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Medical Forum / General / Dentistry / April 2007

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Small stains on crowns

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zyxi - 13 Apr 2007 22:00 GMT
I got crowns on my upper teeth about a year ago. They are made of some
kind of metal and I think are covered with porcelain. I just noticed a
few very small, very light brown spots near the lower edge of both
front teeth.

What could have caused these? Do crowns need to be brushed very
carefully? Would acidic fruits eat into them? Could they have been
harmed while having my teeth cleaned? I don't smoke. It isn't likely
they came from the factory with spots, is it?

If I leave them alone, will the spots probably get worse? If the
dentist offers to remove the spots by polishing the crowns, will it
make them weaker or more likely to get stained (or pitted) again? I
would like to avoid replacing the crowns.because of pain and possible
trauma to the teeth.

It never occurred to me to ask before getting them, but how long
should crowns hold up and look good?
George - 14 Apr 2007 11:39 GMT
If by the lower edge you mean the margin where the crown meets the
remaining tooth, it is possible that these brown spots indicate
marginal decay. You should visit your dentist to get these assessed.

Regards,
George
support@konae.com - 14 Apr 2007 16:53 GMT
> If by the lower edge you mean the margin where the crown meets the
> remaining tooth, it is possible that these brown spots indicate
> marginal decay. You should visit your dentist to get these assessed.
>
> Regards,
> George

Agreed.

CEC
http://www.geodentist.com
Jim Leonard - 16 Apr 2007 16:33 GMT
> If by the lower edge you mean the margin where the crown meets the
> remaining tooth, it is possible that these brown spots indicate
> marginal decay. You should visit your dentist to get these assessed.

I thought the whole purpose of crowns was that they do NOT decay.
Have I been misinformed?  I understand that it is possible for decay
to occur beneath the crown due to poor oral hygiene, but the crown
itself?
George - 17 Apr 2007 09:04 GMT
> > If by the lower edge you mean the margin where the crown meets the
> > remaining tooth, it is possible that these brown spots indicate
[quoted text clipped - 4 lines]
> to occur beneath the crown due to poor oral hygiene, but the crown
> itself?

Yes, crowns do not decay, since the acid-producing bacteria causing
dental decay cannot break down metal or porcelain. The weak point is
the interface between the crown and the remaining tooth, what we call
margins, which is very much more vulnerable. There is always a
microscopic gap between the crown and the tooth due to current
restrictions on crown technology. Even if that gap is invisible to the
naked eye it can be accessed by bacteria because they are sooooo
small, and they can use it to creep into the tooth below the crown. If
decay develops, it will probably be at that spot.

Regards,
George
 
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