Losing a permanent crown, especially when the post is still attached, can be alarming. This situation requires immediate attention to prevent further damage to your tooth and surrounding gum tissue. This guide will walk you through the steps to take, answer frequently asked questions, and offer advice on preventing future occurrences.
What Should I Do If My Permanent Crown Fell Out With the Post?
The first thing to do is remain calm. While unsettling, this is a common dental issue with manageable solutions. Here's a step-by-step guide:
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Locate the Crown and Post: Carefully find both the crown and the post. If possible, gently rinse them with clean water to remove any debris. Do not scrub or clean them aggressively.
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Examine the Tooth: Use a mirror to inspect the tooth and surrounding area. Note any discomfort, bleeding, or significant damage.
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Try to Reinsert (Temporarily): If you're comfortable, you can attempt to temporarily reinsert the crown and post. This provides a temporary seal and protects the tooth. However, don't force it; if it doesn't go back easily, don't push it.
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Contact Your Dentist Immediately: Scheduling an appointment with your dentist is crucial. They can assess the damage, clean the area, and ensure proper reattachment or replacement.
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Pain Management: If you experience any pain, take over-the-counter pain relievers like ibuprofen (Advil) or acetaminophen (Tylenol) as directed.
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Protect the Tooth: Until you see your dentist, avoid chewing on that side of your mouth. This prevents further damage and protects the exposed tooth structure. You might consider eating soft foods.
What Causes a Permanent Crown to Fall Out?
Several factors can contribute to a permanent crown falling out:
- Decay Under the Crown: Bacteria can still reach the tooth under the crown, leading to decay. This weakens the tooth and can cause the crown to detach.
- Trauma or Injury: A blow to the mouth or significant biting force can dislodge the crown.
- Poor Cementation: If the crown wasn't properly cemented during placement, it can become loose over time.
- Grinding or Clenching: Habitual teeth grinding or clenching can put excessive pressure on the crown and eventually cause it to fall out.
- Wear and Tear: Over time, the cement holding the crown in place can wear down, increasing the risk of detachment.
Can I Reattach My Crown Myself?
While you might be tempted to reattach the crown yourself using dental adhesive from a drugstore, it's strongly discouraged. These adhesives are not designed for the long-term support of a permanent crown and might not provide a strong enough bond. Furthermore, improper reattachment can cause more damage to your tooth. Always seek professional dental help.
How Long Can I Wait Before Seeing a Dentist?
It's best to see your dentist as soon as possible after your crown falls out. The longer you wait, the greater the risk of infection, further tooth damage, or loss of the tooth. Try to schedule an appointment within 24-48 hours.
What Happens When I See My Dentist?
Your dentist will thoroughly examine the tooth and the crown. They will clean the area, remove any remaining cement, and assess the extent of any damage. They might take X-rays to ensure there's no underlying problem. Depending on the situation, they will either re-cement the crown, or fabricate a new one.
How Can I Prevent My Crown from Falling Out Again?
- Maintain Good Oral Hygiene: Brush and floss regularly to prevent decay.
- Avoid Grinding or Clenching: If you grind your teeth, consider wearing a mouthguard, especially at night.
- Regular Dental Checkups: Visit your dentist for regular checkups and cleanings to monitor the health of your teeth and crowns.
- Avoid Hard Foods: Be mindful of what you eat to avoid putting excessive pressure on your crown.
By following these steps and preventative measures, you can minimize the risk of future crown loss and maintain a healthy, functional smile. Remember, prompt professional care is essential when dealing with a fallen crown.
