There is a smell coming from under the crown: what can be done in this case?

From this article you will learn:

• Causes
• Factors of destruction of a molar, incisor or canine
• When a visit to the dentist should be urgent
• Is it possible to get rid of the smell from under the crown on your own?
• How to treat unpleasant odor from under a crown
• Characteristic signs of pathology

A putrid odor coming from under a denture or implant – halitosis – is a clear sign of inflammation in the oral cavity. The reasons for it are different. This could be a medical error, a violation of hygiene, or a symptom of a purulent process in the jaw and gums. If you notice an unpleasant odor coming from under the crown, you should contact your dentist.

Causes

The main reason for the unpleasant odor from under the crown is the proliferation of bacterial flora and rotting food. But this is already a consequence. Possible culprits of halitosis:

1. The dentist who installed the dental structure - an unpleasant odor appears a few days after the procedure.
2. The patient is a neglect of the rules of hygiene, the presence of bad habits. The smell appears several months and even years after the installation of the prosthesis.
3. Common reasons that do not depend on either the patient or the doctor are the life of the tooth under the crown has come to an end, an allergy to prosthetic materials, diseases that are accompanied by severe immunosuppression, and a decrease in bone density.

And most importantly! Regardless of the cause, if you experience bad breath, consult your doctor. Bacterial processes in the oral cavity can cause tooth loss and contribute to the development of abscess and phlegmon of the jaw.

You may be developing gum disease

Halitosis may be one of the first signs of gum disease because halitosis is caused by the same bacterial plaque that forms along the gum line that causes bleeding gums. If it is not removed, bacterial plaque can cause bleeding and swollen gums—symptoms of gingivitis. That's why it's important to prevent early stages of gum disease (gingivitis) by choosing effective treatment to keep your gums healthy.

To combat sore and bleeding gums*, brush your teeth twice daily with a fluoride toothpaste like parodontax, which is specially formulated to kill far more bacteria than regular toothpaste.

Factors of destruction of a molar, incisor or canine

Installing a crown does not provide a 100% guarantee of the safety of a molar, canine or incisor.

Photo 1. Names of teeth

Under the influence of unfavorable factors, they begin to collapse even under a prosthesis. Possible reasons:

1. Thermal – temperature changes adversely affect not only the enamel, but also the material of the prosthesis.
2. Mechanical - the formation of cracks when chewing solid food.
3. Chemical - crowns are made of inert material, but with prolonged exposure to aggressive substances they begin to deteriorate.
4. Poor hygiene.
5. The general condition - lack of nutrients, calcium, fluoride - leads to the fact that the tooth begins to decay under the crown.
6. Infection - the causes are either poor quality work of the dentist, or a severe form of any bacterial, viral or fungal disease.

Possible reasons

All possible causes can be divided into 3 groups - the fault of the doctor, the patient and pathological processes independent of them. The latter are extremely rare, and halitosis is not a typical symptom.

Table. Possible causes of bad breath.

Tooth decay is caused by calcium deficiency and bone disease. But these pathologies have characteristic symptoms. The destruction of teeth indicates an advanced form of the disease.

Why does my breath smell bad?

The mechanism of formation of bad breath is represented mainly by the growth of pathogenic flora on the mucous membranes of the gums and the inner surface of the cheeks.

The reasons for this may be different, but the basis of the pathogenetic changes is a violation of the qualitative and quantitative relationship between pathogenic bacteria (some strains of streptococci, Escherichia coli and Pseudomonas aeruginosa, the bacteria Bulleidia moorei) and aerobes that can suppress their activity.

Aerobic microorganisms are microorganisms whose ability to function is active only when exposed to atmospheric oxygen. Both microorganisms are opportunistic for humans and can cause a number of serious diseases (tuberculosis, Lyme disease, streptococcal pharyngitis, etc.), but it is their balance that allows maintaining a normal level of acidity and local immunity of the mucous membranes in the oral cavity.

A pungent odor from teeth and gums in a person who does not suffer from pancreatitis, gastritis, cholecystitis and other pathologies of the digestive system and abdominal organs occurs as a result of excessive synthesis of volatile compounds that can penetrate into the environment in significant concentrations. Such compounds are secreted by representatives of the anaerobic flora, feeding on food debris contained in dense dental plaque and deposits, therefore, one of the leading factors in the development of ozonostomy is rightly considered to be the low quality of oral hygiene.

When a visit to the dentist should be urgent

The appearance of an unpleasant odor from under dental structures is accompanied by additional symptoms. There is no need to delay your visit to the doctor.

