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D. Nguyễn Gia Bảo
Dentist
The condition ofpain in porcelain crownscan stem from many factors, including causes related to the initial porcelain crown process, ceramic material, oral care and overall health issues.
This is one of the most common causes. If the internal real tooth needs root canal treatment before being covered with porcelain but the treatment process is not complete (for example: not removing all infected pulp, missing an additional root canal, not filling tightly), bacteria can continue to grow, causing inflammation and severe pain after a period of time.
Incomplete root canal treatment is one of the most common causes of pain with porcelain crowns
Causes uneven chewing force, creating excessive pressure on the porcelain crowned tooth and the opposing tooth, leading to pain in the temporomandibular joint or porcelain tooth pain when chewing.
Creates a gap at the border of the porcelain crown, where food and bacteria can easily get stuck. This leads to recurring tooth decay under the ceramic crown, causing pulp inflammation and pain. Bacteria can also enter the ground tooth pulp, causing irritation or inflammation.
Causing gingivitis, periodontitis, redness, bleeding and pain around the porcelain tooth.
Grinding the tooth pulp too much or not shaping it properly can damage the real pulp inside, causing pulpitis even though the pulp is not dead. Grinding teeth too deeply can also irritate the pulp and make teeth more sensitive.
Ceramic crowns that do not fit tightly to the base of the real tooth create gaps at the border of the porcelain crown, where food and bacteria can easily get stuck
Porcelain crowns made from poor materials may not be able to withstand the force of chewing, and can easily crack, break, or chip after a period of use. These cracks provide a way for bacteria to enter, causing cavities and pulpitis.
Although rare, some types of metal ceramics can irritate soft tissue or cause an inflammatory reaction, especially if the patient has a sensitive constitution.
In rare cases, patients may be allergic or sensitive to the chemical composition of the dental adhesive, causing inflammation and pain pain.
In rare cases, patients may be allergic or sensitive to the chemical composition of dental glue, causing pain in porcelain crowns
Even if the real tooth is covered with porcelain, the real tooth inside can still die due to many reasons:
Acute or chronic pulpitis not treated promptly before porcelain crown.
The tooth pulp is damaged due to trauma after porcelain crown (for example, strong impact).
Recurring caries under the porcelain crown progresses to the pulp.
When the pulp dies, the tooth will no longer feel, but the infection can spread around the tip, causing an abscess and severe pain.
Not brushing teeth regularly, not using dental floss or water flosser to clean between teeth and the gum line around porcelain teeth. This creates conditions for plaque and bacteria to accumulate, causing gingivitis, recurrent tooth decay under the porcelain crown and leading to pain in the porcelain crown.
Not going to the dentist for regular check-ups every 6 months causes potential problems (such as incipient tooth decay, mild gingivitis, loose porcelain crowns...) to not be detected and treated promptly, gradually becoming more serious and causing pain.
Excessive pressure from teeth grinding not only erodes tooth enamel but also creates excessive chewing force on porcelain-covered teeth, causing pulp damage and pain. Teeth grinding can also cause porcelain crowns to crack, break or come out.
These habits can cause cracking and breaking of porcelain crowns or real tooth pulp inside, exposing the pulp and causing acute pain.
If left untreated, gingivitis can progress to periodontitis, causing alveolar bone loss, causing loose teeth and pain. This condition can affect both real teeth and porcelain crowns.
Due to chronic periodontitis or due to tooth loss that is not restored promptly, the jaw bone can be lost, affecting the stability of porcelain teeth and causing pain.
Painful porcelain crowns can manifest in many different forms, from vague feelings of discomfort to severe acute pain. Early recognition of these signs will help you proactively seek timely dental help.
Dull or severe pain:Pain can appear continuously or intermittently, ranging from mild to severe, sometimes spreading to the head or temple.
Tooth pain when eating hot, cold, sour, sweet foods:This is a common sign, showing that the tooth or pulp tissue below is being irritated.
