Help! My Dental Crown Fell Out: What to Do and How to Prevent It

Understanding Dental Crowns and Why They Matter

Imagine biting into your favourite biscuit, only to feel something hard and decidedly un-biscuit-like in your mouth. To your horror, you realise it’s your dental crown. If you’ve found yourself in this predicament, don’t panic – you’re not alone. Dental crowns falling out is a common issue that many Britons face, and while it can be disconcerting, it’s often manageable with the right approach.

What Are Dental Crowns?

Dental crowns are custom-made caps that fit over your natural teeth. They’re designed to restore the shape, size, strength, and appearance of damaged teeth. Think of them as protective helmets for your pearly whites, shielding them from further harm and helping you maintain a healthy smile.

Types of Dental Crowns

In the UK, dentists commonly use several types of crowns:

Porcelain crowns: These look most like natural teeth and are often used for front teeth.
Metal crowns: Made from gold or other alloys, they’re incredibly durable and often used for back teeth.
Porcelain-fused-to-metal crowns: A combination that offers both strength and a natural appearance.
Ceramic crowns: These are metal-free and suitable for people with metal allergies.

Why Crown Loss is a Common Concern

Dental crowns are designed to be long-lasting, but they’re not invincible. Various factors can cause a crown to become loose or fall out entirely. This situation can be worrying, potentially causing discomfort and affecting your ability to eat or speak normally. Moreover, an exposed tooth underneath a lost crown is vulnerable to decay and damage, making prompt action crucial.

Key Questions This Article Will Address

If you’re facing a fallen crown or simply want to be prepared, you likely have several questions. In this article, we’ll tackle four crucial queries:

What Causes a Crown to Fall Out?

Understanding the reasons behind crown loss can help you prevent it in the future. We’ll explore common culprits, from decay to dental cement failure.

Is It an Emergency?

While a fallen crown can be alarming, it’s not always a dental emergency. We’ll help you determine when you need to seek immediate care and when you can wait for a regular appointment.

What Should You Do If It Happens?

Quick action can make a big difference. We’ll provide step-by-step guidance on what to do if your crown falls out, including temporary solutions to protect your tooth.

How Can You Prevent It?

Prevention is always better than cure. We’ll share practical tips to help you keep your crowns firmly in place and maintain your oral health.

Losing a dental crown can be unsettling, but with the right information and prompt action, you can manage the situation effectively. Let’s dive into the details of what causes crowns to fall out, how to handle it when it happens, and most importantly, how to prevent it from occurring in the first place.

Understanding Dental Crowns

Before we tackle what to do when a dental crown falls out, let’s get to grips with what these dental marvels actually are. Understanding dental crowns will help you appreciate their importance and how to care for them properly.

What is a Dental Crown?

A dental crown is a cap-like restoration that fits over a damaged or weakened tooth. Think of it as a protective helmet for your tooth, designed to restore its shape, size, strength, and appearance. Crowns are custom-made to fit your specific tooth, ensuring they blend seamlessly with your natural smile.

When Are Crowns Needed?

Your dentist might recommend a crown in several situations:

To protect a weak tooth from breaking
To restore a broken or severely worn down tooth
To cover and support a tooth with a large filling
To hold a dental bridge in place
To cover misshapen or severely discoloured teeth
To cover a dental implant

Types of Dental Crowns Commonly Used in the UK

In the UK, dentists use various types of crowns, each with its own set of advantages. The choice often depends on factors like the tooth’s location, how much of the tooth shows when you smile, and your budget.

Porcelain Crowns

These crowns are prized for their natural appearance. They’re an excellent choice for front teeth as they can be colour-matched to your existing teeth. However, they may not be as durable as other options for back teeth.

Metal Crowns

Usually made from gold alloy or other metals, these crowns are incredibly durable. They’re often used for back teeth where appearance is less of a concern. While they don’t look like natural teeth, they require less tooth structure to be removed and rarely chip or break.

Porcelain-Fused-to-Metal (PFM) Crowns

These crowns offer a balance between strength and aesthetics. They have a metal base for durability, covered with porcelain for a natural look. However, the metal base can sometimes show as a dark line near the gum.

All-Ceramic or All-Porcelain Crowns

These crowns provide the best natural colour match and are suitable for people with metal allergies. They’re not as strong as metal crowns but can be a good choice for front or back teeth.

