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I had a great dentist for years. However, he missed a smelly decaying tooth under a crown for 5 years. How?

3 doctors weighed in
1 doctor agrees

In brief: Bad stuff hides

Sometimes it is very hard to tell if bad things are happening under crowns, because we can't see under them, and x-rays don't show under them either. If the only examination you've had in years is the quick one when you get your teeth cleaned, it's time for the dentist to treat you 'like a new patient' and do a thorough examination like she/he's never seen you before.

In brief: Bad stuff hides

Sometimes it is very hard to tell if bad things are happening under crowns, because we can't see under them, and x-rays don't show under them either. If the only examination you've had in years is the quick one when you get your teeth cleaned, it's time for the dentist to treat you 'like a new patient' and do a thorough examination like she/he's never seen you before.
Dr. Stephen Carstensen
Dr. Stephen Carstensen
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Dr. STEPHEN PERRY
Dentistry
1 doctor agrees

In brief: Good question

Great dentists don't go bad.
50% of crowns fail within 10 years, decay around the crown is a common reason. The decay is caused bacteria that multiplies in extreme numbers creating dental plaque. This concentrates acid against the crown/ tooth joint. A break then occurs, allowing an infusion of bacteria between the crown and tooth. Only when large does it show on xray. The smell is bacteria.

In brief: Good question

Great dentists don't go bad.
50% of crowns fail within 10 years, decay around the crown is a common reason. The decay is caused bacteria that multiplies in extreme numbers creating dental plaque. This concentrates acid against the crown/ tooth joint. A break then occurs, allowing an infusion of bacteria between the crown and tooth. Only when large does it show on xray. The smell is bacteria.
Dr. STEPHEN PERRY
Dr. STEPHEN PERRY
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Dr. Steven Seres
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