Signs Your Dental Crown is Failing

Posted on 3/15/2025 by Alyce

Ceramic dental crown held by tweezers above a dental model, showcasing precise restoration placement.

Dental crowns are an important part of restorative dentistry, used to repair and protect damaged or decayed teeth. While crowns are incredibly durable, they are not invincible and can eventually fail, requiring replacement. Recognizing the signs of a failing crown early is important for maintaining good oral health and preventing further dental issues.

Signs of a Failing Dental Crown:

1. Pain and Sensitivity: One of the most common indicators of a failing crown is persistent pain when chewing or biting. Sensitivity to hot and cold temperatures can also occur. This discomfort often signifies underlying problems, such as decay, loose crown, or nerve damage.

2. Loose or Moving Crown: Over time, the cement securing a crown can deteriorate, causing the crown to become loose or wobble. Loosening may also result from weakened crown structure or damage to the underlying tooth. A loose crown allows food debris to accumulate, increasing the risk of further decay and gum inflammation.

3. Chipping or Cracking: Crowns can chip, crack, or even break completely due to excessive biting force or grinding, trauma to the mouth, or weakening from normal wear and tear. If the damage exposes the underlying tooth, it can lead to sensitivity and even infection.

4. Darkened Crown or Underlying Tooth: A discolored crown or underlying tooth could signify decay beneath the crown or recurrent decay, indicating that bacteria have infiltrated the restoration and surrounding tooth structure. This can cause pain, sensitivity, and even tooth loss if left untreated.

5. Visible Gaps: Gaps around the crown's edge, where it meets the tooth, are an obvious sign of failure. These gaps allow bacteria to penetrate, increasing the risk of further decay and gum disease.

Importance of Early Intervention:

Ignoring the signs of a failing crown can have significant consequences for your oral health. Timely intervention can prevent more extensive and costly issues down the road, including:

•	Increased pain and infection
•	Nerve damage and potential tooth loss
•	Damage to surrounding teeth
•	Bone loss in the jaw
•	Difficulty chewing

What To Do If You Suspect a Failing Crown:

If you experience any signs of a failing crown, it's crucial to schedule an appointment with your dentist immediately. Early diagnosis and treatment can save the tooth, preserve surrounding structures, and prevent complications.

Your dentist will examine the crown and perform necessary tests to determine the underlying problem. Depending on the severity of the issue, treatment options might include:

•	Repairing or recementing the crown
•	Replacing the crown
•	Performing additional restorative procedures
•	Addressing underlying decay or infection

By recognizing the signs and taking swift action, you can address failing crowns before they escalate into serious dental problems. Remember, regular checkups and good oral care practices are essential for maintaining optimal dental health and maximizing the longevity of your dental restorations.

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Timothy H. Kindt, DDS, 1244 N Greenfield Road, Suite 105, Mesa, AZ 85205 | (480) 939-5818 | drkindt.com | 4/21/2025 | Associated Words: Dentist Mesa AZ |