The Process of Getting a Crown Fitted

Getting a dental crown typically involves two visits to your dentist. Here’s what you can expect:

First Visit: Preparation and Temporary Crown

During your first appointment, your dentist will:

Examine and prepare the tooth that needs the crown
Take X-rays to check the roots of the tooth and surrounding bone
File down and shape the tooth to make room for the crown
Take an impression of your tooth to send to the dental lab
Place a temporary crown to protect your prepared tooth

Second Visit: Permanent Crown Placement

When your permanent crown is ready, you’ll return to the dentist. They will:

Remove the temporary crown
Check the fit, colour, and shape of the permanent crown
Permanently cement the new crown in place

Expected Lifespan of Dental Crowns

Dental crowns are designed to be long-lasting, but they’re not permanent. With proper care, you can expect your crown to last for many years.

Average Lifespan

On average, dental crowns last between 5 to 15 years. However, some crowns can last even longer with excellent oral hygiene and care.

Factors Affecting Crown Longevity

Several factors can influence how long your crown lasts:

Your oral hygiene habits
Your bite and any teeth grinding or clenching
The material of the crown
The skill of the dentist who placed the crown
The location of the crown in your mouth

Maintaining Your Crown

To help your crown last as long as possible:

Brush twice daily and floss regularly
Avoid biting on hard foods or objects
If you grind your teeth, consider using a nightguard
Visit your dentist regularly for check-ups

Understanding your dental crown – what it is, how it’s fitted, and how long it should last – is key to maintaining your oral health. If you have any concerns about your crown, don’t hesitate to speak with your dentist. They’re there to ensure your smile stays healthy and bright for years to come.

Why Do Dental Crowns Fall Out?

You’ve invested time and money in your dental crown, so it can be frustrating and alarming when it comes loose or falls out entirely. Understanding the reasons behind this can help you prevent it from happening and know when to seek help. Let’s explore the common causes, debunk some myths, and arm you with knowledge to keep your crown firmly in place.

Common Causes of Dental Crown Loss

While dental crowns are designed to be durable, several factors can lead to their premature loss. Here are the most common culprits:

Decay Underneath the Crown

Just because your tooth has a crown doesn’t mean it’s immune to decay. If bacteria manage to sneak under the crown, they can cause decay on the natural tooth underneath. This decay can weaken the tooth structure, causing the crown to become loose and eventually fall off.

Prevention Tip

Maintain excellent oral hygiene, paying special attention to the area where your crown meets your gum line. Regular check-ups with your dentist can catch decay early before it compromises your crown.

Trauma or Injury

A sudden impact to your mouth, whether from a sports injury, accident, or biting down on something unexpectedly hard, can dislodge your crown. While crowns are strong, they’re not indestructible.

Safety Measure

If you play sports, consider wearing a mouthguard to protect your teeth and crowns from potential impacts.

Improper Fit or Placement

If your crown wasn’t fitted correctly from the start, it’s more likely to come loose over time. This could be due to errors in the impression process or issues during the crown placement.

Quality Assurance

Choose a reputable dentist with experience in crown placement. Don’t hesitate to speak up if your crown feels uncomfortable or doesn’t seem to fit right after it’s placed.

Worn-out Dental Cement

The cement used to hold your crown in place can wear down over time. This is a natural process, but it can be accelerated by factors like an improper bite alignment or excessive grinding.

Regular Check-ups

Your dentist can check the integrity of your crown’s cement during routine visits and recement if necessary before the crown falls out.

Grinding or Clenching Teeth (Bruxism)

If you grind or clench your teeth, especially at night, you’re putting extra stress on your crown. This constant pressure can weaken the cement holding the crown in place or even damage the crown itself.

Protective Measure

If you suspect you might be grinding your teeth, talk to your dentist about getting a custom nightguard. This can protect both your natural teeth and your crowns from the effects of grinding.

Myths about Crown Loss Debunked

Let’s clear up some common misconceptions about dental crown loss:

Myth: Crowns Last Forever

While crowns are durable, they’re not permanent. With proper care, they can last many years, but they may eventually need replacement.

Myth: A Fallen Crown Means Poor Dental Work

Not necessarily. While improper placement can cause issues, many factors beyond your dentist’s control can lead to crown loss.

