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Dental Crowns / SCUBA / Temporary Teeth

Discussion in 'Diving Medicine' started by petroffd1, Jul 9, 2018.

  1. petroffd1

    petroffd1 Garibaldi

    # of Dives: 50 - 99
    Location: Deerfield Beach, Florida
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    Hi Folks, I new to this forum..looking for some advice...I am currently having 28 teeth replaced with permanent crowns. I now have temporaries in place. What is everyone's opinion about diving under these circumstances?
     
  2. rsingler

    rsingler Scuba Instructor, Tinkerer in Brass Staff Member ScubaBoard Sponsor

    # of Dives: 500 - 999
    Location: Napa, California
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    I'll defer to our dental experts, but the "risk" is probably limited to a microbubble under one or more crowns that acquires N2 during the dive and then pops the temporary off on the way up. Most advice I've gotten is to not worry about it, as it's less a danger than an inconvenience.
    That said, your risk is 28 times what mine was. Oops! And temporaries are not installed with the same care that is used on a permanent. You may lose one, between now and then.
    I would make a point of commenting to your dental professional about your diving status when the crowns are due to become permanents. I did, recently, and my dentist was happy to take just a little extra care in cementing, to make sure there was no trapped air under my new crown.
     
    Dogbowl likes this.
  3. CMS

    CMS Angel Fish

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    I recently had a similar experience... only one tooth, though! I was told I needed a root canal and temp crown shortly before a trip to Bonaire. I told the endodontist clearly what my concerns were and he understood (he said that in the Navy, pilots and divers got the very best dental care due to the changes in pressure they deal with... not sure if that's true, but he said it...).

    I did lots of online reading and some mental stressing and decided to go ahead and get the root canal & temporary crown before the trip. Once I was in Bonaire my teeth were absolutely no problem (20 dives, down to 120'), and getting the permanent crown was also no problem after I returned. I already had a couple of other 'permanent' crowns that had been placed a few years before the trip.

    I hope you get good advice from dental professionals, which I am not, and I hope you have good results.
     
  4. Duke Dive Medicine

    Duke Dive Medicine Medical Moderator Staff Member

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    I'm not a dental expert, but for what it's worth, air trapped in the cement may cause problems if the pocket has communication with the outside environment in your mouth. If the pocket gets pressurized at depth it could pop a temporary off on ascent as @rsingler noted. Depending on how sensitive the surface of the individual tooth is, a trapped air bubble that is compressed on descent could also cause pain. Another thought is the amount of stress that could be placed on the temporary cement when you bite down on the regulator mouthpiece. Your dentist would be better able to speak to that. If you decide to dive, I'd bring a tube of denture adhesive, it works well for holding temporary caps that come off.

    Best regards,
    DDM
     

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