Long Term Home Care Instructions for Crowns and Bridges

Home Care Instructions for Crowns and Bridges It is important that the temporary crown (or bridge) stay in place until the permanent crown is placed. If the temporary crown becomes dislodged or feels uncomfortable, please call us so that we may see you as soon as possible. Do not attempt to "glue" the temporary crown back in yourself or "go without it" as the teeth may become sensitive or shift slightly preventing placement of the permanent crown. You can use a denture adhesive like Fixodent to temporarily hold the crown or bridge in until you can get to our office. Some cold sensitivity and tenderness around the gum is normal for the first few days. Avoid chewing anything very hard or sticky on the temporary crown. Examples to avoid: Gum, hard crusty bread, taffy, or hard candy Brush as usual, but floss with care. When flossing, remove floss from the side of the tooth. It is important to brush and keep gum tissue as clean as possible. Remember, we are happy to see you to check the temporary crown if you have a question prior to insertion of the permanent crown. Long Term Care of Your New Permanent Crown or Bridge Now that your crown or bridge has been cemented there are a few things to expect and to care for. Initially you may experience some cold sensitivity as the tooth may be slightly irritated by the cement. Also, if after a couple of days your “Bite” seems off or it just does not feel normal, please call our office for a slight adjustment. It is extremely important to maintain excellent oral hygiene with your new crown or bridge. Some people have the misconception that a crowned tooth no longer needs to be maintained. Crowns and bridges are still susceptible to decay near the gum-line the same as a natural tooth. The crown strengthens the portion of the tooth above the gum-line but this margin area requires special care. Normal brushing and flossing is a must. Additional use of a fluoride rinse (ie. Act or Flurogard), and a high fluoride content toothpaste or gel are excellent for preventing additional root decay. These additional aids are extremely important for patient with a high decay rate and/or a history of periodontal disease. Most all crowns and bridges have a ceramic outer layer or are all-ceramic. These materials are very strong and color stabile, however, they still have potential to fracture the same as a natural tooth. As a rule of thumb, do not do anything with a crown or bridge that could damage a natural tooth. AVOID CHEWING ICE. The extreme temperature change greatly increases the fracture of porcelain and natural teeth. Fixed bridges require addition cleaning under the pontic (missing tooth). Since this “false tooth” is connected to the adjacent teeth a bridge threader is used to thread floss under it to remove plaque. These are readily available at most pharmacies. We would be happy to demonstrate how to use them. If discomfort continues beyond a week or so or seems to worsen please call our office. Discontinue the use of any whitening toothpaste or other whitening products until the sensitivity subsides. Other useful tools to upkeep your oral hygiene include: Super Floss, MI Paste, Waterpik and Rotodent ProCare. If you have any questions, please call @ 412-931-7900 or email airdentalplex@gmail.com