Myth: You Can Ignore a Loose Crown

A loose crown should never be ignored. It can allow bacteria to enter, potentially leading to decay or infection. Always consult your dentist if you notice your crown feeling loose.

Myth: Crowns Can’t Decay

While the crown itself can’t decay, the tooth underneath can. Good oral hygiene is crucial even with a crown.

Interesting Fact: Crown Longevity

You might be wondering how common it is for crowns to fall out. Here’s an intriguing statistic:

5-Year Survival Rate of Dental Crowns

Studies show that about 95% of dental crowns remain in place after 5 years. This means that only about 5% of crowns fall out within the first 5 years after placement. However, it’s important to note that this percentage can vary based on factors like the type of crown, location in the mouth, and individual oral health habits.

What This Means for You

While this statistic is reassuring, it doesn’t mean you should be complacent. Regular dental check-ups and good oral hygiene can help ensure your crown stays firmly in place for many years to come.

Understanding why dental crowns can fall out empowers you to take preventive measures. Remember, while these issues can occur, they’re not inevitable. With proper care and regular dental visits, you can significantly reduce the risk of losing your crown prematurely. If you do experience a loose or fallen crown, don’t panic – contact your dentist promptly for professional advice and treatment.

Signs Your Crown Might Be Loose

A loose dental crown isn’t always obvious, especially in its early stages. However, being aware of the subtle signs can help you address the issue before it becomes a dental emergency. Let’s explore the key indicators that your crown might be loosening its grip.

Sensitivity to Hot or Cold

One of the first signs that your crown might be loose is increased sensitivity to temperature changes in your mouth. This sensitivity occurs because the loosening crown allows substances to reach the sensitive tooth underneath.

What You Might Feel

You may experience a sudden, sharp pain or discomfort when consuming hot drinks like tea or coffee, or cold items such as ice cream or chilled water. This sensation might linger even after you’ve finished eating or drinking.

Why This Happens

A properly fitted crown seals and protects the tooth beneath it. When the crown becomes loose, it creates tiny gaps that allow hot or cold substances to reach the sensitive tooth structure, triggering pain signals.

What to Do

If you notice this type of sensitivity, especially if it’s new or has suddenly increased, it’s time to book an appointment with your dentist. They can check the crown’s fit and address any issues before they worsen.

Pain When Biting or Chewing

Another telltale sign of a loose crown is discomfort or pain when you bite down or chew food. This pain can range from a mild ache to a sharp, intense sensation.

Types of Pain You Might Experience

A dull ache when you apply pressure to the tooth
Sharp pain when biting down
Discomfort that lingers after you’ve finished eating

The Mechanism Behind the Pain

When you bite or chew, you’re putting pressure on your teeth. A loose crown may shift slightly under this pressure, irritating the nerve in the tooth beneath or allowing bacteria to enter, potentially causing infection.

Don’t Ignore the Pain

If you’re experiencing pain while eating, don’t simply avoid chewing on that side of your mouth. Contact your dentist promptly to have the crown examined and potentially re-cemented or replaced.

Visible Gaps or Movement

Sometimes, you can actually see or feel that your crown is loose. This is often a later-stage sign and indicates that you should seek dental care as soon as possible.

What to Look For

Check for these visual and tactile cues:

A visible gap between your crown and the neighbouring teeth
A space between the crown and your gum line
The ability to wiggle the crown slightly with your tongue or finger

Using a Dental Mirror

If you have a dental mirror at home, you can use it to get a better look at your crown from different angles. Look for any spaces or unevenness around the edges of the crown.

The Dangers of a Visibly Loose Crown

A crown that’s loose enough to see or feel is at risk of falling out entirely. Moreover, these gaps can trap food particles and bacteria, potentially leading to decay or gum disease.

Changes in Your Bite

Your bite – the way your upper and lower teeth come together – is a finely tuned system. A loose crown can disrupt this balance, leading to noticeable changes in how your teeth meet when you close your mouth.

Signs of Bite Changes

You might notice:

Your teeth don’t seem to fit together as they used to
You’re biting your cheek or tongue more often
Food gets stuck in new places when you’re eating
You develop jaw pain or headaches

The Domino Effect

A change in your bite due to a loose crown doesn’t just affect that single tooth. It can lead to problems with other teeth, jaw issues, and even headaches as your mouth tries to compensate for the imbalance.