Reasons to urgently consult a doctor:

1. Mobility, complete or partial destruction of the crown.
2. Pain – sharp, dull, aching, shooting, when biting, when brushing teeth, when exposed to thermal irritants.
3. Change in gum color - hyperemia, cyanosis, swelling.
4. Suppuration from under the crown, gums, formation of fistula tracts.
5. Recurrent episodes of sinusitis.
6. Numbness of the tongue, strange taste in the mouth.
7. General weakness, fever, enlarged lymph nodes.
8. Formation of a galvanic couple due to different prosthetic materials. Accompanied by a metallic taste in the mouth and electrical impulses.

But even if nothing besides amber bothers you, then consult a dentist. A bad odor indicates the proliferation of bacterial flora. And the appearance of pain or pus is a matter of time.

What if there is no smell in the mouth after dentures, but there is a strange taste?

If after installing a crown there is no odor in your mouth, but you constantly feel an incomprehensible and irritating taste, you also need to consult a dentist. This phenomenon may indicate both improper fixation of the crown on the tooth, as a result of which the cementing composition is washed away by saliva and causes an unpleasant taste, as well as possible incompatibility of the materials used in the manufacture of the prosthesis.

Another possible cause of a strange taste in the mouth is an allergic reaction.

Here we can only advise one thing - do not try to diagnose yourself, do not follow dubious advice from the Internet, but turn to specialists. Self-medication can lead to negative consequences for your health, the elimination of which requires significant time and large financial expenses. It is better to immediately consult a doctor and get qualified medical care!

And finally: most often complications after the installation of crowns are observed in the case of poor-quality prosthetics. Therefore, do not chase low prices for crowns and their installation - choose a clinic based on the criteria of equipment, staff competence, and the doctor’s ability to work with modern materials and technologies.

Still have questions about the topic of the article? Write to us via chat or dial the contact phone number of our clinic “VENSTOM”!

Is there any way I can get rid of the smell from under the crown on my own?

You can get rid of the putrid smell yourself only by improving the quality of hygiene. This includes high-quality brushing of teeth, the use of floss and rinses.

And most importantly! Independence is good only if the smell has appeared recently and the patient has neglected hygiene rules for a week or two.

In case of tooth decay under the crown, gumboil development, or periostitis, home methods are ineffective.

Photos 2 and 3. Development of flux and periostitis

They can mask the aroma and inhibit the inflammatory process. But it is impossible to suppress the bacterial flora and restore the prosthesis at home.

Diagnosis at home

The patient himself very often does not notice that his breath smells bad, and the people around him are embarrassed to say so, for fear of offending a loved one. To independently assess the freshness of your breath and the intensity of odors, you can perform one of the tests below. All of them are simple to perform and do not require the help of outsiders or any special equipment or tools.

Method 1

This method requires floss (dental floss) without adding flavoring or coloring additives.

1. Clean the interdental spaces using the classic method. To assess the freshness of breath, it is necessary to treat molars (molars).
2. After the procedure, carefully examine the color of the floss. The presence of a yellowish, light brown or creamy tint indicates a large amount of bacterial plaque on the inner surface of the tooth enamel. If a pinkish tint appears on the thread, you should check the condition of your gums.
3. The smell can be assessed 20-30 seconds after the procedure.

The test cannot be considered reliable if colored or scented thread was used.

Method 2

To carry out this test, you need to use a soft silicone spoon or wooden spatula (can be purchased at a pharmacy).

Using a spatula, remove the plaque from the middle part of the tongue, then wait 10-15 seconds and evaluate the quality and intensity of the smell.

Method 3

This method is the simplest and allows you to carry out express diagnostics in 1 minute, from anywhere. To do this, wash your hands thoroughly with soap and lick the outer surface of your hand (near the thumb) or wrist. You can evaluate the result in 40-50 seconds.

How to treat unpleasant odor from under a crown

At the initial stage of treatment, the doctor must identify the reasons for the appearance of a bad odor from under the dental structure. Diagnostics includes:

1. Examination of the oral cavity.
2. X-ray of the tooth, according to indications - maxillary sinuses, orthopantomogram.
3. Development of a patient management plan.

Based on the examination results, the doctor will suggest therapeutic or surgical treatment. You may need to consult a periodontist or otolaryngologist.

What the dentist can offer:

1. Treatment of caries, sanitation of dental canals with their subsequent filling.
2. In case of inflammation of the gums, the doctor will evaluate the quality of the installation of the prosthesis and the depth of the periodontal pockets. Their cleaning, rinsing with antibacterial solutions, and applications with medications are indicated. In severe cases, the doctor will prescribe antibiotic injections. After stopping the inflammatory process, physiotherapy is indicated for the mineralization of bone tissue.
3. Installation of a new prosthesis - if the old crown cannot be restored, was installed with errors, or the patient has developed an allergy to the materials from which it is made.
4. If tooth root cysts are identified, then their removal is indicated. Access is through an incision in the gum. The tooth can be saved.
5. If perforation of the maxillary sinus is detected, the implant is removed. The sinuses are sanitized by an otolaryngologist. After stopping the inflammatory process, the bone tissue is restored, the bottom of the maxillary sinus is raised and a new implant is installed.

