an irrigator - an indispensable assistant in oral care, which provides high-quality cleaning in the most inaccessible places, as well as gum massage.

If an unpleasant smell appears from under the crown, this means that the tooth has begun to rot, and the process is already irreversible. The only thing you can do in this case is to contact your dentist as soon as possible to solve the problem.

If the crowns are installed in accordance with the requirements and cared for correctly, the teeth under them are reliably protected from any external influences. However, it also happens that the design does not reliably protect the tooth, and it begins to collapse. If a tooth rotted under a crown, what to do and how to fix the situation?

Causes of tooth decay

The most common reason that provokes the process of decay is the incorrect installation of the crown. This leads to the following consequences:

Most often, teeth rot due to improper placement of the crown.

A space is formed between the dental tissue and the prosthesis, into which saliva and food enter. It may appear at the installation stage or over time.
Low-quality cement was used, which was not able to maintain integrity for a long time.
Caries and pulpitis at the stage of preparation for prosthetics were not completely cured.
The design injures the gums, as a result of which local inflammation develops, which can go to the enamel and dentin.
The tooth was severely damaged even before prosthetics. In such cases, its removal is indicated, and not the installation of a crown.
Poor preparation for prosthetics - in particular, insufficient filling of the canals after depulpation, when the fillings do not reach their tops. In this case, sooner or later, inflammation will inevitably begin in the voids, which will pass to the enamel.

In addition, the cause of the destruction may be insufficient care for the oral cavity in general and specifically for the area where the crown is installed. The consequence of this is the development of caries, which causes decay.

signs

Since the tooth is hidden by a crown, it is impossible to visually detect signs of decay. However, there are indirect signs:

There is an unpleasant smell from the prosthesis.
A change in the color of the tooth is noticeable, it becomes darker.
The hole into which food enters can be felt with the tongue.

If there is a smell from under the crown and other symptoms of decay - what should I do? The answer is unequivocal: you need to contact the dentist. Otherwise, the crown will fall out, and it will be difficult, and sometimes impossible, to restore the structure, taking into account the destruction of the tooth.

What to do?

Depending on the degree of destruction, the doctor will offer several options for solving the problem:

If decay has not yet begun, and the cause of the unpleasant odor is decaying food debris that has fallen under the crown, you can get by with replacing the prosthesis.
Don't delay visiting the dentist.
If the roots are preserved and only the tip has rotted, a stump tab can be used. It is created for each patient according to an individual impression and is fixed in the root canals (a third of their depth). After that, a new prosthesis is installed on such a stump.
If both the apical part and the root are rotten, it is necessary to remove the rotten residues and eliminate periodontal inflammation. After that, the question of how to restore the tooth is decided. The most effective method is implantation, but a decision can be made to install a bridge.

When choosing a clinic for prosthetics, it is very important to pay attention to whether it gives guarantees for the work of its specialists. If such guarantees exist, the re-installation of the structure in case of medical errors will be free of charge.

How to care for a crown?

To minimize the impact of external factors and prevent tooth decay, the structure must be carefully looked after. To do this, it is recommended not just to clean the prosthesis, but to use additional care products. These include:

Beam brush. Its bristles are a bundle of fibers designed to clean the inner surface of the prosthesis.
Interproximal a brush with a brush on the head, which can penetrate hard-to-reach places, including the gap between the crown and adjacent teeth.
Floss- Dental floss to remove food from hard-to-reach places.
Irrigators- means for washing out food and saliva from hard-to-reach places using a special solution supplied under pressure. They will help to cope with the accumulation of dirt not only in the interdental spaces, but also in the cervical areas of prostheses.

If the tooth has begun to rot, it is not known how long it will last. Maybe it will last a few months, or maybe it will collapse in a week, after which the crown will fall out. But this process is irreversible in any case, so you should not wait until it gets better - the situation will not change until the dentist takes adequate measures.

Sources:

M. Wise. Prosthetic errors. Moscow, 2005.
Kopeikin V.N. Orthopedic dentistry. Moscow, 2001.
Online catalog of oral care products.

Dental prosthetics

What are removable dentures, advantages and disadvantages of different types

Dental prosthetics

Why metal crowns are installed on the teeth, principles of choice

Not always, when we used the services of a dentist, everything goes smoothly. It happens that after prosthetics there is a smell from under the crown of the tooth. What to do in such a situation and why this happens, we will tell further.

It is not worth ignoring the reasons for this phenomenon. At the first sign that something went wrong after the installation of the prosthesis, it is advisable to go to the doctor as soon as possible. He will be able to identify the problem, eliminate it and prevent serious complications.

Causes of an unpleasant odor

There are not so many reasons:

If there is a small gap under the crown, then food will constantly clog there. In the process of decay, it stinks. Saliva also enters the space, in which sugar dissolves and additionally causes bacteria to multiply.
As a result of improper installation or too poor materials, depressurization of the structure, destruction of the cementing element itself is possible. Therefore, the crown begins to wobble, and food debris and bacteria enter the open space.
If a ceramic-metal structure is installed, it is quite possible that oxides began to form due to the opened space. And they destroy the tooth, which causes the smell from under the crown.
Sometimes inexperienced doctors decide to install a prosthesis on a tooth that is to be completely removed. It is highly discouraged to put crowns on a weak unit, because it will rot under the structure.

