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Medical Forum / General / Dentistry / September 2004Uneasy lies the tooth that wears a crown?
This might be a silly question, but once a tooth is crowned (not RC'd), what exactly goes on with the tooth UNDER the crown, assuming there's no further decay? Does it just kind of hang out under there? If there's no further decay, does that mean nothing further need be done until the crown wears out and has to be replaced? Just wondering......... Thanks! Sorry about the duplicate post, folks! The other one didn't show up at first. >Sorry about the duplicate post, folks! The other one didn't show up at first. Oh okay ... THANKS..... I was beginning to wonder if Jan Drew isn't right about too much mercuritis for me ....... This sounds VERY familiar ... I think someone else asked something similar ... wait I will check. JOEL >This might be a silly question, but once a tooth is crowned (not RC'd), what >exactly goes on with the tooth UNDER the crown, assuming there's no further >decay? Does it just kind of hang out under there? If there's no further decay, >does that mean nothing further need be done until the crown wears out and has >to be replaced? Just wondering......... >Thanks! > This might be a silly question, but once a tooth is crowned (not RC'd), what > exactly goes on with the tooth UNDER the crown, assuming there's no further > decay? Does it just kind of hang out under there? If there's no further decay, > does that mean nothing further need be done until the crown wears out and has > to be replaced? Just wondering......... > Thanks! It depends on the initial health of the tooth as well as the effects of various forces on it, as well as your ability to keep it clean. Don't slack off with the dental floss. SP  SignatureNot a real Addy, yet >> This might be a silly question, but once a tooth is crowned (not RC'd), what >> exactly goes on with the tooth UNDER the crown, assuming there's no further [quoted text clipped - 7 lines] >slack off with the dental floss. >SP another factor is parafunction ......... I have no idea what that means, but I am a quick learner! Joel Parafunction????????????? Geez gang he just asked a simple question. Answer= It just stays there. > >> This might be a silly question, but once a tooth is crowned (not RC'd), what > >> exactly goes on with the tooth UNDER the crown, assuming there's no further [quoted text clipped - 13 lines] > > Joel >Parafunction????????????? > >Geez gang he just asked a simple question. > >Answer= It just stays there. As I mentioned I have no idea what parafunction is, but it seems to be popularly and regularly mentioned when we got toot' troubles ....... So I am going wid' the crowd. Joel >> >> This might be a silly question, but once a tooth is crowned (not RC'd), what >> >> exactly goes on with the tooth UNDER the crown, assuming there's no further [quoted text clipped - 13 lines] >> >> Joel I think we have tried to fill you in before, but I'll give it one more try. Do you ever remember cusps breaking off of teeth? What about teeth that fracture through the roots? What about teeth that have worn 1/2 of the clinical crown away? (I won't mention abfractions since you think these are all tooth brush abrasion <G>) What about teeth that have no apparent reason to cause pain, but the patient tells you otherwise? These types of problems rarely exist during 'normal function' of the teeth and jaws. Teeth don't touch each other much during eating and should not be clenched together any other time during the day or night. They won't wear out or break apart with proper use. These types of problems show up when the teeth are being abused by 'abnormal function'. Why do people clench and grind their teeth? Stress, noise, vibration, physical activity, and emotions all play a part. Many people continue the parafunction during different stages of sleep. Fawks > As I mentioned I have no idea what parafunction is, but it seems to be > popularly and regularly mentioned when we got toot' troubles ....... > > So I am going wid' the crowd. > > Joel >I think we have tried to fill you in before, but I'll give it one more try. > >Do you ever remember cusps breaking off of teeth? This is a result of how dentists used to drill teeth by undermining the cusps ....... to supposedly lock in the amalgam. Today, there is less "extension for prevention ..." THANK GOD. >What about teeth that fracture through the roots? Root canal teeth? YUP. Undermined ..... By the endodontist or the dentist! >What about teeth that have worn 1/2 of the clinical crown away? >(I won't mention abfractions since you think these are all tooth brush >abrasion <G>) YUP. >What about teeth that have no apparent reason to cause pain, but the >patient tells you otherwise? Kooky people are everywhere ... sorry ... that's idiopathic! >These types of problems rarely exist during 'normal function' of the >teeth and jaws. Teeth don't touch each other much during eating and >should not be clenched together any other time during the day or night. >They won't wear out or break apart with proper use. That is called clenching one's teeth inappropriately ...... STRESS not paraSTRESS. >These types of problems show up when the teeth are being abused by >'abnormal function'. Or the reverse ........ the Boss yells at the worker and he just grits his teeth instead of smacking the boss. >Why do people clench and grind their teeth? See above! >Stress, noise, vibration, physical activity, and emotions all play a >part. Many people continue the parafunction during different stages >of sleep. OK nocturnal grinding ....? parafunction ... WORD NOT FOUND! dictionary! This is why I made up the word, "amalgamitis." I gotta keep up with you guys. Joel >Fawks > [quoted text clipped - 4 lines] >> >> Joel I have seen teeth fracture without *any* decay or previous restoration. I have seen cusp fractures on teeth with relatively small amalgams. I have seen teeth with *very* wide amalgams function without fracture for 30+ years (if the patient told me the correct year of placement). I have seen teeth fracture through the roots that have not had root canals. I have seen lots of teeth that were sore for no other reason than clenching. Trying to blame fractures on amalgams, decay, or poor restorative technique does not explain away the problem. It is not just 'bruxing' or 'clenching'. It is a combination of varying activities that are harmful to the teeth and their supporting structures. The term 'parafunction' simply covers the whole problem with one word. If you don't like the term 'parafunction', I'm sorry. I didn't dream it up. There are lots of times