And most importantly! If a medical error has been made, self-respecting clinics provide treatment under a guarantee. Implantation, installation of crowns, dental structures are expensive services. And if the clinic does not provide a guarantee for its work, then you need to change the medical institution.

Additionally, conservative therapy is indicated - rinsing with decoctions of medicinal herbs, antibacterial drugs, training in the rules of oral care.

Contraindications for prosthesis installation and implantation

Prosthetics and implant installation are surgical interventions, so there are a number of reasons why the operation will not be performed:

• pathologies of the cardiac and circulatory systems;
• neurological diseases;
• diseases of the liver, kidneys and pancreas in the acute stage;
• mental disorders.

Modern capabilities make it possible to stop dental diseases at any stage with high efficiency. The presence of professional equipment in the clinic plays an important role in the comfortable and painless treatment of oral pathologies.

Unfortunately, scientists have not yet invented a magic injection that grows a new healthy tooth. And we can make a replacement that is no different in appearance and quality from a natural dental unit.

Characteristic signs of pathology

There are many causes of bad breath. All of them are accompanied by similar manifestations. And an unpleasant odor from under the crown is not a characteristic symptom. This is a sign of an already running chronic infectious process.

Additional symptoms may develop both before and after the appearance of an unpleasant odor. Frequent unpleasant signs of inflammation:

• pain syndrome;
• suppuration;
• food getting stuck;
• gum hyperemia;
• swelling of the face;
• unpleasant taste.

As a rule, before pain appears, many people try to treat themselves. But then they go to the doctor. The later you go to the dentist, the higher the risk of complications and tooth loss.

What other reasons can cause ozonostomy?

If an examination by a dentist does not reveal any diseases or pathologies, the doctor will refer the patient to specialized specialists to determine the possible causes. These may include:

• pathologies of the digestive system and abdominal organs (pancreatitis, cholecystitis, gastritis, duodenitis, chronic colitis, irritable bowel syndrome, gastroduodenitis);
• untreated or recurrent infectious diseases of the nasopharynx and oropharynx (tonsillitis, sinusitis, laryngitis, pharyngitis);

• kidney pathologies accompanied by partial dysfunction of the renal system;
• diabetes mellitus (the smell of urine and acetone from the mouth is one of the signs of a lack of insulin);

• long-term use of certain medications that can cause xerostomia (proton pump blockers, heartburn medications, alpha-agonists, etc.);
• abuse of foods with a high content of purines and phytoncides (onions, garlic, green onions, all varieties of cabbage, sorrel);

• smoking (especially if a person smokes more than 10 cigarettes per day).

Often the unpleasant smell of sour milk or rotten eggs appears in women on diets. A prolonged absence of food in the stomach provokes increased activity of parietal cells, which are responsible for the production of hydrochloric acid. As a result, a colorless gas accumulates in the stomach, which is a compound of hydrogen and sulfur and has the characteristic smell of rotten eggs. If food does not enter the stomach, this gas rises to the top and is released into the environment through the mouth when a person talks, yawns or sneezes.

People who are susceptible to emotional instability and are often in a state of prolonged stress experience unpleasant gum odor 2.1 times more often than their peers who are in an emotionally stable state.

Important! A constant smell of rot, feces or urine from the mouth, especially if it intensifies or is combined with other symptoms (sore throat, sensation of a foreign body in the pharynx and esophagus, nausea, discomfort in the stomach, etc.), may be a manifestation of malignant tumors digestive system or larynx. Consultation with an oncologist is indicated in cases where it is not possible to get rid of the unpleasant odor within 3 months, despite a complete examination, sanitization of foci of chronic infection and adherence to personal hygiene measures.

Signs of tooth decay under the crown

Tooth decay under the crown is a dangerous situation for the body. The process is accompanied by the proliferation of pathogenic flora. With the blood flow it enters all organs and systems.

Symptoms of tooth decay under a denture:

• halitosis – the appearance of an unpleasant odor;
• mobility of the dental structure;
• darkening of a molar, incisor or canine;
• taste of pus in the mouth;
• receding gums, exposing the neck of the tooth;
• tissue hyperemia, bleeding from the gums;
• pain when biting, temperature change.

Do not delay in seeing a doctor. The sooner you start treatment, the greater the chances of saving the tooth under the crown and preventing the development of complications. Price list with orthopedic services – follow the link.