Dental crowns are a common restorative solution used to protect and enhance the function and appearance of damaged teeth. Temporary crowns play a crucial role in the dental restoration process, acting as placeholders until permanent crowns are ready. This article explores everything you need to know about temporary crown, from their purpose and benefits to the procedure and aftercare.
Â
What is a Temporary Crown?
A temporary crown is a provisional dental crown that is placed over a tooth to protect it until a permanent crown can be manufactured and fitted. Temporary crowns are typically made from less durable materials such as acrylic, composite resin, or stainless steel. They are used in a variety of dental situations, including after root canals, tooth extractions, or when a tooth has been significantly damaged or decayed.
Â
Purpose of Temporary Crowns
Temporary crowns serve several important functions:
- Protection
- Aesthetics
- Functionality
- Positioning
Â
Protection
They protect the prepared tooth from damage and sensitivity.
Aesthetics
They provide an interim cosmetic solution, maintaining the appearance of the tooth while the permanent dental crown is being made.
Functionality
They enable the patient to maintain normal eating and speaking functions.
Positioning
They help ensure the gums and surrounding teeth do not shift, which can affect the fit of the permanent crown.
Â
The Procedure for Temporary Crowns
The process of getting a temporary crown involves several steps:
- Preparation
- Impression
- Fabrication
- Placement
Â
Preparation
The dentist first prepares the tooth by removing any decay and shaping it to fit the crown. This may involve trimming down the tooth to create enough space for the crown.
Impression
An impression of the prepared tooth is taken using a dental putty or digital scanning technology. This impression is used to create both the temporary crown and the permanent crown.
Fabrication
While the permanent crown is being made in a dental laboratory, the dentist fabricates the temporary crown in the office. This can be done using pre-formed crowns or by shaping a custom crown using acrylic or composite resin.
Placement
The temporary crown is fitted over the prepared tooth using a temporary adhesive. This adhesive is strong enough to hold the crown in place but allows for easy removal when the permanent crown is ready.
Â
Materials Used in Temporary Crowns
Temporary crowns can be made from various materials, each with its own set of advantages and disadvantages:
- Acrylic Resin
- Composite Resin
- Stainless Steel
- Aluminum Shells
Â
Acrylic Resin
This is a popular choice for temporary crowns because it is easy to shape and adjust. Acrylic resin crowns can be colored to match the surrounding teeth, providing a more natural appearance.
Composite Resin
Similar to acrylic, composite resin is also used for its aesthetic properties. It offers good strength and can be customized to blend in with the natural teeth.
Stainless Steel
Often used for temporary crowns in the posterior region (back teeth), stainless steel crowns are very durable and can withstand the forces of chewing and grinding.
Aluminum Shells
These are prefabricated crowns that are often used as a quick and inexpensive option. They are not as aesthetically pleasing but provide adequate protection for a short period.
Â
Advantages of Temporary Crown
- Protection
- Aesthetics
- Functionality
- Stability
Â
Protection
They safeguard the tooth from further damage and sensitivity.
Aesthetics
They maintain the appearance of the tooth, especially important for front teeth.
Functionality
They allow the patient to continue eating and speaking normally.
Stability
They prevent the shifting of surrounding teeth and gum tissue, ensuring the permanent crown will fit properly.
Â
Disadvantages of Temporary Crown
- Durability
- Appearance
- Comfort
Â
Durability
Temporary crowns are made from less durable materials and can break or become dislodged more easily than permanent crowns.
Appearance
While they can be made to look natural, they are often not as aesthetically pleasing as permanent crowns.
Comfort
Temporary crowns may not fit as perfectly as permanent ones, potentially causing some discomfort.
Â
Caring for a Temporary Crown
Proper care of a temporary crown is essential to ensure it lasts until the permanent crown can be placed. Here are some tips for maintaining a temporary crown:
- Avoid Sticky and Hard Foods
- Chew on the Opposite Side
- Maintain Good Oral Hygiene
- Use a Mild Mouthwash
- Avoid Grinding or Clenching
Â
Avoid Sticky and Hard Foods
Sticky foods can pull the crown off, while hard foods can break it. Stick to softer foods and avoid chewing gum, caramel, or hard candies.
Chew on the Opposite Side
Whenever possible, chew on the side of your mouth opposite to the temporary crown to reduce stress on the crown.
Maintain Good Oral Hygiene
Continue brushing and flossing, but be gentle around the temporary crown. When flossing, slide the floss out rather than lifting it out to avoid dislodging the crown.
Use a Mild Mouthwash
A non-alcoholic mouthwash can help maintain oral hygiene without irritating the sensitive area around the temporary crown.
Avoid Grinding or Clenching
If you have a habit of grinding or clenching your teeth, consider using a nightguard to protect the temporary crown.
Â
Common Issues with Temporary Crowns
Despite their temporary nature, problems can arise with temporary crowns. Here are some common issues and how to address them:
- Dislodgement
- Sensitivity
- Cracking or Breaking
Â
Dislodgement
If your temporary crown comes off, contact your dentist immediately. In the meantime, you can place the crown back over the tooth using a temporary dental adhesive available at pharmacies.