Addressing Bite Changes

If you notice any changes in your bite, it’s crucial to see your dentist. They can assess whether your crown is the culprit and make necessary adjustments to restore your proper bite alignment.

Being attuned to these signs can help you catch a loose crown early, potentially saving you from discomfort and more extensive dental work down the line. Remember, your crown is there to protect your tooth, so if you suspect it’s not doing its job properly, don’t hesitate to seek professional dental advice. Regular check-ups can also help catch these issues before they become noticeable or problematic. Your dentist is your partner in maintaining a healthy, comfortable smile, so make the most of their expertise.

What to Do If Your Crown Falls Out

It’s happened – your dental crown has come loose or fallen out completely. Don’t panic! While it’s not an ideal situation, there are steps you can take to manage it effectively until you can see your dentist. Let’s walk through what you should do, from the moment the crown comes off to your dental appointment.

Immediate Steps

The first few minutes after your crown falls out are crucial. Here’s what you need to do right away:

Retrieve the Crown

If possible, find and keep the crown. It’s a small object that can be easily lost, so act quickly. If it fell out while eating, be careful not to swallow it. Should you accidentally swallow the crown, don’t worry – it will likely pass through your system naturally, but do inform your dentist.

Handling the Crown

Once you’ve retrieved the crown, handle it carefully. Avoid dropping it or applying pressure that might damage it further.

Inspect the Crown and Your Tooth

Take a close look at both the crown and the affected tooth. This examination can provide valuable information for your dentist.

Check the crown for any visible damage or debris inside
Look at your tooth for signs of decay or breakage
Note any pain or sensitivity in the exposed tooth

Clean the Area Gently

Keeping the exposed tooth and surrounding area clean is crucial to prevent infection and further complications.

Cleaning Method

Rinse your mouth with warm salt water (1/2 teaspoon of salt in a cup of warm water). This helps reduce bacteria and soothes the area. Be gentle – vigorous swishing might irritate the exposed tooth.

Temporary Solutions

While waiting for your dental appointment, you might need to take some temporary measures to protect your tooth and manage discomfort.

Over-the-Counter Dental Cement

Temporary dental cement is available at most chemists. It can be used to reattach the crown temporarily, but it’s not a long-term solution.

Pros of OTC Dental Cement:

Protects the exposed tooth
Reduces sensitivity
Prevents the crown from being lost

Cons of OTC Dental Cement:

May make professional reattachment more difficult
Can be messy and tricky to apply correctly
Not suitable if there’s decay or damage to the underlying tooth

Avoiding Certain Foods and Activities

Until your crown is properly reattached, it’s wise to take precautions with your diet and habits:

Avoid chewy or sticky foods that could dislodge the temporary cement
Stay away from very hot or cold foods to minimise sensitivity
Chew on the opposite side of your mouth
Don’t floss around the affected tooth to avoid dislodging the temporary crown

When to Seek Emergency Dental Care

While a lost crown isn’t always a dental emergency, certain situations warrant immediate professional attention:

Severe Pain or Discomfort

If you’re experiencing intense, persistent pain that’s not manageable with over-the-counter pain relievers, seek emergency care.

Signs of Infection

Watch for symptoms like swelling, fever, or a bad taste/smell in your mouth. These could indicate an infection requiring prompt treatment.

Visible Damage to the Tooth

If you can see that your tooth is cracked, broken, or has sharp edges, it needs immediate attention to prevent further damage or injury to your mouth.

How Dentists Typically Handle a Fallen Crown

Understanding what to expect at your dental appointment can help ease any anxiety. Here’s how dentists usually approach a fallen crown:

Assessment

Your dentist will examine your tooth and the crown, looking for any decay, damage, or reasons why the crown fell out.

Cleaning

The tooth and crown will be thoroughly cleaned to remove any debris or old cement.

Potential Treatments

Depending on the situation, your dentist might:

Recement the existing crown if it’s in good condition and fits well
Take impressions for a new crown if the old one is damaged or doesn’t fit properly
Perform additional treatments (like a filling) if there’s decay under the crown

Aftercare Instructions

Your dentist will provide guidance on caring for your reattached or new crown, including any temporary measures while waiting for a permanent solution.

Remember, while these steps can help you manage a fallen crown temporarily, they’re not substitutes for professional dental care. Always make seeing your dentist a priority when you’ve lost a crown. With prompt attention and proper care, you can quickly restore your smile and dental health.