Why does a tooth decay under a crown?

It is obvious that bad breath appears due to a disease of the tooth. Reasons for this:

The weakened unit further collapses under the crown, so doctors basically do not put prostheses on them, but completely remove them and replace them with implants. If you install a crown on such a tooth, then a secondary deep caries is formed.
Lack of hygiene contributes to the worsening of the situation. Implants and prostheses require quality care. Doctors recommend special brushes, pastes and other devices that must be used daily. In neglected situations, the formation of carious cavities occurs, from which no crown can protect.
The stage of waiting for the creation of a permanent structure is also important. During this period, the doctor installs a temporary prosthesis for protection. If this moment is neglected, then the tooth will collapse much faster, because the enamel has already been removed, and it is open to bacteria.
Poor-quality and inept actions of the doctor contribute to poor fixation of the prosthesis, which is why it quickly falls out, and the dental unit is exposed to pathogenic effects.

To remove the smell from under the crown, the doctor needs to remove the structure and find out the root cause. Only by eliminating it can we speak with confidence about a full-fledged treatment.

Signs of the phenomenon

It is not so difficult to notice problems under the crown:

The mouth smells unpleasant, which is an indicator of decay.
It feels like the remains of food are clogged under the crown.
Upon closer examination, it will be seen that a dark shade of the base appears under the prosthesis. This is a sign of tooth decay when it completely blackens.

It is better not to delay with similar symptoms and consult a doctor at the first discomfort. Since the dental unit under the crown remains without nerve endings, the process of destruction occurs painlessly. But the listed symptoms will make it clear that rotting has begun, and it should not be ignored.

What to do?

The destruction process is irreversible. And the longer treatment is delayed, the worse the situation will be. By itself, decay will not stop, but will spread to surrounding tissues, leading to complications.

Therefore, you should definitely visit a doctor who will remove the prosthesis, clean the surface and, if possible, try to save the tooth. If you went to the doctor too late, you will have to remove the destroyed unit, and install an implant instead of a crown.

The question of contacting a specialist is not even just to get rid of the smell or save the crown. The most important thing to achieve with timely treatment is to protect dental tissue from complete destruction.

How to eliminate the smell?

Until the cause of its formation disappears, then practically nothing can be done about the unpleasant odor. Only complete treatment and cleansing of the tooth surface will help. In the meantime, you are waiting for a doctor's appointment, you can rinse. How to rinse - any herbs, for example, chamomile or oak bark. This will help to slightly eliminate the smell and rinse the mouth of excess bacteria or food debris.

Complete elimination of an unpleasant odor is possible only as a result of eliminating the main cause that caused it:

In case of clogging of food residues under the crown, it is necessary to remove the structure, clean the surface of the tooth and install a new one, correctly sized. Only with a snug fit of the prosthesis can the health of the remaining unit be preserved.
In the presence of weak fixation, the crown may fall out altogether, which contributes to the accelerated destruction of an unprotected tooth. You need to see a doctor as soon as possible and install a new prosthesis. In order for it to be of high quality and durable, do not save on a good clinic, find an experienced professional.
The fault of the doctor also manifests itself in the case when the pin was installed, but it was fixed too weakly. Or the dentist did not stand the right time for cementing the tab, which caused its integrity to collapse. In any of these options, the replacement of the crown must take place under warranty due to the poor quality work of the specialist.
There are situations when an incorrectly sized crown injures the gums and this causes some pain to the patient. The doctor must cut the soft tissue or replace the device with a more suitable one.

To keep your teeth and dentures in perfect condition, you should definitely follow hygiene procedures on a daily basis. In the presence of crowns or bridges, doctors recommend using special devices:

Interproximal brush - an additional brush that does not apply paste, helps to reach the most inaccessible places in the oral cavity.
Beam brush - specially designed for the care of braces, implants and crowns.
The use of dental floss and floss for additional cleaning of the interdental space. True, they are not recommended for use in the presence of gum disease.
Floss - similar to dental floss, but with fixation, which facilitates the process of hygiene.
An irrigator is a special device for high-quality cleansing of the oral cavity with the help of air bubbles. This safe system is able to keep the dentition in perfect cleanliness.

If the doctor's work was carried out with high quality, and oral hygiene is maintained at the proper level, then the problem with the smell from under the crown or other prostheses will not be disturbed for a long time.

Video: do teeth deteriorate under crowns?

Possible Complications

Seeing a doctor and addressing the root cause of crown odor should prevent the following complications:

Perhaps the formation of a cyst, which will lead to suppuration of soft tissues.
When the structure is depressurized, inflammation occurs, which will lead to flux and treatment with antibiotics.
The appearance of repeated caries and further destruction of the tooth can lead to pulpitis or other serious diseases.

Additional questions

What to do if there is a taste from the crown, but there is no smell?

Perhaps the doctor poorly cleaned the base of cement, and it dissolves in saliva, leaving a specific aftertaste. The reaction may appear in the presence of different materials incompatible with each other in the oral cavity. The problem is solved by replacing prostheses and fillings with the same composition. Alternatively, an allergic reaction to metals or other components of the crown is also possible. In this case, it is better to use safe ceramics.