When I was just starting out my career, I had porcelain crowns done across all my front teeth. They look great overall, and I’m actually still very happy with the aesthetics. One of them has always had a rough spot or a divot, though. I can feel it with my tongue, but I have never been able to see anything wrong with it. I did mention it to the dentist who did the crowns and she smoothed it out some, but I’ve still noticed over the years. It was close, but not quite perfect. Lately, it has been feeling different- much more rough, and I can actually see a dark mark. I don’t know if it’s just attracting stains or what, but I don’t think I’ve changed my habits and I get regular cleanings. I’m a little concerned that that it is failing and that I’m going to be out on a business trip and the whole thing will crumble. Is this urgent enough to warrant a trip to the emergency dentist? Should I have the crown redone now or am I worrying about nothing?
This may not necessitate a trip to the emergency dentist and it isn’t exactly “urgent,” in that you need to get in as soon as possible, but it is something you should get checked out in the near future. It’s common for crowns (and natural teeth) to have some defects, but it sounds like yours is changing, and that could mean it’s actually cracked now, not just a defect. In this case, it would also pick up stains more readily and there’s a chance it will break sometime soon. It’s impossible to guess when it will happen, though.
Rather than letting it turn into a trip to the emergency dentist, especially if you’re an avid traveler, you should find a dentist who is skilled at cosmetic work and have him examine it. Due to the age of the crowns, it might be time to start thinking about replacing them all. Don’t be surprised if the dentist mentions this.
However, the only reason to update the others is age or wear and tear. If the dentist suggests switching them all out so he can make them all match, that’s a sign that you’re not working with a skilled cosmetic dentist. You should be able to have just that one replaced and have it blend naturally, without having the others redone, too. Best of luck to you.
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