Permanent Fixed Dental Crowns
AFTER THE PERMANENT PROSTHESIS IS MADE, HERE ARE THE THINGS TO CONSIDER:
Prostheses that are placed and attached or screwed onto natural teeth or implants belong to this group.
Do not eat while under the effect of anesthesia:
After the permanent attachment, solid foods should not be eaten for 1 hour and very cold or hot beverages should not be consumed. Hot or cold substances can harm soft tissues. If anesthesia was administered during attachment, it should be noted that soft tissues such as the tongue, lips, and cheeks can be inadvertently bitten and damaged until numbness subsides.
Do not use your teeth for very hard objects or foods:
You can eat everything you can eat with your natural teeth with fixed prostheses. However, you should especially avoid forces that can even harm your natural teeth. You should avoid unusual forces such as cracking nuts, peanut shells, trying to open bottle caps, and bending various metals. Regardless of the material from which your fixed prosthesis is made, everything except for such unusual forces can be easily eaten.
Do not neglect your dental care:
A common mistake is that after getting a prosthesis, dental care will not be necessary because they will not decay anyway. Since prostheses are artificial materials, they do not decay themselves, but if bacteria at the tooth and gum border are not cleaned well, gum recession will occur in a short time and the teeth under the coatings will be exposed, and decay will start in these poorly cleaned areas. Although there is no decay under implants since there are no natural teeth, if they are not well cared for, the lifespan of the implants will be shortened due to gum recession. The most important factor that will ensure the longevity of the prosthesis is oral hygiene. Do not neglect all the brushing stages and rinsing with mouthwash that we have described in the oral care section. If using dental floss or interdental brush is difficult, be sure to use a water flosser. We strongly recommend that our patients who have prostheses over implants use a water flosser (Oxyjet) without fail.
POSSIBLE ISSUES THAT MAY OCCUR:
Feeling of discomfort with the prosthesis (such as tongue getting caught, feeling too big, feeling too slippery, etc.)
Even the smallest filling in your mouth can feel strange to your tongue in the first few days. Teeth that have been missing for a long time may feel large, with highly polished surfaces and unfamiliar to you. Your tongue will constantly move over them. This is completely normal. All of these discomforts will decrease after the first week, and after a month, your artificial teeth will feel like a natural part of your mouth. If these discomforts are not too extreme, we recommend that you wait at least one week. If there are still areas that you are having trouble getting used to after the first week, your dentist will make adjustments to fix the problem.
Breaking of the fixed prosthesis:
Prostheses can break due to various accidents, unusual forces, habits like teeth grinding at night, or rarely, material-related problems. Typically, the prosthesis does not break completely, but the porcelain separates from the underlying structure (metal, zirconium, etc.). In other words, only the porcelain part falls off. In most cases, the prosthesis can be fixed by removing it from its place, but in cases where it cannot be removed, a new one will need to be made. If this happens, please call our clinic to make an appointment.
Displacement of the prosthesis:
Today's technology for attaching prostheses is highly advanced, and when they are glued with strong adhesives, they cannot be removed. The prosthesis can only be removed by cutting it in half or grinding it down like a natural tooth. In some cases, very strong adhesives are not used to remove the prosthesis. Normal adhesives allow the prosthesis to stay in place in your mouth for many years without any problems. If you feel any displacement or looseness, make an appointment with our clinic immediately. Otherwise, decay will occur in your loosened tooth due to the loosened adhesive. If the adhesive on the implant-supported prosthesis comes off, it will cause problems in the gums and damage the implant.
Prosthesis being too high or colliding with each other during chewing:
Even if the empty space has normal contact when first fitted, it may feel like there is height due to the long period of time it was vacant. If you still feel a height after the second day, you need to come to our clinic as soon as possible. If there is height in the relevant prosthesis, all the loads will come to that tooth or implant and damage the area. Sometimes there may be areas that collide while chewing, even if there is no height. Your dentist will solve the problem with a small grinding in both cases.
Pressure on teeth from the prosthesis:
Pressure on teeth is usually felt when there is a height in the prosthesis or when the prosthesis fits too tightly on the teeth. If there is a height, consume soft foods as much as possible until the necessary adjustments are made. The height problem will be solved by grinding. If there is a problem with it fitting too tightly, it will usually resolve itself within a week. Come to our clinic to understand the problem.
Biting of cheeks and lips:
Soft tissues such as cheeks and tongue grow towards the empty space where teeth have been missing for many years. If these soft tissues are causing a problem such as biting, then rounding and polishing the edges of the prosthesis will solve the problem. If there is no very uncomfortable situation, try to get used to your prosthesis by using it for 1 week. If the discomfort continues, come to our clinic immediately.
Cold and hot sensitivity:
During the making of the dentures, the teeth are trimmed and temporary caps are placed and removed at each session, causing the teeth to become more sensitive. In addition, some strong adhesives used during the actual bonding process can make the teeth slightly more sensitive due to their acidic nature. During the first week, try to avoid very cold and hot foods. You may need to use pain relievers on the first day after the actual bonding process. Cold and hot sensitivity should gradually decrease within 3 weeks. If you need to use pain relievers continuously after the first day, canal treatment may be required for your highly sensitive teeth. If you experience any sensitivity or pain, please contact our clinic immediately.
Pain under the dentures:
Except for mild throbbing, if there is a painful condition that requires continuous use of painkillers, please contact your dentist immediately.
Why are permanent dentures sometimes attached with temporary adhesives?
To understand whether all these problems may occur and to understand your adaptation to the dentures, sometimes even perfectly fitting dentures are attached with temporary adhesives and you are asked to use them in this way for a certain period of time. This way, both functional and aesthetic issues can be checked. Once the denture is bonded with the permanent adhesive, it becomes much more difficult, and sometimes impossible, to remove it. After this period, if there are no problems, your dentures will be attached with permanent adhesive. In problematic situations, the dentures will be attached with permanent adhesive after the problem is solved.
Frequently Asked Questions
Permanent fixed dental crowns are tooth-shaped prosthetic devices that are cemented onto damaged, decayed or misshapen teeth to restore their shape, strength, and function. They can be made from a variety of materials, including ceramic, porcelain, metal, or a combination of materials.