Treatment Options for a Fallen Crown

When your dental crown falls out, it can be a worrying experience. However, there are several treatment options available to address this issue. Let’s explore the various approaches your dentist might consider, along with their advantages and potential drawbacks.

Recementation of the Original Crown

In many cases, your dentist may be able to reattach your original crown, saving you time and money. This process is known as recementation.

The Recementation Process

Recementation involves cleaning both the crown and the underlying tooth, then using a strong dental adhesive to reattach the crown. Your dentist will:

Examine the crown and tooth for any damage
Clean the inside of the crown and the tooth surface
Apply dental cement to the crown
Reposition the crown on your tooth
Remove excess cement and check your bite

Advantages of Recementation

Reattaching your original crown offers several benefits:

Quick and straightforward procedure
Cost-effective solution
Familiar fit and appearance
Often completed in a single appointment

Potential Drawbacks

While recementation is often successful, there are some considerations:

May not be suitable if the crown or tooth is damaged
Possibility of the crown falling out again if the fit isn’t perfect
Temporary solution if the underlying tooth has decay

Replacement with a New Crown

In some situations, your dentist may recommend replacing your fallen crown with a new one. This option ensures a perfect fit and addresses any underlying issues.

When Is a New Crown Necessary?

You might need a new crown if:

The original crown is damaged or worn
There’s decay on the underlying tooth
The tooth structure has changed
You’ve had the same crown for many years

The Process of Getting a New Crown

Getting a new crown typically involves several steps:

Removal of the old crown and any decay
Reshaping of the tooth if necessary
Taking impressions for the new crown
Fitting a temporary crown
Crafting the permanent crown (usually takes 1-2 weeks)
Fitting and cementing the new crown

Advantages of a New Crown

Opting for a new crown can offer significant benefits:

Perfect fit and improved function
Opportunity to address any underlying dental issues
Newer materials may offer better aesthetics and durability
Long-term solution for tooth protection

Potential Drawbacks

While a new crown is often the best choice, there are some considerations:

Higher cost compared to recementation
Requires multiple appointments
May need time to adjust to the feel of the new crown

Alternative Treatments

In some cases, your dentist might suggest alternatives to crowns, depending on your specific situation.

Onlays or Inlays

These custom-made restorations cover part of the tooth and may be suitable if you have minimal tooth damage.

Dental Implant

If your tooth is severely damaged, your dentist might recommend extracting it and replacing it with an implant.

Extraction without Replacement

In rare cases, if the tooth isn’t essential for function or aesthetics, your dentist might suggest simply removing it.

Costs and NHS Coverage

The cost of crown treatment in the UK varies depending on the type of treatment and whether you’re receiving NHS or private care.

NHS Treatment Costs

Under the NHS, crown treatments fall under Band 3, which includes complex procedures. As of 2023, Band 3 treatments cost £282.80 in England. Prices may differ in Scotland, Wales, and Northern Ireland.

Private Treatment Costs

Private dental care costs can vary widely. Typical price ranges are:

Recementation: £50 – £100
New crown: £250 – £1,000+

Factors Affecting Cost

Several factors can influence the cost of your treatment:

Type of crown material (porcelain, metal, or a combination)
Complexity of the procedure
Additional treatments needed (e.g., root canal)
Geographic location of the dental practice

Remember, your oral health is an investment. While cost is an important factor, it shouldn’t be the only consideration when deciding on treatment. Your dentist will guide you towards the most appropriate option for your specific needs, ensuring your smile stays healthy and beautiful for years to come.

Preventing Crown Loss

While dental crowns are designed to be durable, they’re not indestructible. Proper care and maintenance are essential to ensure your crown stays in place and continues to protect your tooth. Let’s explore some effective strategies to prevent crown loss and keep your smile intact.

Proper Oral Hygiene Techniques for Crown Care

Maintaining good oral hygiene is crucial for the longevity of your dental crown. Here are some techniques to keep your crown and surrounding teeth healthy:

Brushing

Brush your teeth at least twice a day using a soft-bristled toothbrush. Pay special attention to the area where the crown meets your gum line, as this is where plaque tends to accumulate.

Flossing

Use dental floss or interdental brushes to clean between your teeth and around your crown daily. This helps remove food particles and plaque that your toothbrush can’t reach.

