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Can you get a cavity under a crown?

March 18, 2024

If you've had a root canal or gotten a dental crown, you might be curious: Can you get a cavity under a crown? Although it's not very common, it's possible for a crowned tooth to develop a cavity. It's important to know how to spot signs of decay beneath dental crowns. 

Keep reading to learn more about how cavities can form under crowns and how to recognize them.

How Do Crowns Develop Cavities

Several factors can contribute to the development of a cavity beneath a dental crown:

Marginal Integrity:

The connection between the crown and the natural tooth, known as the margin, must be tightly sealed to prevent bacteria from infiltrating. Gaps or imperfections in this seal can create openings for bacteria, leading to cavity formation.

Pre-existing Decay:

If the tooth beneath the crown had decay before the crown was placed, and if this decay wasn't entirely removed during the procedure, it can persist and eventually lead to a cavity under the crown.

Poor Oral Hygiene:

Failing to maintain proper oral hygiene practices, such as inadequate brushing and flossing, can result in plaque buildup around the margins of the crown. This plaque houses bacteria that produce acids, which can weaken the enamel and initiate cavity development.

Cracks or Fractures:

Any cracks or fractures in the tooth structure, whether present before or after the crown was placed, can compromise the integrity of the seal between the crown and the tooth. This can create opportunities for bacteria to infiltrate and cause decay.

What Happens If You Get a Cavity Under a Crown?

If bacteria seep under a dental crown, it can lead to a cavity forming in the natural tooth. This decay needs to be removed promptly to prevent infection. Sometimes, a damaged tooth may require a root canal procedure.

Signs that suggest possible decay under a crown include:

  • Tooth Sensitivity
  • Tooth pain
  • Bad breath
  • Unusual or unpleasant taste in the mouth
  • Jaw discomfort
  • Swollen gums
  • A lump on the gum tissue
  • Fever

If a cavity is detected under a crown, your dentist may need to remove the crown to clean out the decayed material. However, if the tooth isn't infected or fractured, the dentist can often fill the cavity without removing the crown, using specialized dental tools and X-ray technology.

How Can I Tell If I Have Tooth Decay or a Cavity Under a Crown?How to Prevent Cavities Under Crowns

Detecting tooth decay or a cavity beneath a dental crown can be challenging, especially if the affected area is small. While you may experience some discomfort under the crown, this might not occur until the decay has progressed significantly.

Regular dental check-ups are essential, as your dentist can perform X-rays to assess for any damage or decay beneath the crown. In some cases, a more thorough oral examination may be necessary to confirm the presence of a cavity.

How to Prevent Cavities Under Crowns?

To keep cavities at bay under dental crowns, make sure you visit your dentist regularly and maintain good oral hygiene habits. This includes brushing and flossing every day and paying extra attention to cleaning around any dental restorations.

Even though cavities can sometimes happen despite your best efforts, taking good care of your teeth greatly reduces the risk of developing a cavity under a dental crown.

Other Signs to Look Out For

While dental crowns are usually reliable, it's important to be alert for any potential issues. If you notice that your crown feels loose, has chipped or cracked, or if your bite feels off, these could be signs of a problem with your crown. Make sure to schedule a dental appointment promptly if you suspect any issues with your dental restoration.

Conclusion

So, Can you get a cavity under a crown? Although dental crowns provide strong protection, cavities can still form underneath them in specific situations. By recognizing the factors that contribute to cavity development and taking preventive actions, you can reduce the likelihood of this happening and preserve your oral health. Make sure to schedule routine dental check-ups and address any issues promptly with your dentist to prolong the lifespan of your dental restorations.

Want to Learn How to Care for Your Dental Crowns? Call Us!

Contact Sunflower Dental Spa, Rockledge, FL, today to schedule your appointment. New patients can call us at (321) 358-1730, and current patients can reach us at (321) 507-4408. Your smile deserves the best care possible!

FAQ

Can cavities develop under dental crowns?

