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The Undercover Culprit: Why Ignoring Open Margins Can Bite You Back

The Undercover Culprit: Why Ignoring Open Margins Can Bite You Back

Remember that gleaming crown, your loyal guard against the gnashing jaws of fate? Well, beneath its gleaming surface, a cunning villain may be plotting your tooth’s downfall: the insidious open margin.

Imagine this: instead of a tight partnership, your crown and tooth have a tiny gap, a secret handshake reserved for troublemakers. Bacteria, those microscopic mischief-makers, throw a perpetual picnic in this hidden nook, nibbling away at your precious tooth like miniature termites. You might not feel their tiny chompers, no immediate twinges, just the illusion of dental safety. But trust me, the party’s on, and the guest list includes cavities, infections, and even bone loss – all whispering sweet nothings of toothlessness in your ear.

So, why does this silent saboteur slip through the cracks? Several sneaky suspects come to mind:

  • Time’s tiny pickaxes: Years of chomping and grinding can chip away at your tooth, creating tiny crevices where the once-faithful crown no longer fits snugly.
  • Trauma’s unwelcome nudge: A misplaced bite, a rogue popcorn kernel, even a good-natured tumble can nudge your tooth ever so slightly, turning your crown into a loose-fitting disguise.
  • The disappearing glue: Sometimes, the cement anchoring your crown can weaken, allowing it to peek-a-boo with your gum line, leaving a doorway for trouble.
  • The unseen accomplice: And in some cases, the open margin was there from the start, a tiny misstep in the dental dance, undetected and ready to cause mischief.

But here’s the good news: this isn’t a one-way ticket to toothless oblivion. You can shut down the bacteria bash before it turns your pearly whites into a party zone! All you need is a thorough checkup with your dental detective (that’s your dentist!) and a proactive approach.

Remember, ignoring an open margin is like ignoring a leaky roof. You might not see the immediate damage, but the long-term consequences can be a flood of trouble. Replacing the crown, while it might seem like an unnecessary expense, is actually an investment in saving your tooth – and potentially saving yourself thousands down the line.

Think of it this way: a new crown costs a couple of grand. Extraction, bone grafting, and an implant? That’s easily double or triple the price. And let’s not forget the emotional toll of losing a tooth, the impact on your smile, your confidence, your daily life.

So, the next time your dentist mentions an open margin, don’t brush it off as a minor hiccup. Remember, it’s an undercover culprit, a wolf in sheep’s clothing for your dental health. Embrace the proactive approach, get that crown replaced, and send the bacteria packing. Your smile – and your wallet – will sing your praises!

Don’t Wait for Tooth Pain to See Your Dentist

Don’t Wait for Tooth Pain to See Your Dentist

Recently, I saw four new patients in my dental office during a given week. All four of those patients scheduled their visits because they perceived pieces of their tooth chipping away. In three out of four of those cases, the offending tooth was so badly decayed that the tooth couldn’t be saved. Yet only one of those patients came in with any discomfort.

The common thread in each of these cases is that the patient waited until the tooth was actually breaking apart to seek dental care. All too often, the trigger that brings people to the dentist is pain. Yet here, we had at least three cases where pain was not a factor and yet the tooth was decaying.

How is this possible?

A little understanding of dental anatomy helps here. The outer layer of teeth, the enamel, is the hardest substance in your body. Because its composition is predominantly mineral, it is possible to have decay throughout that layer without experiencing any sensation. In fact, it is even possible for your dentist to drill that part of the tooth (in most cases) without pain. The next layer under your enamel is called dentin. Decay can travel into the dentin – where it usually spreads more quickly, because it is not as hard – and a person still may not experience pain.

By the time a tooth that is decayed hurts, the decay has generally travelled so far that it nears the innermost layer – the pulp. The pulp contains nerves and blood vessels – so, naturally, pain becomes a factor. If a patient is lucky enough to have enough tooth structure remaining, chances are that the tooth will need a root canal if it is to be saved. Otherwise, extraction is the usual alternative.

One lost tooth can lead, in turn, to still other dental problems. Most notably these include shifting teeth, TMJ problems, periodontal problems, cosmetic difficulties or simply difficulty chewing. It may even lead to the loss of more teeth – not to mention the fact that tooth replacement options can become rather expensive.

Hopefully, just understanding that a lack of pain does not equate to a lack of problems will prompt some readers that haven’t seen a dentist in a long time to do so. Sometimes people fear learning that they have cavities that need to be treated, and so they put off the examination. Consider, however, that it is better to learn you have five teeth that need fillings, than to learn you have several that have to be extracted.