Mouthwash

Rinse with an antiseptic mouthwash to reduce bacteria and freshen your breath. Look for alcohol-free options if you have sensitive gums.

Foods and Habits to Avoid

Certain foods and habits can put unnecessary stress on your crown, increasing the risk of it becoming loose or falling out. Here’s what to watch out for:

Hard Foods

Avoid biting down on hard foods like ice, nuts, or boiled sweets. These can crack or dislodge your crown.

Sticky Foods

Be cautious with chewy or sticky foods like toffees or chewing gum, as they can potentially pull off your crown.

Harmful Habits

Refrain from using your teeth as tools (e.g., opening packages) and avoid biting your nails. These habits can damage both natural teeth and crowns.

Regular Dental Check-ups: Why They’re Crucial

Regular visits to your dentist play a vital role in maintaining your crown and overall oral health.

Professional Cleaning

Your dentist or hygienist can perform a thorough clean, removing plaque and tartar build-up around your crown and other teeth.

Early Problem Detection

Regular check-ups allow your dentist to spot any issues with your crown early, such as wear or loosening, and address them before they become more serious.

Recommended Frequency

Aim to visit your dentist every six months, or more frequently if advised. Some people might need check-ups every three or four months, especially if they’re prone to dental problems.

Managing Bruxism to Protect Your Crowns

Bruxism, or teeth grinding, can put excessive pressure on your crowns and natural teeth, potentially leading to damage or loss.

Recognising Bruxism

Signs of bruxism include jaw pain, headaches, and worn tooth enamel. If you suspect you grind your teeth, especially at night, consult your dentist.

Night Guards

Your dentist may recommend a custom-fitted night guard to protect your teeth and crowns while you sleep. This creates a barrier between your upper and lower teeth, reducing the impact of grinding.

Stress Management

Since stress is a common cause of bruxism, finding ways to relax and manage stress can help reduce teeth grinding. Consider techniques like meditation, yoga, or speaking with a counsellor.

Importance of Addressing Decay or Gum Disease Promptly

Dental issues like decay or gum disease can compromise the stability of your crown and the health of the underlying tooth.

Regular Monitoring

Keep an eye out for signs of decay or gum disease, such as sensitivity, pain, or bleeding gums. Report any changes to your dentist promptly.

Swift Treatment

If decay or gum disease is detected, it’s crucial to treat it quickly. Delaying treatment can lead to more extensive damage and potentially result in crown loss.

Preventive Measures

Your dentist might recommend additional preventive measures, such as fluoride treatments or antimicrobial mouth rinses, to help protect your teeth and gums.

By following these preventive strategies, you can significantly extend the life of your dental crown and maintain your oral health. Remember, your crown is an investment in your smile and overall well-being. With proper care and regular dental visits, you can ensure it continues to serve you well for many years to come. If you have any concerns about your crown or oral health, don’t hesitate to reach out to your dentist for advice and support.

When to Seek Professional Help

When a dental crown falls out, it’s natural to feel concerned. While some situations may allow for a short delay before seeing a dentist, others require immediate attention. Understanding when to seek professional help can prevent further complications and ensure the best possible outcome for your oral health.

Signs that Indicate Immediate Dental Attention is Needed

Certain symptoms or situations warrant prompt professional care. If you experience any of the following, it’s crucial to contact a dentist as soon as possible:

Severe Pain or Discomfort

Intense pain in the affected tooth or surrounding area could indicate an underlying infection or damage to the tooth structure. Don’t ignore persistent discomfort.

Visible Damage to the Tooth

If you notice any chips, cracks, or rough edges on the exposed tooth, seek immediate care. These issues can lead to further damage if left untreated.

Bleeding or Swelling

Any bleeding from the gum area around the affected tooth or noticeable swelling in your mouth or face requires prompt attention. These symptoms may indicate an infection or other serious condition.

Difficulty Eating or Speaking

If the loss of your crown significantly impacts your ability to eat or speak comfortably, it’s best to see a dentist quickly to restore function and prevent potential nutritional issues.

Sharp Edges

A fallen crown might leave behind sharp edges that could cut your tongue or cheek. This situation needs addressing promptly to prevent oral injuries.

Risks of Delaying Treatment

While it might be tempting to postpone a dental visit, especially if you’re not in pain, delaying treatment can lead to several complications:

Tooth Decay

Without the protection of the crown, your tooth becomes more vulnerable to decay. Bacteria can quickly attack the exposed tooth structure, potentially leading to cavities or more severe dental issues.

