Monthly Archives: January 2020

CEREC crowns

Help! My Crown Keeps Coming Out!

Hi there,

Last year, I had a same-day CEREC crown done on one of my teeth. I was happy with it at first, but since then, it has fallen out several times. Each time I go back to the dentist to get it fixed, but it always falls out again. Finally, I went to a different cosmetic dentist. He replaced the setting for the crown, and said that I should get a new all-porcelain crown, as it would stick to the cement better. I just want my tooth to stay put, like it’s supposed to. I’m not sure what else I can do.

Nephenee, from South Carolina

 

Hi Nephenee,

No matter what material your CEREC crown was made from, it will stay permanently once properly placed and bonded. Making a new crown will not fix the problem, as it is not the crown’s fault it keeps coming out.

Crowns need strong cement and to be properly shaped to stay in place. If your dentist over-prepared your crown and shaped it too much, no cement will be able to hold it in.

It’s likely your crown was prepared with inadequate retention form in mind. You will need a crown specialist to properly shape your tooth and cement it in place. Look for a dentist with experience in dental crowns, or another CEREC dentist in the area.

This blog post is brought to you by Gilbert CEREC crown provider, Dr. Matthew Roper, of Vista Dorada Dental.

 

Emergency Dentist

What’s Wrong With My Root Canal?

Hi there,

I fractured my teeth playing sports a few months back, and was treated by an emergency dentist and released. A few weeks after the accident, my teeth became grey and discolored.  I was in severe pain and had swelling, so I had to go back to the dentist for an emergency root canal.

I was ok for a few days with antibiotics but now the pain is back. I don’t know what to do to get the pain to go away. My tooth is sensitive to cold food and even chilly air. I’m very uncomfortable and want the pain to stop.

Should I have gotten a root canal sooner? Do I need more antibiotics? What can I do about the pain?

Luca, from Quebec, Montreal

 

Hi Luca,

A discolored tooth means there is damage to the root, or an infection may be present. It needs a root canal treatment as soon as possible at the first sign of greying. Once the root is removed, the bacteria is cleared up and the tooth is sealed to prevent further problems. Leaving an infected tooth in your mouth longer than it needs to be there serves no purpose. Oral infections should be taken seriously, as they can spread to other parts of the body if left untreated too long.

It sounds like your root canal treatment was sealed before all the bacteria was removed, which is causing a flare up. Usually, the infection is allowed time and space to drain, but since it has been sealed, there is no where for it to go. Also, a few days of antibiotics is not enough time to be on the medication.

Your best bet is to find an endodontist specializing in root canals. They can fix what has been started, and will advise you on how to properly take your antibiotics for maximum effectiveness.

This blog post is brought to you by Gilbert emergency dentist, Dr. Matthew Roper, of Vista Dorada Dental.