Dentistry focuses on diagnosing, preventing, and treating conditions of the teeth, gums, and oral structures, supporting oral health and overall well-being.
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The longevity of a dental crown depends primarily on the health of the supporting tooth structure and the surrounding periodontium. While the restorative material itself, whether zirconia dental crown, porcelain, or metal, is immune to biological decay, the interface where the crown meets the tooth (the margin) is highly susceptible to bacterial accumulation. If biofilm is not effectively managed, secondary caries (decay under the crown) or periodontal disease can compromise the restoration, leading to failure. At Liv Hospital, we provide specialized oral hygiene instructions tailored to the unique topography of crowned teeth and dental crowns and bridges, empowering patients to protect their investment and maintain systemic oral health.
The margin is the most vulnerable point of any crown.
Crowns have contoured contact points that must be maintained.
If the crowns are connected (as in dental crowns and bridges), standard flossing is impossible.
Water Flossers: Oral irrigators are highly recommended for patients with crowns and bridges. The pulsating water stream flushes out food debris and bacteria from deep pockets and hard-to-reach areas under prosthetics. It also stimulates the gingival tissue, reducing inflammation.
Antimicrobial Rinses: Mouthwashes containing essential oils or cetylpyridinium chloride (CPC) can help reduce the overall bacterial load. Chlorhexidine may be prescribed for short-term inflammation management after crown preparation.
Professional Cleaning: Hygienists use specialized instruments to clean around crowns without scratching the glazed surface. Scratched porcelain accumulates plaque more rapidly.
Night Guards: If a patient grinds their teeth (bruxism), wearing a custom-fitted occlusal guard at night is mandatory to protect the ceramics from fracture and the periodontal ligament from trauma. This is a critical component of hygiene for the restoration’s survival.
Send us all your questions or requests, and our expert team will assist you.
Yes, you must floss around your crown daily; it is the only way to prevent cavities from forming at the edge where the crown meets the tooth structure.
No, a water flosser uses water pressure that is safe for permanent crowns; in fact, it is excellent for cleaning the complex area around the gum line of a crown.
Use a soft-bristled toothbrush or a pressure-sensor equipped electric toothbrush to clean effectively without causing the gums to recede away from the crown margin.
A non-abrasive, fluoride toothpaste is best. Avoid harsh whitening toothpastes, as they cannot whiten ceramic crowns but can scratch their surfaces, causing them to lose their shine.
You need to use a floss threader, Superfloss, or an interdental brush to get underneath the false tooth and clean the gum tissue and the sides of the supporting crowns.
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