Losing a dental crown is never fun, especially when it reveals a tooth broken at the gum line. This situation requires immediate attention to prevent further damage and potential infection. This comprehensive guide will walk you through the steps to take, addressing common concerns and questions.
What Should I Do If My Crown Fell Off?
First, remain calm. While unsettling, this is a common dental emergency. The priority is to protect the exposed tooth structure and prevent further damage. Here’s a step-by-step approach:
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Locate the crown: Carefully search for the fallen crown. If found, rinse it gently with water and store it in a safe place, ideally in a container with a little milk or saline solution to keep it moist. This increases the chances of it being re-cemented.
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Examine the tooth: Gently inspect the exposed tooth for any sharp edges or significant damage. If you experience significant pain or discomfort, take an over-the-counter pain reliever like ibuprofen.
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Protect the tooth: If possible, try to temporarily cover the exposed area with a small piece of sugar-free gum or dental wax (available at most pharmacies). This is a temporary measure to provide some protection.
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Contact your dentist: Schedule an appointment with your dentist as soon as possible. Explain the situation clearly, emphasizing the broken tooth at the gum line. They'll assess the damage and determine the best course of action.
Can I Re-cement My Own Crown?
While tempting, re-cementing a crown yourself is strongly discouraged. Improperly re-cementing a crown can lead to further damage to the tooth, gum irritation, and even infection. Only a trained dental professional possesses the necessary tools, expertise, and materials to re-cement a crown correctly.
What Happens If I Wait Too Long to See a Dentist?
Delaying treatment can lead to several complications:
- Increased pain and sensitivity: The exposed dentin (the layer beneath the enamel) is highly sensitive, and prolonged exposure can exacerbate pain.
- Infection: Bacteria can easily enter the exposed area, leading to infection and potentially an abscess. This can cause significant swelling, pain, and even fever.
- Tooth loss: In severe cases, if the remaining tooth structure is too weak, the tooth may become non-restorable and require extraction.
How Much Does It Cost to Fix a Broken Tooth with a Crown at the Gum Line?
The cost of repairing a broken tooth with a crown at the gum line varies based on several factors, including:
- The extent of the damage: More extensive damage may require more complex procedures.
- Location of the tooth: Back teeth often require more expensive crowns.
- Materials used: Different crown materials (e.g., porcelain, metal) have different price points.
- Dentist's fees: Fees vary depending on the dentist's location and experience.
It's best to contact your dentist for a personalized cost estimate after a thorough examination.
What are the Treatment Options for a Broken Tooth at the Gum Line?
Several treatment options exist depending on the extent of the damage:
- Crown re-cementation: If the tooth structure is sound and the crown is intact, the dentist will likely clean and re-cement the crown.
- Root canal treatment: If the nerve of the tooth is exposed or infected, a root canal may be necessary before the crown can be replaced.
- Extraction: In severe cases where the tooth is extensively damaged or cannot be saved, extraction may be the only option. This might be followed by an implant, bridge, or partial denture.
How Can I Prevent Future Crown Issues?
Proper oral hygiene is key to preventing future crown issues. This includes:
- Brushing twice daily: Use a fluoride toothpaste and a soft-bristled toothbrush.
- Flossing daily: Remove food particles and plaque from between your teeth.
- Regular dental checkups: See your dentist for regular checkups and cleanings, typically every six months.
- Avoiding hard foods: Be mindful of biting into extremely hard foods that could damage your crowns.
Addressing a fallen crown and a broken tooth at the gum line promptly is critical for preserving your oral health. Contact your dentist immediately for an assessment and appropriate treatment. Remember, early intervention significantly improves the chances of a successful outcome.
