Refrain from eating until the anesthesia has worn off to prevent possible injury to your lips and cheeks. You may, if you wish, take over the counter painkillers before the anesthetic wears off. Soak and gently rinse the area with warm salted water 2 /day for at least 5 days.
Although crowns and bridges are often the most durable of all restorations, the underlying tooth is still vulnerable to decay, especially at the interface between the tooth and crown. It is important to resume regular brushing and flossing immediately. Daily home care and decreasing your intake of sugar-containing foods and drinks will increase the longevity of your new restoration.
What Problems Could Develop?
• Discomfort or sensitivity. Your newly crowned tooth may be sensitive immediately after the procedure as the anesthetic begins to wear off. If the tooth that has been crowned still has a nerve in it, you may experience some heat and cold sensitivity. If sensitivity occurs, brush with SensodyneTM toothpaste – it should only last a few days.
• Pain or sensitivity that occurs when you bite down usually means that the crown is too high on the tooth. If this is the case, you should call us at (415) 986-6900 or email us at and we will adjust the tooth.
• Chipped crown. Crowns made of all porcelain can sometimes chip. If the chip is small, a composite resin can be used to repair the chip with the crown remaining in your mouth. If the chipping is extensive, the crown may need to be replaced.
• Loose crown. Sometimes the cement washes out from under the crown. Not only does this allow the crown to become loose,it allows bacteria to leak in and cause decay to the tooth that remains. If a crown feels loose, contact us to get it seen.
• Crown falls off. Sometimes crowns fall off. While unusual, if this should happen, clean the crown and the front of the tooth. You can replace the crown temporarily using dental adhesive or temporary tooth cement that is sold in pharmacies. Contact us as soon as possible to be seen. We may be able to re-cement the crown in place; if not, a new crown will need to be made.
• Allergic reaction. The metals used to make the crowns are usually a mixture of metals, an allergic reaction to the metals or porcelain used in crowns can occur, but this is extremely rare.
• Dark line oncrowned tooth next to the gum line. A dark line next to the gum line of your crowned tooth is normal, particularly if you have a porcelain-fused-to-metal crown. This dark line is simply the metal of the crown showing through.
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450 Sutter St., Suite 1630
San Francisco, CA 94108
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