Why Do Crowns and Bridges Fail?
Crown and bridge failure can occur due to several reasons, including:
1. Recurrent Decay Beneath the Restoration
Although crowns and bridges cover the visible portion of the tooth, the underlying natural structure is still susceptible to decay. Bacteria can accumulate at the margins where the restoration meets the tooth, leading to cavities beneath the crown or supporting bridge abutments.
2. Fractured or Worn-Out Restorations
Over time, crowns and bridges can become worn, chipped, or cracked due to normal chewing forces, teeth grinding, or accidental trauma. A compromised restoration loses its protective function, exposing the underlying tooth to further damage.
3. Gum Recession and Poor Fit
Gum recession can occur naturally with age or as a result of periodontal disease. When this happens, the margins of the crown or bridge become exposed, leading to an ill-fitting restoration and an increased risk of plaque accumulation, decay, and gum inflammation.
4. Failed Cementation or Loose Bridgework
If a bridge becomes loose, it may indicate that the bonding cement has deteriorated or that the supporting teeth are no longer providing adequate stability. Loose restorations can cause discomfort, difficulty chewing, and potential damage to the remaining tooth structure.
5. Tooth or Root Fracture Underneath the Crown
In some cases, the natural tooth structure beneath a crown or bridge can crack, compromising the entire restoration. This can occur due to excessive biting forces, untreated decay, or root fractures that weaken the tooth’s foundation.
What Are the Achievable Results?
When addressing failing crown and bridgework, the goal is to restore function, protect the underlying teeth, and ensure long-term stability. With the right treatment, patients can expect:
A secure and natural-looking restoration that blends seamlessly with their smile.
Comfortable chewing ability without sensitivity or pain.
A healthy foundation that prevents future complications.
Protection of the underlying teeth and surrounding gum tissue.
Improved aesthetics by eliminating gaps, fractures, or discoloured restorations.
What Are the Treatment Options?
The best solution depends on the extent of the damage, the condition of the supporting teeth, and the patient’s long-term oral health goals.
Replacing the Crown or Bridge
If the underlying teeth are still healthy, a new, properly fitted crown or bridge can be fabricated. Advances in digital dentistry allow for precise design and better material options, ensuring a stronger and more natural-looking restoration.
Dental Implants for Long-Term Stability
When a failing bridge is due to weakened or missing support teeth, replacing it with dental implants can offer a more durable and independent solution. Unlike traditional bridges, implants do not rely on neighbouring teeth for support, preserving the integrity of the remaining natural teeth.
Gum and Bone Regeneration for Better Support
If gum recession or bone loss has affected the stability of a crown or bridge, regenerative procedures such as bone grafting or soft tissue grafting may be required. These techniques help rebuild a strong foundation for future restorations.
Full-Mouth Rehabilitation for Complex Cases
For patients experiencing multiple failing restorations, a comprehensive full-mouth rehabilitation may be necessary. This involves a strategic combination of crowns, bridges, implants, and periodontal treatments to restore both function and aesthetics in a cohesive, long-term plan.
Dr. Junaid Saleem Malik’s Specialist Approach
Managing failing crown and bridgework requires a combination of advanced diagnostics, precision treatment, and patient-centred care. Dr. Junaid Saleem Malik brings extensive expertise in restorative and implant dentistry, ensuring that each solution is tailored to the patient’s specific needs.
Comprehensive Assessment and Diagnosis
Every case begins with a thorough examination, including digital scans and CBCT imaging, to assess the condition of the existing restorations, underlying tooth structure, and surrounding bone. This allows for accurate diagnosis and treatment planning.
Minimally Invasive and Long-Lasting Solutions
Where possible, Dr. Malik prioritises conservative treatments that preserve natural tooth structure while ensuring longevity. From replacing a single crown to full-arch rehabilitation, all restorations are designed for durability and aesthetics.
State-of-the-Art Technology for Precision and Comfort
Utilising the latest digital technology, including intraoral scanners and guided implant placement, treatments are performed with high accuracy and minimal discomfort. This ensures a seamless process and faster recovery times.
Aesthetic and Functional Excellence
Beyond function, the goal is to create restorations that look and feel like natural teeth. Each crown, bridge, or implant-supported restoration is customised for a perfect fit, ensuring a confident and natural smile.
What to Do if You Have a Failing Crown or Bridge
If you are experiencing discomfort, mobility, or visible damage in your crown or bridge, seeking professional evaluation as soon as possible is essential. Early intervention can prevent further complications and preserve your long-term oral health.
Book a consultation with Dr. Junaid Saleem Malik to explore the best options for restoring your smile with comfort, stability, and long-term success.
