Losing a permanent crown, especially one with the post still attached, can be alarming. This situation requires immediate attention to prevent further damage to your tooth and surrounding structures. This comprehensive guide will walk you through the steps to take if your permanent crown falls out, along with answers to common questions.
What Should I Do If My Permanent Crown Fell Out With the Post?
The first thing you should do is remain calm. While unsettling, this is a common dental emergency that can be resolved with prompt action. Here's a step-by-step guide:
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Locate the Crown: Carefully find the crown and post. If possible, keep it moist (you can place it in a small container with a little milk or saline solution). This helps preserve it until you can see your dentist.
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Clean the Area: Gently rinse your mouth with warm salt water to clean the affected area. Avoid brushing or using any abrasive cleaners.
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Examine the Tooth: Look at the tooth under the crown. Is it damaged or broken? Note any pain or discomfort.
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Protect the Tooth (if possible): If the post remains partially embedded, try to gently cover the exposed area with a small piece of wax (from a dental wax kit or even paraffin wax from a candle – use a clean utensil) to protect it from irritation and debris. Avoid applying anything that might adhere excessively.
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Contact Your Dentist Immediately: Don't delay. Contact your dentist as soon as possible. Explain the situation and they will schedule an appointment to re-cement the crown or discuss necessary repairs. In some cases, an emergency appointment might be available.
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Temporary Measures: While waiting for your appointment, avoid chewing on that side of your mouth to prevent further damage or accidental swallowing of the crown. Stick to soft foods.
What Causes a Permanent Crown to Fall Out?
Several factors can contribute to a permanent crown falling out, including:
- Decay under the crown: Bacteria can sometimes get under the crown, leading to decay which weakens the cement bond.
- Trauma or impact: A blow to the mouth can dislodge a crown.
- Poor cementation: Occasionally, the crown wasn't initially cemented properly.
- Wear and tear: Over time, the cement bond can weaken.
- Grinding or clenching: Excessive grinding or clenching your teeth can put stress on the crown.
Can I Re-cement My Crown Myself?
No. While you might be tempted, attempting to re-cement your crown yourself is highly discouraged. Using incorrect materials or techniques can further damage the tooth and delay proper treatment. Leave it to the professionals.
How Long Can I Go Without My Crown?
The sooner you get your crown re-cemented or replaced, the better. Leaving the tooth exposed for an extended period increases the risk of infection, sensitivity, and further damage. Contact your dentist immediately.
Will My Dentist Be Able to Save My Crown?
In most cases, yes. If the crown and post are intact and the tooth underneath is undamaged, your dentist should be able to re-cement it. However, if there is significant damage to the tooth or the crown itself, a new crown may be necessary.
How Much Will it Cost to Replace a Fallen Crown?
The cost of repairing or replacing a fallen crown varies depending on several factors including your location, the extent of the damage, insurance coverage, and the type of crown. It's best to contact your dentist directly for a cost estimate.
This article is for informational purposes only and does not constitute medical advice. Always consult with a qualified dental professional for diagnosis and treatment.
