Why a tooth can rot under a crown, what needs to be done and where to go

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Most often, people who feel a bad odor coming from their mouth seek advice from a dentist. Indeed, in 90% of cases of registered visits, examination reveals diseases of the teeth and gums that require treatment. After solving the problem, the bad smell stops bothering you. But sometimes patients who have crowns installed on their teeth begin to worry about the smell of rot coming from their mouth, and the source is clearly the tooth under the prosthesis.

Causes of odor under the crown

If the prosthesis is made and installed correctly, and the tooth is pre-treated or properly depulped, then no extraneous irritating odors will arise while wearing the crown - of course, with proper oral hygiene and regular dental examinations.

But it happens that either a crown is installed on an already defective tooth, or decay begins after the installation of the prosthesis for various reasons. Here the only possible way out is to eliminate the consequences by contacting the clinic.

The most common reasons why a prosthetic tooth begins to smell bad:

Loose fit of the crown to the gum. If there is a gap between the edge of the denture and the mucous membrane, food particles will certainly get there. It is not possible to clean them with traditional means - a toothbrush and rinsing - so the substrate accumulates daily. Pathogenic bacteria begin to multiply on this biomass, rotting processes develop, and a specific smell appears.
Depressurization of the connection between the crown and the tooth. This happens if the prosthesis is initially installed incorrectly or the cement is destroyed, and pathogenic microbes penetrate into the resulting cavities. As a result, inflammation of the gums occurs and even the development of secondary caries. All this contributes to the appearance of a characteristic unpleasant aroma from under the crown.
Violation of the sealed connection with the tooth of the metal-ceramic crown . If, in addition, the crown is made on a metal base, if the cement layer is broken, air containing oxygen and saliva penetrate under the crown. In a humid environment, taking into account the pH of the salivary secretion, the metal of the crown undergoes oxidation, causing a bad odor. In addition, oxidized metal can become a source of irritation and allergic reactions of the gums.
Lack of tooth protection after grinding. After preparing teeth for crowns, the final fixation of the crown does not occur immediately. Therefore, during the waiting period, the dentist puts a temporary prosthesis on the tooth stump or treats it with medical cement, excluding the penetration of bacteria into the tooth tissues that lack protection. If these steps are skipped for some reason, bacteria invariably settle in the tooth stump and cause decay under the permanent crown.
Violation of the technology for manufacturing and installing the prosthesis. For various reasons (lack of proper equipment in the laboratory, low qualifications of the dental technician, little experience in prosthetics by the dentist, etc.), the crown is fixed on a tooth with irregularities. Gradually, injury to the tooth stump or soft tissue occurs with suppuration and the development of infection.
Installing a crown on a tooth that required extraction . This doesn't happen very often. For example, it is necessary to install a bridge, and one of the supporting teeth must be removed. To save on implantation, the patient agrees to restore the defective tooth. As a result, after some time, the tooth is still destroyed, the tooth root is fractured, and the crown flies off. Therefore, if there is an indication for tooth extraction, then it should be removed and not used as a support for a crown.
Lack of oral hygiene . Some dentures require careful care and cleaning of food debris. If simple steps are not taken, strains of pathogenic bacteria grow very quickly and putrefactive processes develop.
Untreated caries and pulpitis at the stage of preparing the tooth for “crowning”. Hidden inside, diseases do not stop; on the contrary, they worsen. Therefore, it is first necessary to cure all dental caries.
Poor quality depulpation. If the tooth canals are not completely filled, this causes the development of granuloma at the root apex. A granuloma, or cyst, is a cavity filled with pus. Also, the cause of the development of such inflammations is poor obturation of the root canals - with a loose arrangement of cement. Dr. Lopaeva’s clinic employs a professional dentist and endodontist who treats dental canals.
Constant gum irritation. If the crown is poorly placed and regularly touches the gums, the mucous membrane responds with inflammation and swelling. The smell will also add severe pain. If there are no defects in the prosthesis, the doctor will trim the gum. If the defect is inherent in the product, you will have to install another crown.

