I’ve had crowns for years. One of my crowns has always had a small divot. It looked fine, but my tongue always seems to find that little dip. I showed it to my dentist when I first received my crowns. She didn’t feel it was anything to worry about. In fact, she said all crowns, like our natural teeth, have their own character, which makes them look more natural. I felt her explanation reasonable and moved on. My tongue still finds the divot. Today it feels different. My tongue sinks into it a bit more. It feels sharper too. I tried to peak at it and it looks darker. Is this an emergency? Can a crown get a cavity?
Cindy Lou O.
Dear Cindy Lou,
You’re right that your crown is changing. Dental crowns themselves do not develop cavities. That does not mean the crown is okay. Based on what you’ve said, I feel like yours may have cracked. It’s not a dental emergency yet, but it could turn into one. I don’t know if it’s darker because it is picking up stains or if the crack is expanding. You don’t want to put this off and have it break on you.
I’d schedule an appointment fairly soon, explaining you think one of your crowns has cracked. If it’s cracked, you’ll want to replace it. They may suggest you replace more than one. If they’re suggesting replacement due to age or wear, that’s fine. If, however, they’re suggesting you change several of them in order to get them to match, that’s a bad sign. A skilled cosmetic dentist is able to match a single crown to the rest of your teeth. They wouldn’t need to do them all at the same time.
You may want to replace them all at once so as not to have to continually run back and forth to the dentist’s office. That makes sense if you’re able to do that financially. It saves you time in the long run. If absorbing that many fees would be a burden, then it’s perfectly acceptable to do the replacements in stages.
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