Sensitivity
It’s normal to experience some sensitivity to temperature or pressure. Over-the-counter pain relievers can help, but if the sensitivity persists, consult your dentist.
Cracking or Breaking
If the temporary crown cracks or breaks, it needs to be replaced as soon as possible. Avoid using the affected tooth until you can see your dentist.
Â
Transitioning to a Permanent Crown
Once your permanent crown is ready, the dentist will remove the temporary crown and replace it with the permanent one. This process involves:
- Removal of the Temporary Crown
- Fitting the Permanent Crown
- Cementation
- Final Adjustments
Â
Removal of the Temporary Crown
The dentist will gently remove the temporary crown and clean any remaining adhesive from the tooth.
Fitting the Permanent Crown
The permanent crown is then placed over the prepared tooth to check the fit and bite. Adjustments may be made to ensure a perfect fit.
Cementation
Once the fit is confirmed, the permanent crown is cemented in place using a strong dental adhesive.
Final Adjustments
The dentist will make any final adjustments to ensure the crown fits comfortably and functions properly.
Â
Frequently Asked Questions (FAQs)
How long should a temporary crown stay on?
A temporary crown should typically stay on for a few weeks until your permanent crown is ready. However, your dentist will provide specific guidance based on your case. The exact duration can vary depending on the complexity of the dental work, the materials used, and how well you take care of the temporary crown. It is crucial to follow your dentist’s instructions and schedule your follow-up appointment to get your permanent crown placed in a timely manner.
Can I eat normally with a temporary crown?
While you can eat, you need to be cautious about what foods you consume. Hard, sticky, or chewy foods can dislodge or damage the temporary crown. It is best to eat soft foods such as mashed potatoes, yogurt, eggs, and pasta. Avoid nuts, caramel, chewing gum, and hard candies. Chewing on the opposite side of your mouth from the temporary crown can also help minimize the risk of it coming loose.
What are the do’s and don’ts of a temporary crown?
Do: Eat soft foods, brush gently using a soft-bristled toothbrush, and rinse with warm salt water if you experience any discomfort. Be sure to floss carefully by sliding the floss out rather than pulling it up, as this can dislodge the crown.
Don’t: Chew on hard objects like ice or pens, floss aggressively, or eat sticky candies that could pull the crown off. Avoid using the temporary crown to bite directly into foods, especially tough meats, raw vegetables, or crusty bread.
Do temporary crowns fall out easily?
Temporary crowns are designed to be a temporary solution, meaning they are not cemented as securely as permanent crowns. They may loosen or fall out if you do not follow proper care instructions. Eating sticky or hard foods, improper flossing techniques, or excessive pressure while chewing can all contribute to a temporary crown falling out. If your temporary crown does come off, contact your dentist immediately to have it reattached.
Can I sleep with my temporary crown off?
No, it is not recommended to sleep without your temporary crown if it has fallen off. The exposed tooth underneath is more sensitive and vulnerable to damage, decay, or shifting. If your temporary crown falls off at night, keep it in a clean container and call your dentist as soon as possible to have it reattached.
Why do my temporary crowns look so bad?
Temporary crowns are made from acrylic or resin and are not designed to be as aesthetically pleasing as permanent crowns. They may appear more opaque, bulky, or slightly misshapen compared to your natural teeth. The main purpose of a temporary crown is to protect the tooth and maintain spacing while your custom permanent crown is being fabricated. Once your permanent crown is placed, it will be color-matched and shaped to blend naturally with your teeth.
Can I bite into a burger with a temporary crown?
It is not advisable to bite directly into a burger, as this could put too much pressure on the temporary crown, causing it to loosen or fall off. Instead, cut the burger into smaller pieces and chew on the opposite side of your mouth to minimize stress on the temporary crown. Avoid foods that require excessive biting force, such as corn on the cob, tough meats, or crusty bread.
Can I brush my teeth if my temporary crown fell off?
Yes, you can still brush your teeth if your temporary crown has fallen off, but you should do so gently, especially around the affected area. Avoid using harsh toothpaste or vigorous brushing that could irritate the exposed tooth. It is important to rinse your mouth with warm salt water or an antibacterial mouthwash to keep the area clean. Contact your dentist as soon as possible to discuss your options for reattaching the crown.
Can I go a week without my temporary crown?
It is not recommended to go a week without a temporary crown. The temporary crown protects the underlying tooth from sensitivity, bacteria, and potential damage. Additionally, without a temporary crown in place, the surrounding teeth may shift, which could affect the fit of your permanent crown. If your temporary crown falls off, schedule an appointment with your dentist immediately to have it replaced.
Â
Conclusion
Temporary crowns are an essential part of many dental treatments, providing necessary protection and functionality while the permanent crown is being made. Understanding the purpose, procedure, and care involved with temporary crowns can help patients feel more comfortable and informed during their dental restoration journey. By following proper care instructions and addressing any issues promptly, patients can ensure a smooth transition from temporary to permanent crowns, leading to a healthy and aesthetically pleasing smile.