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Possible consequences

Many people are very afraid to visit the dentist, but the consequences of such neglect of their health can be much more serious than it seems. Decay that begins on one tooth can eventually spread to neighboring units, gums and roots. Neglected dental problems can cause the development of diseases of other organs.

If the immune system stops coping with inflammation and decay, general intoxication of the body may begin. As a result, problems with the digestive system, respiratory organs will appear, cardiac activity may be disrupted, severe headaches will appear, and much more.

A person may feel constant fatigue and loss of appetite, hearing may deteriorate, arthrosis and polyarthritis may appear. The most dangerous complications include diseases such as sinusitis or otitis media, as well as serious brain damage. That is why you should not ignore the first signs of tooth decay, since the problem at the initial stage is much easier to eliminate. It will be much more difficult to deal with its consequences after a few years.

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Symptoms of tooth decay under the crown

The first and very obvious sign of irreversible changes occurring in the tooth is not pain, as many expect, but the smell. Sometimes pain is not felt at all, because the standard preparation of a tooth for prosthetics includes depulpation - removal of the neurovascular bundle. Therefore, the tooth loses sensitivity.

You should pay attention to the following points:

First, an unpleasant taste appears in the oral cavity, and then a foul odor, which is noticed even by others. The smell cannot be masked for long with mouthwash or chewing gum.
Dietary fiber gets clogged under the crown of the tooth and has to be removed from there. But if some large particles of food can be removed from the gap between the gum and the crown, then a large mass of them remains inside and begins to decompose.
Darkening of the tooth under the crown.
When you feel the prosthesis with your tongue, you feel a depression, a hole where food gets in.
The gums become inflamed near the restored tooth and soft tissue swelling develops.
If the tooth stump under the crown is alive, then there is noticeable pain.

All of these circumstances require an immediate visit to the clinic for treatment and indicate tooth decay with the formation of pus. Delay in this situation will lead to serious health consequences and considerable costs for medications and therapy. If you do not take quick action, the pus, accumulating inside under pressure, will cause the formation of a purulent cyst at the apex of the tooth root. Or it will break into soft tissues, turning into gumboil. To eliminate the abscess, you will have to endure a surgical procedure to open the abscess.

In addition, you should not think that pus in a tooth is a local nuisance. Together with the bloodstream, the infection spreads throughout the body, having a detrimental effect on the heart, lungs, joints, etc. It is no coincidence that in every dental clinic there will certainly be a poster warning that a rotten tooth is a source of constant inflammation of the ENT organs, osteomyelitis, blepharitis and other unpleasant diseases.

A neglected tooth left to rot under a crown is sometimes completely destroyed and has to be removed. Thus, a person gets a hole in his mouth that will need to be closed with expensive restorations: an implant or the installation of a bridge.

What can cause caries

There are several suggestions, for example, that tooth decay is transmitted genetically or that lack of hygiene contributes to the development of the disease. All this is true, but does not give the complete picture.

Where a person lives can also influence the occurrence of caries, namely the quality of water in that area.

Nutrition plays an important role in the prevention of caries. There are scientific studies confirming that eating fresh vegetables, greens and foods rich in proteins helps prevent tooth decay. That is, those people who like to chew raw carrots are less susceptible to dental diseases. That's why you should eat meat and a lot of raw vegetables - this is not only smart advice from nutritionists, but sound prevention in the fight against the development of dental caries.

What to do to get rid of the smell

When an unpleasant odor occurs in the mouth, a person most often realizes that the cause is tooth decay, but tries to deal with the problem on his own: rinses the mouth with various pharmaceutical products or infusions made according to folk recipes, tries to kill the bad odor with mouth odorants or chewing gum. If the tooth responds with pain, the person takes painkillers. As a result, tissue decay continues. Then the pain goes away - because the nerve endings die, and the patient believes that a cure has occurred.

The result is tooth loss. It is especially unpleasant if the crown covered a gap in the front row. Now the patient will have to install an implant and crown to maintain the aesthetics of the smile. Therefore, no matter how great the temptation is to let things slide or attempt to cure yourself, remember: dental diseases, especially tooth decay under the crown, cannot be cured at home. All of them require the intervention of a medical professional.