Cavities can form underneath dental crowns due to factors like marginal integrity, pre-existing decay, poor oral hygiene, and cracks or fractures in the tooth structure.

What should I do if I suspect a cavity under my dental crown?

If you suspect a cavity under your dental crown, schedule an appointment with your dentist for a thorough evaluation. Treatment may involve removing the crown, cleaning out the decay, and placing a new restoration.

Can decay be detected under a crown with an X-ray?

X-rays are useful for spotting any signs of decay or cavities that could be forming underneath the crown.

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Valerie P profile picture
Valerie P
12:46 17 Apr 25
Seriously the most kind, caring, thorough dentist I have ever been to. Dr. Wetmore was kind and attentive to my anxiety while at the same time making sure I was comfortable through a long drilling for a crown and very thorough making sure I was numb enough and the bite would be just right. I struggle with self care and this is the first dentist in my life where I wasn't shamed for it. And even though I was scared for the procedure I felt so safe here. Awesome place! The front desk staff, hygienist I saw and assistants were all super skilled and amazing too. Thanks ladies!
just lee profile picture
just lee
16:49 05 Mar 25
Very friendly and helpful. I already recommended them to my co workers.
Sherry Riley profile picture
Sherry Riley
14:39 21 Feb 25
Absolutely wonderful and patient staff and doctors who cater to cowards like me, can't wait to get all work complete to have my smile back. My husband and I both were throughly impressed with this office for our first time visit
Arleen Lally profile picture
Arleen Lally
16:01 19 Feb 25
Dr. Whitmore and her staff are amazing, gentle, kind caring people. My son did very well during his procedure today. Thank you so very much!
Malette Fraleigh profile picture
Malette Fraleigh
18:56 16 Feb 25
Sunflower Dental Spa is for me the FIRST Dental Office that I enjoy going to. I walk in and I am greeted by, 3 Wonderful Ladies with Beautiful Smiles. And even though they know that I can never remember their names, they know mine.
Rachel, my Dental Hygienist, took me back to begin my cleaning... Well at my last cleaning, I misunderstood something that she told me... so this time I asked her to please show me... and she did.
Once Rachel finished, she went and told my Wonderful and Most Excellent Dentist, Dr. Justin Lieneck that it was his turn to come in and check out my teeth. As Justin is checking out my teeth, I asked him, "Do the look okay? You are taking an awfully long time..."
Justin said, "I'm checking each one of them...but I don't see cavities." That isn't exactly what he said, but I can't remember word for word, like I used too.
But if you are looking for a place to go that will take care of your Teeth.... I Highly recommend Sunflower Dental Spa 🌻
Excellent team and dental care .
Very nice and informative .
Doctor Justin and Diane are awesome.
Chris F profile picture
Chris F
17:37 29 Jan 25
The entire staff adds value to this practice. There’s a good energy there, with both the doctors and all of the medical assistants & the front office. And most importantly they do great work. I am happy to have found Sunflower Dental Spa.
Erika Burge profile picture
Erika Burge
22:18 27 Jan 25
Sunflower Dental Spa is the best office in town, hands down! The front desk staff is so welcoming and kind. They’re great at explaining out of pocket expenses vs. dental insurance. They do their best to squeeze you in at any given notice. You could be having the worst day and those ladies sure do know how to put a smile on your face!
Zac Vickers profile picture
Zac Vickers
16:58 19 Dec 24
It’s hard to put my appreciation into words. Dr. Wetmore and her staff were so helpful and welcoming. They were able to work with my insurance and I to go from consultation to surgery in less than a month, and for half the price I was quoted from Aspen. I was very nervous going into the surgery and amount of extractions I needed but was put at ease with all of the commendations they offered. I highly recommended the laughing gas for anyone that feels the same way. The entire surgery was painless, completely painless and took about two hours. It’s now one day post op and other than some soreness I have never felt better. Sunflower dental deserves all the praise they get in these reviews. Truly an amazing experience. I am so grateful.

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