Pain when eating Chewing or biting:Pain increases when pressure is applied to the porcelain crown.
Swollen gums, bleeding gums around the porcelain tooth area:Signs of gingivitis or periodontitis.
Persistent bad breath:May be due to infection under the porcelain crown or poor hygiene.
Porcelain teeth are loose, chipped or have gaps:Porcelain crowns no longer fit tightly to the real tooth, creating conditions for bacteria to invade. enter.
Pustules and fistulas appear in the gums around porcelain teeth:Severe signs that the infection has spread to the bone.
Depending on the cause and severity, treatment methods may be different:
The doctor can remove the old porcelain crown, remove the decay, then re-fill the tooth and restore it with a new porcelain crown. In some cases, if the cavity is small and the location is favorable, it is possible to drill directly through the ceramic crown to remove the cavity and re-fill it, then fill the drilled hole in the ceramic crown. However, this method is less recommended because it can affect the aesthetics and durability of the ceramic crown.
If the tooth has had root canal treatment before but was unsuccessful or the pulp is infected again, the doctor will remove the old ceramic crown. Perform the root canal procedure, thoroughly clean and seal the entire root canal system. After successful root canal treatment, it is necessary to restore a new ceramic crown to protect the tooth.
Note:Root canal treatment on a porcelain-covered tooth may be more complicated due to the need to penetrate the porcelain crown or remove the porcelain crown.
If the tooth has had root canal treatment before but was unsuccessful or the pulp is infected again, the doctor will remove the old porcelain crown to re-treat the root canal
If the cause is due to the ceramic crown being too high causing misalignment bite, the doctor will gently adjust the chewing surface of the ceramic crown to balance the chewing force.
In serious cases, it is necessary to replace the new ceramic crown to ensure a correct bite.
Scaling, cleaning of periodontal pockets.
Instructions on proper oral hygiene.
Use topical antibiotics or antiseptics if necessary.
In severe cases, periodontal surgery may be needed to Removes inflammatory tissue and regenerates bone.
This is a necessary solution when the old ceramic crown is cracked, severely chipped, does not fit tightly, or when it is necessary to treat root canals/cavities under the ceramic crown that cannot be fixed on the spot.
This process includes removing the old ceramic crown, checking the real tooth pulp, handling problems (if any), taking impressions and making a suitable new ceramic crown.
If the internal real tooth has been too severely damaged to be kept Again, the doctor may prescribe extraction
To prolong the life of porcelain teeth and avoid the unpleasant pain of porcelain crowns, prevention is extremely important.
This is a prerequisite for determining the success and sustainability of porcelain teeth. A reputable dentist will:
Use a soft-bristled toothbrush and fluoride toothpaste. Brush your teeth gently and evenly across all tooth surfaces, paying special attention to the interface between the porcelain crown and the gums.
Helps remove plaque and food scraps stuck between teeth and below the gum line that a toothbrush cannot reach. This is an extremely important step to prevent recurring tooth decay and gingivitis.
Use as prescribed by your dentist to enhance oral hygiene.
Avoid using bamboo toothpicks because they can damage the gums, creating gaps for bacteria.
Avoid biting ice, chewing bones, opening bottle caps with your teeth, eating hard candies, marshmallows... to protect the porcelain crown and tooth pulp inside.
These foods can cause irritation to the real tooth pulp below or erode the remaining tooth enamel.
Coffee, strong tea, red wine to keep porcelain teeth beautiful and durable.
This is a key factor in maintaining oral health and the longevity of porcelain teeth. The dentist will:
StatusPorcelain-covered teeth have been painful for many yearsis a fairly common problem and completely reversible if diagnosed and treated promptly and properly. The important thing is that you need to find a reputable dentist with a team of highly specialized doctors and modern equipment to accurately determine the cause and come up with the most effective treatment regimen.
To receive detailed examination and advice on your dental condition, and also handle issues related to painful porcelain crowns, make an appointment with the team of experienced experts at Lac Viet Intech Dental today!
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