Before visiting the clinic, you can rinse your mouth with tinctures of herbs that have anti-inflammatory properties: a decoction of chamomile, oak bark, calendula. In the hospital, the dentist will determine the stage of tooth decay and perform a series of appropriate procedures. A sick but strong tooth is cured, a damaged one is removed. If there is no inflammation, and the cause of the smell is plaque accumulated in the space between the tooth and the crown, the doctor will clean the tooth of dirt. The crown is then subjected to additional processing to adjust the size and ensure a tight fit to the stump. After this, the prosthesis is fixed with sealing cement.

To ensure hygiene in the oral cavity, if there are one or more dentures, a good solution seems to be the purchase of an irrigator - a device that removes dirt and plaque with a disinfectant solution supplied under pressure. Even hard-to-reach areas that no toothbrush can reach can be cleaned.

Dentists also recommend using dental floss and rinsing your mouth with clean water every time after eating. Various agents with an antibacterial effect are used to rinse the mouth. They are not able to clean plaque from microscopic cracks and gaps between the prosthesis and the tooth stump, but they successfully destroy pathogenic microbes, stopping their life cycle.

If the destruction of cement, loosening of the crown or weakening of the pin occurs during the treatment guarantee, then all actions to restore the quality of the prosthesis are carried out free of charge. Therefore, it is important for the patient to monitor the crown and, if in doubt, contact the clinic where the restoration was made in time.

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How to treat initial cervical caries

At the white spot stage, caries can be treated using therapeutic procedures. It is necessary to restore the enamel structure by saturating it with minerals. First, the dentist will clean the affected tooth from plaque and tartar, and then apply a solution containing fluoride, magnesium, phosphorus and calcium to it. Under the influence of the active components, the enamel is remineralized and the pathological process is blocked. The patient is also prescribed mouth rinses with an antiseptic solution and toothpaste with fluoride.

How to treat superficial caries

If the carious area has managed to destroy the enamel, but has not penetrated into the hard tissues, remineralization is carried out, as in the first stage. The dentist grinds the affected area of the tooth, removes damaged tissue and applies a solution to the enamel to restore it. Several procedures may be required - 5-10 sessions. Throughout the treatment, the patient uses medicated toothpaste.

Treatment of cervical caries at the middle stage

As a rule, people consult a doctor when root caries has reached the third stage. At this stage, tooth filling is required. The doctor removes the affected tissue, carries out antiseptic treatment of the carious cavity and fills it with filling material. The procedure is performed under local anesthesia.

Treatment options for a tooth under a crown

When contacting the clinic, the dentist determines how great the changes are in the dental tissues, and based on the results of the examination, prescribes treatment.

If the tooth stump has not undergone any changes and rot has not affected it, the doctor cleans out the accumulated food debris from under the crown. Then a new prosthesis or an old one, but corrected, is installed.
If healthy roots remain, the crown is placed on the stump tab. This device is made in a dental laboratory from an impression and is a structure with peculiar “legs” that are designed to fix the inlay in the tooth canals. And a crown is attached on top.
If both the upper and root parts of the tooth have rotted, the remains are removed from the mouth and periodontitis is treated. The patient then has to decide on how to restore the tooth. There are two options: implantation or installation of a bridge.

When contacting a clinic for initial prosthetics, it is important to find out at the stage of monitoring institutions whether the clinic provides a guarantee for the treatment provided. If there is a guarantee, then in case of medical errors, treatment and re-restoration are carried out free of charge for the patient.

How to treat cervical caries on the front teeth

Cervical caries of the anterior teeth causes the most discomfort. Firstly, it develops and progresses faster than on molars and premolars. Secondly, the front teeth fall into the smile zone, so a cosmetic defect also occurs. Treatment is carried out according to the usual scheme, but the material for the filling is selected more carefully. It should not differ in color from the rest of the tooth, otherwise it will look unaesthetic. The cost of such a filling is significantly higher than the standard one.

