A temporary crown serves as a provisional restoration, protecting a prepared tooth while a permanent crown is being custom-made in a dental laboratory. These temporary solutions, often crafted from acrylic or composite resin, mimic the natural tooth’s appearance and function, allowing patients to chew and speak normally during the waiting period. While designed for short-term use, typically two to three weeks, a temporary crown can indeed become infected. Recognizing the signs and knowing what steps to take is important for oral health during this provisional phase.
How Infections Develop
Infections around a temporary crown primarily occur due to their provisional design. Unlike permanent crowns, temporary crowns are secured with a weaker, temporary cement, which allows for easier removal by the dentist. This temporary seal is not as robust, creating a pathway for bacteria to seep underneath the crown and reach the underlying tooth structure.
Should the temporary crown become dislodged, cracked, or damaged, the exposed tooth is more susceptible to bacterial invasion and decay. This compromise in integrity creates openings where food particles and microorganisms can accumulate, leading to an infection. Additionally, pre-existing dental issues, such as residual decay or an unresolved infection within the tooth or surrounding gum tissue, can become exacerbated under a temporary crown.
Inadequate oral hygiene practices also contribute to the development of infections. Neglecting to brush and floss thoroughly around the temporary crown allows plaque and bacteria to build up. These bacteria can then proliferate in any small gaps or crevices between the crown and the gum line, initiating or worsening an infection in the underlying tooth or gum tissue.
Signs of a Problem
Recognizing infection signs is important for timely intervention. A common sign is persistent or throbbing pain, which may intensify when chewing or biting down. This discomfort can range from a mild ache to severe pain.
The gums around the crowned tooth may appear swollen, red, or tender. Sometimes, a more localized swelling, resembling a pimple-like bump on the gums, can indicate the presence of pus, which is a clear sign of infection. The discharge of pus, which might be clear, yellowish, or greenish, or a foul taste or odor in the mouth that persists despite brushing, also signals a bacterial issue.
While less common, systemic symptoms can also develop in more advanced cases. These may include a fever or a general feeling of unwellness. Increased sensitivity to hot or cold temperatures around the crowned tooth, especially if prolonged, can also suggest an underlying problem.
What to Do If You Suspect Infection
If you suspect an infection, contact your dentist immediately. Delaying professional attention can allow the infection to spread, potentially leading to severe complications like a dental abscess or tooth loss. Do not attempt to treat the issue yourself or re-cement a loose crown, as this could worsen the situation.
While waiting, over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage discomfort. Rinsing your mouth gently with warm saltwater several times a day may also provide some relief and help to cleanse the area. However, these measures are only for symptom management and do not address the underlying infection.
At the dental office, the dentist will conduct an examination, which may include taking X-rays to assess the extent of the infection and the condition of the underlying tooth. Treatment options can vary depending on the severity but may involve prescribing antibiotics to control the bacterial infection. In some cases, the temporary crown may need to be removed and replaced, or a root canal procedure might be necessary if the infection has reached the tooth’s pulp.
Protecting Your Temporary Crown
Proper care for your temporary crown prevents complications like infection and ensures its longevity until the permanent restoration is ready. Maintaining diligent oral hygiene is crucial. Brush at least twice a day and floss once daily, but with extra care around the temporary crown. When flossing, gently slide the floss between teeth and pull it out from the side at the gumline, rather than snapping it upwards, to avoid dislodging the crown.
Dietary modifications are recommended. Avoid sticky foods like caramels or chewing gum, as these can pull off the crown. Hard or crunchy foods like nuts, hard candy, or raw vegetables should be avoided, as they can crack or dislodge the crown. Chew on the opposite side of your mouth to minimize pressure on the crown.
Keeping scheduled dental appointments protects your temporary crown. The provisional crown protects your tooth for a specific period, typically a few weeks, until the permanent crown is ready. Promptly reporting any discomfort, changes, or damage allows for timely assessment and intervention, preventing minor issues from escalating into infections.