The permanent crown is checked for fit and then cemented. The most common issues that patients may experience with placement of permanent crowns are:
· Temperature sensitivity:
Temperature sensitivity is common and can last anywhere from 3-6 weeks. However, if sensitivity persists longer than this, please notify your dentists as soon as possible for a re-evaluation of the tooth. Some teeth with large fillings or crowns, ultimately show nerve reaction and may need root canal therapy.
· Your bite is off:
If your bite is off and you feel like you are biting only on that tooth then please notify your dentist immediately for an adjustment. If a high bite is left nitrated it may cause temperature sensitivity and pain in that tooth. Therefore, if you are experiencing this, please contact us immediately so that we can take care of you.
· Soreness at the injection site:
Your lips and tongue might feel numb for a few hours after your appointment. Avoid hot drinks, as well as chewing until the numbness has subsided so as not to accidentally burn or bite your tongue or lips.
· Please note that the cement will be its strongest within the next 24 hours so be careful not to chew anything really tough or sticky on the newly cemented restoration.
· Warm salt water rinses at least 3 times a day (a teaspoon of salt in a cup of warm water, rinse-swish-spit) will help the gums heal quicker and pain/swelling to subdue.
Permanent crowns should have tight contacts to prevent food impaction. If you have a fracture of the porcelain or an open of loose contact, please make an appointment for an evaluation. Open contacts can lead to periodontal disease and dental decay over a period of time if not corrected. In some cases, further decay can result in the need for root canal therapy. It is important to floss the margins of crowns next to the gum line below the contact area to prevent periodontal disease and dental decay even with perfectly fitted crowns. With regular cleanings and checkups, the permanent crown should last you many years.