How to care for a crown

Both the dentist and the patient are interested in the crown serving its intended purpose for a long time. To increase the period of good functioning of the prosthesis, a person will need additional care products, because a standard toothbrush is not able to clean the removable element:

The beam brush is designed to clean the internal surfaces of the prosthesis;
The interproximal brush on the head contains a special brush that easily reaches hard-to-reach places on the lateral surfaces of the prosthesis, cleans the areas between the crown and adjacent teeth;
Floss is required for regular cleaning of interdental crevices;
If the household has an irrigator, it will be a constantly in demand device, because only it can clean the areas in the cervical fastenings of crowns.

Diagnosis of root caries

During a visual examination, dental root caries can be detected only in 13% of cases. If this disease is suspected, additional examination methods are prescribed:

Probing. The doctor inserts an instrument with a curved tip under the gum and examines the structure of the tooth root, assessing its integrity. During such a study, it is possible to identify chips, roughness, and irregularities that indicate the development of pathology.
Radiography. The dentist orders an x-ray of one tooth or the entire jaw. The images show the localization of the pathological area with an accuracy of up to a millimeter. In addition, radiography allows you to assess the condition of neighboring teeth and identify hidden inflammatory processes.

Thermal diagnostics. The study is carried out using a directed stream of water, which is used to treat the tooth from different sides. After such a procedure, it is possible to determine which areas of the root are susceptible to carious lesions.
Electroodontometry is a diagnostic of pulp viability, allowing you to find out whether the nerve is damaged and how deep the inflammation has penetrated.
Visiography. Using a special device called a visiograph, the dentist scans the tooth in different projections. He can then view the root from different angles on a computer.

Before treating the root of a tooth, the dentist suggests the patient undergo ultrasonic cleaning to clean the enamel of plaque. Tartar may obstruct your view during the procedure. Based on the results of the examination, the doctor determines whether the tooth can be saved or whether it needs to be removed.

What to do if the tooth under the crown has completely rotted

It happens that a tooth rots because the crown was initially installed on a defective stump. And sometimes the person himself is to blame for this development of events, because he delayed contacting the doctor.

If the tooth has at least its roots preserved, it is possible to restore the tooth with a special device - a stump insert. The structure is made of ceramic or metal and has branches according to the number of roots. These processes are fixed in the root canals to a third of their depth. The top of the stump tab is intended to strengthen the crown on it.

Often gold or silver is used to cast the stump insert. The first material is preferable because it shines through the crown with a warm yellow color. This shade is similar to the color of natural enamel and is not perceived as foreign. The silver tab has antibacterial properties, but the cold shade affects the visual pigmentation of the gums. This will bother the patient, especially if the tooth is located in the front.

If the roots are rotten, the stump insert will not hold in them. The remaining tooth is removed and restored with an implant or prosthetics.

If the adjacent teeth, which will play the role of supporting teeth, are preserved, it is possible to install a fixed bridge prosthesis. Removable dentures are also common: nylon, acrylic. Here you will have to focus on the amount that the patient is able to pay for this or that method of dental restoration, and the aesthetics that he prefers. During the consultation, the doctor will offer to look at the options for finished products in the photo, and the person will choose the appropriate type of product.

Several stages of caries development

How does the initial stage of caries manifest?

The first stage is the initial stage of caries - when a chalky stain appears on the tooth, such a concept used to be present. At this point, the tooth enamel loses its transparency and becomes completely white. Hence the name - as if drawn with chalk. This carious spot may become pigmented or darken. In this case, it is believed that caries has stopped in the enamel and the destruction process no longer proceeds. This is a controversial theory, since only a dentist can assess the condition of a tooth.

What are caries spots? According to the modern classification, these are enamel caries and dentin caries.

Previously, there was such a classification: spot stage, superficial, medium and deep caries. But regardless of classification, any caries is worth treating.

The second stage of caries after the stain is enamel caries

When the carious process occurs only in the tooth enamel, this is superficial caries.

The third stage of caries - a dark spot on the tooth

If a patient comes and says that I react to sweets, he will have the most favorable treatment outcome

The third stage or middle caries looks like a dark spot on the tooth. In this place, the enamel has already been destroyed, and the disease goes deep into the tooth. This occurs when dentin caries appears.