Tooth Sensitivity

The exposed tooth may become increasingly sensitive to temperature changes and pressure, making eating and drinking uncomfortable.

Shifting Teeth

A missing crown can allow neighbouring teeth to shift position, potentially affecting your bite alignment and causing further dental problems.

Need for More Extensive Treatment

Postponing treatment might result in more complex and costly procedures down the line. What starts as a simple crown replacement could escalate to the need for a root canal or even tooth extraction if left unaddressed.

How to Find an Emergency Dentist in the UK

If you find yourself in need of urgent dental care, there are several ways to locate an emergency dentist in the UK:

NHS 111 Service

Call NHS 111 for advice and information on local out-of-hours dental services. This non-emergency helpline can guide you to the most appropriate care based on your situation.

Your Regular Dental Practice

Many dental practices offer emergency appointments for their registered patients. Check your dentist’s website or answering machine message for out-of-hours contact information.

NHS Choices Website

Visit the NHS Choices website and use their service search to find nearby emergency dental services. Simply enter your postcode to see available options in your area.

Local Dental Hospitals

Dental hospitals often provide emergency services. Search for the nearest dental hospital in your area and contact them for guidance.

Private Emergency Dentists

Some private dental practices specialise in emergency care and offer extended hours. While this option might be more costly, it can provide quick access to treatment.

Temporary Measures

While waiting to see a dentist, you can take some temporary measures to protect your tooth:

Keep the crown safe if you still have it
Rinse your mouth with warm salt water to keep the area clean
Use dental cement from a pharmacy to temporarily reattach the crown if possible
Avoid chewing on the affected side of your mouth

Remember, these are only short-term solutions. Professional dental care is essential for properly addressing a fallen crown and preventing further complications.

Losing a dental crown can be unsettling, but knowing when and how to seek help can make a significant difference in the outcome. Don’t hesitate to reach out to a dental professional if you’re unsure about the urgency of your situation. They can provide personalised advice based on your specific circumstances and ensure you receive the care you need to maintain your oral health and overall well-being.

Frequently Asked Questions

When dealing with a fallen dental crown, you’re likely to have many questions. This section addresses some of the most common queries people have about crown-related issues, providing clear and practical information to help you navigate this dental situation.

Can I eat normally with a temporary crown?

While temporary crowns are designed to protect your tooth until a permanent crown is fitted, they require some special care when it comes to eating.

Dietary Adjustments

With a temporary crown, it’s best to avoid certain foods and habits:

Sticky foods like chewing gum or toffees, which might pull off the crown
Hard foods such as nuts or boiled sweets, which could crack the temporary material
Chewing ice or biting your nails, as these habits can damage the crown

Safe Eating Practices

To protect your temporary crown:

Chew on the opposite side of your mouth
Cut your food into smaller pieces
Opt for softer foods when possible

Remember, these precautions are temporary. Once your permanent crown is in place, you’ll be able to eat normally again.

How long does it take to get a new crown?

The process of getting a new crown typically involves multiple steps and can vary in duration.

Traditional Method

If your dentist uses the traditional method:

First appointment: Tooth preparation and impressions (1-2 hours)
Fabrication period: 1-3 weeks for the dental laboratory to create your crown
Second appointment: Fitting the permanent crown (30 minutes to 1 hour)

Same-Day Crowns

Some dental practices offer same-day crown services using CAD/CAM technology:

Single appointment: Preparation, digital scanning, and crown creation (2-3 hours)

Your dentist will advise which method is most suitable for your specific case.

Will my insurance cover a fallen crown?

Coverage for a fallen crown can vary depending on your specific insurance plan and the circumstances of the crown loss.

NHS Coverage

If you’re receiving NHS dental care:

Crown replacement falls under Band 3 treatment
As of 2023, Band 3 treatments cost £282.80 in England (prices may vary in other UK nations)
You may be eligible for free NHS dental treatment if you meet certain criteria (e.g., under 18, pregnant, or receiving certain benefits)

Private Insurance

For those with private dental insurance:

Check your policy details or contact your insurance provider
Some plans may cover a percentage of the cost or have a set allowance for crown replacement
Coverage might depend on the age of the original crown and the reason for its failure

Always check with your dentist and insurance provider to understand your coverage before proceeding with treatment.

