Dental crowns and bridges are the mainstay of people who have either lost their natural teeth, have undergone root canal treatment, or looking for any cosmetic enhancement in their teeth. Well-organized and efficient postoperative care is the chief mechanism for ensuring optimal longevity and success in fixed prosthodontics. A restoration that is cemented and then forgotten or ignored is likely to fail, regardless of how skillfully it was designed, created, and placed. Restored teeth require more assiduous plaque removal and maintenance than do healthy unrestored teeth, and, similarly, a FDP requires additional care and attention. Common complications after completion of the active phase of treatment include caries, periodontal failure, endodontic failure, loose retainers, porcelain fracture, and root fracture.
After the cementation or bonding, it is advisable to not use the tooth to chew food until normal sensation returns to the area (if the area was anesthetized). Cements set only partially while you are in the office and require at least 24 hours to achieve better physical properties. So do not stress the cemented or bonded teeth for 24 hours (i.e., no toffee, no candies, biting on nuts etc.). Your new crown may feel tight or as if it is pushing against the teeth next to it for several hours. This discomfort will go away within a day or two.
Sensitivity, especially to hot and cold is common after a crown is cemented. This may be the results of chemical reaction between the final cement and the tooth. This usually happens when the tooth has not undergone a root canal therapy. However, the sensitivity usually subsides within a week or ten days. Usually the deeper the cavity, the more sensitive the tooth will be. You should make an adjustment appointment if the sensitivity persists or increases. We always make a check appointment a week after the final cementation of a crown to assure the excellent tissue reaction and to remove potential excess cement. The finished restoration may be contoured slightly different and have a different texture than the original tooth. Your tongue usually magnifies this small difference, but you will become accustomed to this in a few days.
A new entity inside the oral cavity is bound to receive attention from microorganisms to develop around and initiate their disease activity. Following the prescribed oral hygiene instructions-45 degree angle brushing twice a day and flossing once a day prevents getting a cavity or gum disease around the new crown. Flossing is especially important in preserving the health of crowns or bridges. A correctly fabricated crown or bridge should function as comfortably as one’s own tooth.