What to do if a crown falls out

The crown sometimes flies off the tooth not only due to the complete destruction of the stump tissue. Sometimes the prosthesis comes off because it is poorly fixed to the cement: the material has collapsed or the adhesion to the crown material has been lost.

Often people do not attach importance to this, installing the crown in place on their own each time. However, such neglect is fraught with rotting of the tooth under the crown or accidental swallowing of the prosthesis. Therefore, you definitely need to contact the clinic to correct fixation deficiencies.

If the crown falls out along with the pin or stump, the conclusion is clear - the doctor did not properly strengthen the structure inside the tooth. Particular care must be taken to follow the technology when working with a stump insert: after it is placed in the root canals of the tooth, adjustment of the structure with a drill is possible only after 24 hours. This time is necessary for the cement to harden.

Inexperienced dentists often begin adjusting the inlay 10-15 minutes after installation. The cement breaks down before it has time to harden. Of course, soon the entire structure falls out into the oral cavity. If the crown is in satisfactory shape, a professional dentist can quickly return it to its place if you contact him without delay.

How to remove plaque from teeth on your own

Many people do not like to visit the dentist again, especially when it comes to removing plaque, which does not cause much inconvenience. The reasons for this are clear: lack of free time and reluctance to pay for the procedure.

You can try to remove plaque from your teeth at home, but this will only work if there are no subgingival deposits and the plaque layer is thin.

The first method involves using a special toothpaste to remove plaque with abrasive substances. The label of such pastes must indicate the RDA indicator, indicating the degree of abrasiveness. In pastes that eliminate plaque, its value should exceed 100. But such pastes cannot be used on an ongoing basis. If the paste contains pyrophosphates, then it can help get rid of tartar, since they have the ability to dissolve its matrix.

The most effective of these pastes are:

President White Plus. The abrasiveness index is 200 units; in addition, the composition contains silicon dioxide, which has abrasive and polishing properties. You should not use the paste more than once a week.
Lacalut White. According to the abrasiveness index (RDA=120), it is more gentle than the previous sample. The composition contains pyrophosphates, which make the plaque loose.

The second method is to use a special toothbrush, which allows you to remove plaque yourself. Recommended use:

Causes of blood taste in mouth

Sometimes, in addition to the unpleasant smell, the patient is also bothered by the taste of blood in the mouth. Possible reasons for such sensations:

Gingivitis develops, inflammation of the gums around the crown. The mucous membrane can become inflamed for various reasons. For example, the prosthesis fits tightly to the soft tissues, constantly rubbing them.
The crown scratches and injures the adjacent gum. Blood is released, infection enters the wound, the mucous membrane becomes inflamed and bleeds. This only happens if the crown is not fixed correctly or if its dimensions are violated. Needs a complete refurbishment.
Bleeding can cause unsatisfactory treatment of the tooth before placing a prosthesis. Poor filling of canals or incomplete removal of the pulp invariably causes inflammation and accumulation of purulent masses. Tissues are destroyed with the release of blood.

The appearance of blood discharge in the oral cavity should not be ignored. Pathogens easily penetrate an open wound, causing great damage to human health.

Is it easy to detect tooth damage?

When caries first appears, it appears as a white or brown spot. Due to the small size of the defect, the patient will most likely not notice the problem. Only people with increased sensitivity of the enamel may experience pain, which will prompt the idea of contacting a specialist.

As the pathology progresses, the patient will experience the following symptoms:

pain in response to irritants (sour, sweet, cold, hot foods) or chewing hard foods;
the appearance of brown or black areas on the tooth;
coating on the tongue;
the formation of a cavity that can be palpated with the tongue and can scratch and injure its mucous membrane;
bad breath that does not disappear after proper cleaning and use of mouthwash.

If these signs of illness appear, you need to visit the dentist in the coming days and undergo the recommended treatment. No folk remedies will help eliminate caries! Even if the tooth begins to hurt less or the pain subsides altogether, a consultation with a dentist is necessary. Otherwise, the development of complications cannot be avoided.

Preventive crown care

In order not to provoke the accumulation of masses under the crown and cause tooth decay, it is necessary to maintain oral hygiene. A crown is an artificial structure and will require more care.

