Losing a permanent crown, especially one with the post still attached, can be alarming. It's crucial to address this situation promptly and correctly to avoid further dental problems. This guide will address common concerns and provide practical advice on what steps to take.
What Causes a Permanent Crown to Fall Out?
Several factors can contribute to a permanent crown detaching. Understanding the underlying cause is crucial for preventing future occurrences. Common reasons include:
- Decay under the crown: Bacteria can infiltrate the space between the crown and the tooth, leading to decay and weakening the bond.
- Fractured tooth: A weakened or fractured tooth beneath the crown can compromise its stability.
- Poor cementation: Inadequate bonding during the initial crown placement can result in premature detachment.
- Trauma: A blow to the mouth or excessive biting force can dislodge the crown.
- Grinding or clenching: Habitual grinding or clenching of teeth puts excessive pressure on the crown, eventually leading to failure.
- Wear and tear: Over time, the bond between the crown and tooth can weaken due to normal wear and tear.
What Should I Do if My Permanent Crown Falls Out with the Post?
This is a dental emergency requiring immediate attention. Here's what to do:
- Remain calm: Panic won't help. Gently rinse the crown and post with water to clean off any debris.
- Inspect the crown and post: Carefully examine the crown and post for any damage.
- Try to reinsert (carefully): If possible and comfortable, gently try to reinsert the crown. Do not force it. If it goes back in easily, consider this a temporary solution until you see your dentist. However, be cautious not to damage the tooth further if it doesn't fit correctly.
- Contact your dentist immediately: Schedule an appointment as soon as possible. Explain the situation clearly to get timely professional assistance.
- Protect the tooth: Until your dental appointment, try to protect the exposed tooth from further damage. You can use dental wax or a small piece of sugarless gum to cover the exposed area, but only if this is comfortable for you. Avoid eating hard foods.
- Avoid using home remedies: Attempting to fix the crown yourself using household adhesives can further damage your tooth.
Can I Re-cement the Crown Myself?
No. While you might be tempted to use dental adhesive or super glue, this is strongly discouraged. Home remedies can be ineffective, harmful, and can delay proper treatment, potentially leading to more severe complications. Your dentist possesses the skills and materials needed to create a secure and long-lasting bond.
How Long Can I Wait Before Seeing a Dentist?
Ideally, you should see your dentist as soon as possible. Delaying treatment increases the risk of infection, further tooth damage, and potential tooth loss. Same-day appointments are preferred whenever available.
What Will the Dentist Do?
Your dentist will examine the tooth and the crown to assess the damage. They will likely:
- Clean the tooth thoroughly: Removing any decay or debris.
- Evaluate the tooth's structure: Determining if any further treatment is necessary (e.g., root canal).
- Re-cement the crown: If the tooth and crown are in good condition.
- Prepare for a new crown: If the existing crown is damaged beyond repair or the tooth is compromised.
How Much Does It Cost to Reattach a Crown?
The cost varies depending on your location, the dentist's fees, and the complexity of the repair. It’s best to contact your dental practice directly for a price estimate.
How Can I Prevent My Crown from Falling Out Again?
Preventive measures can help increase the longevity of your crown. These include:
- Maintaining good oral hygiene: Brushing and flossing regularly.
- Regular dental checkups: Allowing your dentist to monitor your crown and address any issues early on.
- Avoiding hard candies and chewing on hard objects: Reducing the strain on your crown.
- Using a mouthguard: If you grind or clench your teeth, a mouthguard can protect your crown.
By following these guidelines and seeking professional dental care, you can effectively address the issue of a fallen crown and prevent future problems. Remember, prompt action is key to preserving your dental health.
