Periodontitis under an Artificial Crown – What to Do?


The Main Symptoms of the Disease

infection under tooth crown treatmentSymptoms of infection under dental crown directly depend on the form and stage of periodontitis. In the acute phase there will be aching pain, which increases during chewing or tapping. If you ignore the problem, it passes into the purulent form, which is characterized by an unpleasant throbbing pain. Swelling may occur in this area, which will be visible on the face. There will be a violation of its symmetry. The tooth, which is in the process of the restraint device destruction is already beginning to unravel, becomes movable. There may also be an increase of the overall temperature and the appearance of weakness.

Chronic form tends to occur without any symptoms. The only thing that can occur is discomfort (a little pain) during tapping or chewing solid products. In some clinical cases, it is possible to form a fistula on the gum, from which purulent contents may flow in a small amount.


Carious process, which has not been treated for a very long time, can destroy the walls of the tooth cavity and create a connection with the pulp. As a result, infection under tooth crown occurs, followed by the development of inflammation. Through the top of the tooth, where there is an exit hole of nerve and vascular bundles, the infection spreads to adjacent tissues.

Less often, the cause may be poor quality treatment of carious processes or inflammation of the pulp. With incomplete elimination of infection, in these pathologies, periodontitis can develop. In addition to these reasons, the following factors can lead to infection under dental crown:

  1. dental infection under tooth crownMechanical injuries;
  2. Inflammatory processes in the nasal cavity (rhinitis);
  3. Sinusitis;
  4. Osteomyelitis;
  5. Allergic intolerance to drugs.

The main component of treatment is the elimination of the factors that caused it.

Periodontitis under the Crown

It is a very serious phenomenon in orthopedic dentistry. The occurrence of inflammation under the installed artificial crown, in the absence of treatment, will lead to its loss. The most common type of periodontitis that occurs in these cases is chronic granulomatous one. It tends to develop over a large amount of time (from several months to several years). There are a lot of complications. For example, if it is not a single tooth, but, for example, a bridge prosthesis, in the absence or inefficiency of treatment, the design is removed completely. Therefore, it is very important to carry out this therapy, as it increases the duration and quality of wearing orthopedic systems in the oral cavity. Treatment of such processes under the artificial crown of the tooth can be carried out in several ways.

  • Without removing the crown, the doctor makes a hole leading to the root canals. This is done on the chewing surface. Firstly, a platform is created using a round burr, then a thin cylindrical burr is used to access to the channels. After that, special root tools are used to get to the apex. Then conservative treatment is carried out, infection under tooth crown causesdrugs and any other materials are imposed. The result of treatment depends on the severity and time of treatment. On average, the positive effect is achieved in 60-70 percent of cases.
  • If it is impossible to carry out the manipulations mentioned above, then there is another way out of the situation. This is most effective if the process develops on a single-rooted tooth. Under local anesthesia, surgery is carried out, which is called “root apical resection”. Part of the bone tissue located in the area of the apex is removed, thereby creating access to it. Further, the part of the top of the root is “cut out” and removed. The ends of the remaining channels are sealed, after which an artificial bone tissue is introduced into the formed cavity. The membrane is installed, the gingival flap returns to its place and is sutured.

Of course, the best and the cheapest treatment of infection under dental crown is prevention. The most important thing is to maintain good oral hygiene. This includes not only brushing your teeth in the morning and evening. Properly selected set of brushes, pastes, rinses and floss is also important. In addition to home remedies, it is also necessary to visit a dental hygienist every six months to get rid of plaque and stones from all hard-to-reach places. These procedures will ensure the effective prevention of dental caries.

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