Brush your teeth twice a day, including using special brushes for caring for dentures.
Rinse your mouth after every meal.
Floss regularly.
Use toothpicks only when necessary. This is not at all a means of maintaining dental hygiene! Picking with a wooden stick, expanding cavities in teeth and crowns, is contraindicated.

If you have already had the sad experience of tooth decay under a denture, pay more attention to the alarm bells: pain under the crown, bad smell, taste of blood in your mouth. Make an appointment with a dentist; timely treatment will be shorter and cheaper than treatment for a neglected tooth.

If you realize that the tooth has begun to rot, remember that the process is irreversible. It will not be possible to cure inflammation with home methods. You should not wait until there is severe pain or the crown falls out in your sleep, with the risk of suffocation. A diagnosis from a doctor will help you cope with the problem.

Make an appointment at Dr. Lopaeva's clinic

Make an appointment

Or call +7(985)532-21-01

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Why do baby teeth rot?

As in adults, in children, caries and subsequent tooth decay is caused by the decomposition of food debris stuck between them. A child’s mouth contains a huge number of microorganisms, because children love sweet, sour, salty foods and foods with strong “chemical” tastes. During their life, microorganisms produce acid, which destroys enamel.

Add to this process the deteriorating environment, a small amount of mineral salts in the water and not very thorough children's dental care. It is not surprising that according to statistics, every second child today, already at the age of 3, suffers from caries and rotting of baby teeth.

The most common external causes of rotten teeth in children include:

insufficient brushing of teeth or lack of oral hygiene;
improper unbalanced diet - lack of vitamins, minerals, excessive consumption of sweets and soda;
drinking water with low fluoride content;
heredity;
mechanical damage to tooth enamel;
unfavorable environmental conditions in the region or area of residence of the child.

Rotten teeth in children are often caused by internal causes, which include:

Chronic diseases of the gastrointestinal tract.
Prematurity. In babies who were born prematurely, the enamel of the tooth buds is not sufficiently developed. Weak teeth are more susceptible to various negative factors.
Pathologies of the endocrine system that cause changes in hormonal balance in the body.
Liver diseases.

Various streptococcal infections, leukemia, anemia, cancer, diabetes, scarlet fever, and chickenpox also have a detrimental effect on dentin. Hard tissue is affected from the inside, and retrograde caries appears. A child’s teeth also often begin to rot after taking tetracyclines and antihistamines.

Teeth often begin to deteriorate even during the period of weakened immunity of the baby. Due to prolonged stress, poor nutrition, and illness, the child’s immune defense decreases, and the teeth immediately react to any adverse factors.

Timely visits to the dentist are the key to the absence of caries

Even a person who has completely healthy teeth should go to the dentist at least once every six months. Since it is impossible to identify minor pathological processes on your own, without medical supervision the problem goes further.

Regular dental examinations will help prevent tooth decay because:

the doctor will give an objective assessment of the condition of the oral cavity;
The dentist will always advise you on how to brush your teeth, what toothpaste and brush to choose;
the doctor will notice minor problems and eliminate them, preventing further development of the pathology.

Not knowing how to prevent tooth decay can lead to serious problems, including financial ones. To prevent them, you need to contact the dentists of the Dent Prestige clinic in a timely manner and go for all scheduled examinations. Working closely with your dentist will help a person protect their teeth from caries. Preserve their beauty and health.

How are tooth roots removed if a tooth is destroyed?

When a tooth is destroyed and the roots are not removed in a timely manner, gum tissue gradually covers the exposed area, causing the root to become “buried” underneath. This significantly complicates the root removal procedure, since it will require cutting the gums. As a rule, this is not required if the root is removed along with the tooth or if a short time has passed since the destruction and removal of the tooth. Also, a gum incision is required when removing large wisdom teeth that have strong, durable roots. Remember to visit the dentist annually for preventative purposes. By promptly identifying problems in the condition of dental tissue and detecting any pathologies, the dentist will be able to promptly intervene in the course of the disease and prevent serious consequences. However, he will not be able to guarantee a 100% successful outcome if you delay your visit!