Losing a dental crown can be unsettling and inconvenient, especially if it happens unexpectedly. A dental crown protects a damaged or weakened tooth, restoring its shape, strength, and function. When a crown falls out, it exposes the underlying tooth to potential damage, sensitivity, and infection. Knowing how to handle a lost dental crown in an emergency can help protect your oral health and reduce discomfort until you can see a dentist.
At McLevin Dental clinic, we understand that dental emergencies can be stressful. This guide provides clear, practical steps to manage a lost dental crown safely, minimize complications, and explain when to seek professional care.
What Is a Dental Crown and Why Is It Important?
A dental crown is a custom-made cap that fits over a tooth damaged by decay, fracture, or root canal treatment. Crowns restore the tooths appearance and function, allowing you to chew and speak comfortably while protecting the tooth from further damage.
When a crown becomes loose or falls out, the tooth underneath is vulnerable. The exposed tooth surface can be sensitive to temperature and pressure, and bacteria can easily invade, leading to decay or infection. Prompt and appropriate action is essential to safeguard the tooth.
Common Causes of a Lost Dental Crown
Crowns can come off due to various reasons, including:
Decay under the crown: If decay develops at the crowns margin, it can loosen the fit.
Improper fit or cementation: Sometimes a crown was not bonded securely.
Physical trauma: Chewing hard foods, accidents, or grinding can dislodge a crown.
Wear and tear: Over time, cement can degrade or the crown material may weaken.
Temperature changes: Hot and cold foods can cause expansion and contraction affecting the crowns bond.
Understanding these causes helps you avoid future crown loss by following proper care and regular dental visits.
Immediate Steps to Take When Your Crown Falls Out
If your dental crown falls out, stay calm and follow these important steps:
1. Retrieve and Inspect the Crown
Find the crown carefully and rinse it gently with warm water.
Examine the crown for any cracks or damage. If the crown is broken, it will likely need replacement.
Also check the exposed tooth for any sharp edges or debris.
2. Clean the Area
Gently rinse your mouth with warm salt water to keep the area clean and reduce bacteria.
Avoid vigorous rinsing or touching the exposed tooth excessively, as it may cause discomfort or injury.
3. Protect the Exposed Tooth
If you experience sensitivity or pain, apply dental wax (if available) or sugar-free chewing gum to cover the exposed tooth temporarily.
Avoid chewing on the affected side to prevent further damage.
4. Reattach the Crown Temporarily (If Possible)
If the crown is intact, you can try to place it back on your tooth carefully.
Use over-the-counter dental adhesive or denture adhesive available at pharmacies to hold the crown in place temporarily.
Do not use household glues or superglue as they are toxic and harmful.
Gently press the crown onto the tooth and bite down lightly to secure it.
5. Manage Pain and Discomfort
Use over-the-counter pain relievers like acetaminophen or ibuprofen to reduce discomfort.
Avoid very hot or cold foods and beverages until the crown is secured.
When to See a Dentist Immediately
While temporary measures can help manage a lost crown, it is critical to visit your dentist promptly. You should seek emergency dental care if:
The tooth beneath the crown is fractured, causing sharp pain or bleeding.
You cannot reattach the crown or it is broken.
You experience severe pain, swelling, or signs of infection.
The crown has been lost for an extended time and the tooth is exposed.
You have difficulty chewing or speaking due to the missing crown.
At McLevin Dental clinic, our dental professionals specialize in emergency dental treatment. We can assess the situation, clean the tooth, repair or replace the crown, and provide personalized advice to prevent future issues.
What to Expect at the Dental Clinic
During your visit, the dentist will:
Examine the tooth and surrounding tissue carefully.
Take X-rays if needed to check for underlying damage.
Clean the tooth and remove any decay or debris.
Decide whether the existing crown can be re-cemented or a new crown is necessary.
Provide temporary or permanent restorations based on the condition.
Advise on post-treatment care and oral hygiene to maintain crown longevity.
Tips to Prevent Losing Your Dental Crown
Taking care of your dental crown can minimize the risk of it falling out:
Maintain excellent oral hygiene by brushing twice daily and flossing to prevent decay.
Avoid chewing hard or sticky foods like ice, caramel, or hard candies.
Wear a mouthguard if you grind your teeth or play contact sports.
Visit your dentist regularly for check-ups and professional cleanings.
Report any looseness or discomfort with your crown early for timely intervention.
Summary
Losing a dental crown can be a distressing experience, but prompt, calm action can protect your tooth and reduce complications. Retrieve the crown, keep the area clean, protect the exposed tooth, and try a temporary reattachment if possible. Most importantly, schedule an emergency appointment with your dentist to properly restore your crown and safeguard your oral health.