Can I superglue my crown back on?

While it might be tempting to try and fix your crown yourself, using superglue is never recommended.

Risks of DIY Fixes

Attempting to reattach your crown with superglue can lead to several problems:

Toxic chemicals in the glue can harm your tooth and gums
Improper placement can affect your bite and cause pain
Superglue can make professional reattachment more difficult

Safe Temporary Measures

If you can’t see a dentist immediately:

Use over-the-counter dental cement from a pharmacy for temporary reattachment
Keep the crown safe and bring it to your dental appointment
Avoid chewing on the affected side of your mouth

Remember, these are short-term solutions. Seek professional dental care as soon as possible for proper treatment.

Are there alternatives to traditional crowns?

While traditional crowns are a common solution for damaged teeth, there are alternative treatments available depending on your specific dental situation.

Onlays and Inlays

These restorations cover part of the tooth and may be suitable for less extensive damage:

Onlays cover one or more cusps of the tooth
Inlays fit within the cusps
Often require less tooth reduction than full crowns

Dental Veneers

For front teeth with mostly cosmetic issues:

Thin shells of porcelain bonded to the front of teeth
Improve appearance of discoloured, chipped, or slightly misaligned teeth

Dental Bonding

For minor repairs and cosmetic improvements:

Tooth-coloured resin applied and shaped to the tooth
Less expensive but typically less durable than crowns or veneers

Your dentist will assess your specific needs and recommend the most appropriate treatment option. Each alternative has its own benefits and limitations, so it’s important to discuss these thoroughly with your dental professional.

Remember, while this information provides general guidance, every dental situation is unique. Always consult with a qualified dentist for personalised advice and treatment recommendations tailored to your specific needs and oral health condition.

Wrapping Up: Your Dental Crown Journey

Dealing with a fallen dental crown can be a bit of a shock, but armed with the right knowledge, you can navigate this dental hiccup with confidence. Let’s recap the essential points we’ve covered and look at how you can move forward with a healthy, happy smile.

Key Takeaways for Dental Crown Care

Throughout this guide, we’ve explored several crucial aspects of managing a fallen crown. Here’s a quick refresher of the most important points:

Swift Action is Crucial

When your crown falls out, time is of the essence. Quick action can prevent further damage to your tooth and potentially save you from more extensive dental work. Remember to:

Retrieve the crown if possible
Clean the area gently
Contact your dentist promptly

Treatment Options Are Available

Depending on your situation, your dentist may recommend:

Recementing the original crown
Crafting a new crown
Exploring alternative treatments

Each option has its merits, and your dentist will guide you towards the best solution for your specific needs.

Prevention is Better Than Cure

While sometimes unavoidable, many instances of crown loss can be prevented. Key preventive measures include:

Maintaining excellent oral hygiene
Avoiding habits that stress your teeth, like chewing ice
Addressing teeth grinding or clenching
Attending regular dental check-ups

The Importance of Professional Dental Care

While this guide provides valuable information, it’s no substitute for professional dental advice. Your dentist is your best ally in maintaining optimal oral health.

Regular Check-ups: Your First Line of Defence

Routine dental visits allow your dentist to:

Monitor the condition of your crowns
Spot potential issues before they become serious
Provide personalised advice for your oral care routine

Prompt Professional Attention for Dental Concerns

If you experience any issues with your crown or general oral health, don’t hesitate to seek professional help. Early intervention can often prevent minor problems from becoming major ones.

A Positive Outlook on Dental Health

Experiencing a fallen crown can be unsettling, but it’s important to remember that this is a common dental issue with well-established solutions.

Crown Loss is Manageable

With proper care and timely professional treatment, a fallen crown is a manageable dental situation. Modern dentistry offers effective solutions to restore your smile and protect your oral health.

Your Role in Dental Health

Remember, you play a crucial role in maintaining your dental health. By staying informed, practicing good oral hygiene, and working closely with your dentist, you can enjoy a healthy, confident smile for years to come.

Dental health is a journey, not a destination. Each step you take, from daily brushing to addressing issues like a fallen crown promptly, contributes to your overall oral health. So keep smiling, stay proactive about your dental care, and don’t hesitate to reach out to your dental professional when you need guidance or support. Your teeth are worth it!