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Saving a tooth with a loose crown

User Level:
Patient
Posted by: bearhugs  (2 years ago)
Ten years ago, I got crowns for my four upper front teeth. Two months ago, one of the crowns came loose. The dentist who did the crowns went overseas so I went to a new one. He required me to have a teeth cleaning done first before he’ll examine my tooth. I then went to my hygienist. She said my teeth are fine except for one of my crowned teeth, which was slightly decayed. This was also the tooth with the loose crown. After my cleaning appointment, I went back to the dentist. He cemented the loose crown back in, and then said if it will ever come loose again, the tooth will have to go. Is there no other way to save a tooth with a loose crown? I do not want to lose this tooth. I am willing to try all possible options to save it. Does anyone have any information? Please help! Thank you very much.
User Level:
Student
Posted by: ghnane  (2 years ago)
Hello bearhugs,

When teeth are prepared or reduced to fit a crown there are guidelines to be such as having straight wall to hole the crown well and withstand forces of chewing and every time our teeth contact each other.
When the dentist said if the crown comes off you would need an extraction might be that there no more room to reduce the tooth to me it suitable for crown and reduction would cause pulp exposure.

Did the dentist see any decay when he recemented the crown as the hygienist suggested?
Avoid chewing hard food and eating sticky candy not to overload the crowned front teeth. Maintain good oral health by brushing and flossing carefully around the crowns to avoid any secondary decay under the crowns.
User Level:
Student
Posted by: Novocaine  (2 years ago)
Ten years ago, I got crowns for my four upper front teeth. Two months ago, one of the crowns came loose. The dentist who did the crowns went overseas so I went to a new one. He required me to have a teeth cleaning done first before he’ll examine my tooth. I then went to my hygienist. She said my teeth are fine except for one of my crowned teeth, which was slightly decayed. This was also the tooth with the loose crown. After my cleaning appointment, I went back to the dentist. He cemented the loose crown back in, and then said if it will ever come loose again, the tooth will have to go. Is there no other way to save a tooth with a loose crown? I do not want to lose this tooth. I am willing to try all possible options to save it. Does anyone have any information? Please help! Thank you very much.

Hey,

The decay must have set in when your crown was loose during that two months. With the cement leaking out, bacteria must have made its way easily in to destroy your enamel. To avoid this in the future, make sure you have your loose crowns re-cemented as soon as you can and employ proper oral hygiene while at it.

Anyway, did you have a root canal on this tooth? Because if you didn't, I can't imagine why your dentist would say it'd have to go considering there are various other methods (RCT, post and core, etc.) to conserve your tooth. I wish I'd known what your dentist had specifically in his mind though.



User Level:
Dentist
Ten years ago, I got crowns for my four upper front teeth. Two months ago, one of the crowns came loose. The dentist who did the crowns went overseas so I went to a new one. He required me to have a teeth cleaning done first before he’ll examine my tooth. I then went to my hygienist. She said my teeth are fine except for one of my crowned teeth, which was slightly decayed. This was also the tooth with the loose crown. After my cleaning appointment, I went back to the dentist. He cemented the loose crown back in, and then said if it will ever come loose again, the tooth will have to go. Is there no other way to save a tooth with a loose crown? I do not want to lose this tooth. I am willing to try all possible options to save it. Does anyone have any information? Please help! Thank you very much.

Without seeing either an x-ray or photo of the tooth without the crown, it is difficult to say. Perhaps the tooth had avery short root, and the decay was far under the gums.
Posted 2 years ago
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