I have had porcelain crowns on the teeth that show when I smile for years. They are right up front and I have been quite happy with how they look. But, my tongue cannot seem to leave one of them alone. The best way to describe it is that there has always been a divot and I constantly am messing with it. I don’t think there has ever been anything wrong. Then, the last several weeks, I’ve noticed what looks like a dark section on it and it feels a lot more rough. I have always been one that keeps up with regular cleanings, but I am becoming concerned that this is a more serious problem. Do you think I need to schedule an emergency dentist appointment to get it checked out or re-done?
-Beck in Virginia
Typically, an emergency dentist appointment is warranted if you are in pain or have some sort of urgent dental need. It doesn’t sound like it is causing you discomfort. Yet, it does sound like it is becoming annoying. So, it would be wise to give your dentist a call to explain what is happening with the porcelain crown. It’s not uncommon for a crown to have an imperfection. But what is alarming is the fact that it has changed over time. It is possible the divot is now picking up stains, which is causing the discoloration that you have described. Or it could be that the integrity of the crown is weakening from this flaw.
It may not require immediate replacement, but your dentist may decide to have that one porcelain crown that is bothering you replaced. It all depends on the condition and age of the restoration. Since it is in such a highly visible area, you may want to consider seeing a cosmetic dentist. If the dentist suggests redoing all the crowns so they match, that is a signal that they may not have the necessary cosmetic dentistry experience to make them look beautiful. So, take note of that cue. The only reason the other crowns should be replaced is if they are showing ware.
Thank you for your question.
This post is sponsored by Cleveland dentist Hylan Dental Care.