that new words are coined and this just happens to be one of them. For some it creates a SNAFU (you can look that up, but I think the dictionary has to have been published *after* WWII). ;-) Fawks >>I think we have tried to fill you in before, but I'll give it one more try. >> [quoted text clipped - 64 lines] >>> >>>Joel >I have seen teeth fracture without *any* decay or previous restoration. Not me! > I have seen cusp fractures on teeth with relatively small amalgams. Must be the weather out west ..... >I have seen teeth with *very* wide amalgams function without fracture >for 30+ years (if the patient told me the correct year of placement). >I have seen teeth fracture through the roots that have not had root canals. REALLY? I am surprised. That must hurt hugely! WAS IT an untreated DEVITAL TOOTH? I say it was. >I have seen lots of teeth that were sore for no other reason than clenching. See weather comments above, or think U.S. policy on failure for crop support. >Trying to blame fractures on amalgams, decay, or poor restorative >technique does not explain away the problem. YES it does. >It is not just 'bruxing' or 'clenching'. It is a combination of varying >activities that are harmful to the teeth and their supporting >structures. The term 'parafunction' simply covers the whole problem >with one word. But its a made-up word! Its like amalgamitis! >If you don't like the term 'parafunction', I'm sorry. I didn't dream it >up. I thought you did. Well who made it up? Carabelli? > There are lots of times that new words are coined and this just >happens to be one of them. [quoted text clipped - 3 lines] > >;-) Let's try ...... An acronym often used by soldiers in World War II: Situation Normal A** f.cked U* DANG. >Fawks > [quoted text clipped - 66 lines] >>>> >>>>Joel >If you don't like the term 'parafunction', I'm sorry. I didn't dream it >up. There are lots of times that new words are coined and this just [quoted text clipped - 5 lines] >;-) >Fawks FUBAR ? -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com Joel who? Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > > I think we have tried to fill you in before, but I'll give it one more [quoted text clipped - 27 lines] >> >> Joel One thing that I hate to see is decay below or at the margin of the crown. On new patient exams I can't help but cringe when I tell them that the crown they have is on a tooth that is falling apart. The crown itself won't rot obviously but the tooth below the crown can. Keep brushing and flossing. jwn dds > This might be a silly question, but once a tooth is crowned (not RC'd), > what [quoted text clipped - 6 lines] > to be replaced? Just wondering......... > Thanks! >One thing that I hate to see is decay below or at the margin of the crown. >On new patient exams I can't help but cringe when I tell them that the crown >they have is on a tooth that is falling apart. And even more cringingly, it was only placed there six months ago! Joel > The crown itself won't rot >obviously but the tooth below the crown can. Keep brushing and flossing. [quoted text clipped - 11 lines] >> to be replaced? Just wondering......... >> Thanks! >One thing that I hate to see is decay below or at the margin of the crown. >On new patient exams I can't help but cringe when I tell them that the crown >they have is on a tooth that is falling apart. The crown itself won't rot >obviously but the tooth below the crown can. Keep brushing and flossing. PS- How does brushing porcelain help? Joel >jwn dds > [quoted text clipped - 8 lines] >> to be replaced? Just wondering......... >> Thanks! I have about 7 crowns. I don't think anything goes under the crown except the cement that holds it on. Some things that have happened to me with some of my crowns: 1] The first one I ever got came loose a couple of years ago. Dentist popped it off and recemented it. 2] Shortly after getting one of my crowns put on, I started to experience pain. I was very concerned that the drilling went too close to the nerve. I was concerned I was going to need a root canal, but my dentist said that sometimes the nerve needs to recede and the pain will go away on it's own. So we waited. Eventually, it did go away and I never had to get a root canal. 4] My dentist gave me 4 partial crowns or "inlays". Two of them either chipped or cracked within a year. My dentist tried to repair them, they cracked again, and eventually we had to replace them with full crowns. For this reason, I can't recommend getting inlays. 5] Regarding hygiene, I find that food tends to get caught around the crowns, much more so than my natural teeth. To take care of my gums, I brush, floss, AND go around all of my teeth with a gum stimulator every night. It amazes me that even after brushing and flossing, I still find food particles and tartar using the gum stimulator. However, the extra effort is definately worth it. With daily brushing and flossing alone, my gums were still bleeding. After adding the gum stimulator to my nightly regime, my gums no longer bleed and I don't have that nasty taste in my mouth when I wake up in the morning. > This might be a silly question, but once a tooth is crowned (not RC'd), what > exactly goes on with the tooth UNDER the crown, assuming there's no further > decay? Does it just kind of hang out under there? If there's no further decay, > does that mean nothing further need be done until the crown wears out and has > to be replaced? Just wondering......... > Thanks! Good story .. thanks so much! Joel >I have about 7 crowns. I don't think anything goes under the crown except >the cement that holds it on. Some things that have happened to me with some [quoted text clipped - 32 lines] >> to be replaced? Just wondering......... >> Thanks! >4] My dentist gave me 4 partial crowns or "inlays". Two of them either >chipped or cracked within a year. My dentist tried to repair them, they >cracked again, and eventually we had to replace them with full crowns. For >this reason, I can't recommend getting inlays. Parafunction. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > wrote: > [quoted text clipped - 4 lines] > > Parafunction. Yup! Next time, they will break the entire tooth off at the gum-line. Especially, now that the tooth is so much thinner in this region. >>4] My dentist gave me 4 partial crowns or "inlays". Two of them either >>chipped or cracked within a year. My dentist tried to repair them, they >>cracked again, and eventually we had to replace them with full crowns. For >>this reason, I can't recommend getting inlays. > >Parafunction. I raise you two lateral excursions ....... |
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