My crown fell off and my tooth has split and i need to have the root removed
If the tooth has fractured then unfortunately the only treatment is to remove it. Normally when a tooth is extracted there is a period of 6 months during which the bone remodels and there is normally some shrinkage as well. This may be why your dentist suggested waiting for 6 months before a permanent replacement was made.
There are 2 options for the replacement of the tooth:
The first is a dental implant. if an implant is to be placed then the remaining roots need to be removed very carefully to maintain as much of your natural bone as possible. the socket is then packed with synthetic bone to make sure the integrity of the ridge is maintained. This way the bone does not shrink back. A period of 4 months is the normal waiting period for the bone to become strong enough to place an implant. Due to the fact that the teeth on either side of the gap are not going to be involved in supporting the new implant, a denture is the usual method for temporary replacement of the tooth during the healing period.
Occasionally a fibre bridge can be made. This is a reversible treatment and one that I do for my patients if they can’t tolerate a denture. It is made primarily made of white filling material, it can be laboratory made or made at the practice. This is something that if you are a suitable candidate can be very satisfactory for the healing period. It does require more work by the dentist and if it is made by the dental laboratory will also be a more expensive option.
If you have decided to have a bridge to repalce the tooth then the teeth on either side of the gap will ultimately be shaved down slightly so that the bridge can be placed. If one of my patients was in the same situation as you are, the tooth would be removed, the socket would be packed with synthetic bone crystals and stiches would be placed. On the same visit I would prepare the teeth on either side of the gap and place a tempoaray bridge which I make myself or get the laboratory to make it. This is then glued in with temporary glue for the healing period. Over the next 10 -12 weeks the temporary bridge is modified so that I can make sure the gum and bone remodels around the false tooth to make it look as if were growing out of the gum. It can occasionally take longer 12 weeks. Once I am happy with the contour of the gum tissue I will replace the temporary bridge for a permanent one.
It sounds like the dentist you go to is planning on making a bridge for you which will probably be functinal but if the bone is allowed t recede and shrink back the final aesthetics may not be perfect and also you are limiting yourself for future implant treatment. Bridges on average can last for 10 -15 years but they do ultimately fail and when they do it is because one of the teeth that the bridge is attached to fails. This may then leave you with 2 gaps which will then need to be filled.
Talk to your dentist a little more about options available to you and express you concerns and hopefully he/she will be able to come up with a treatment plan that your are more happy with
Kind Regards
Thanks for the great article, Dr. Suri.
My periodontist also said the 6 month waiting time was for the bone to heal.
Best,
B.
Great article my advice would be;
Keep the crown safe in a tissue or a small container. Call to book an emergency appointment with your dentist at their and your earliest convenience. The earlier you have it recemented the better, as this will prevent movement of the teeth on either side of the gap and movement of the tooth directly below the gap. A crown can usually be recemented back into place if the understructure that supports the crown (the tooth structure that was reduced so that the crown could be placed) has not been damaged and can still hold the crown.
In the mean time, try not chew on the side the crown has come off – if you do chew on it by mistake, it shouldn’t cause much harm. Brush the tooth as normal if it is not too sensitive.
i have a cap on my front tooth and it has come off i lost my insurance what can i use at home to glue it on?,
The best thing to do is to see your nearest NHS Dentist or call the NHS directly.
Hi , I saw your website while browsing and decided to see if you could helpme. I haven’t been to the Dentist for 3 years now, and before that the oneI went to wasn’t very good and their dentistry lead to the problem I havenow. One of my front crowns came off on Sunday, and looking at the remainsof the root, well it looks totally rotted to me. I can just about put the crown back on although it’s not very stable, but I cannot go out without iton, it just looks horrendous and I am so embarressed. I am finding now I can barely eat properly and I know this problem has to be fixed, but this iswhere problem number 2 comes in. I am totally and utterly terrified of thedentist, in the past I have had to take Diazepam just to go for a check up.I am ashamed of my how my mouth looks, I have no lower back teeth and I also have gum problems. I just need to find a dentist who will not be judgemental, but who can give me treatment and help me fix my smile. I saw you dosedation, and that i s paramount for me as it is the only way I can have treatment without fear, even taking impressions of my mouth has me gagging Iget so tense and distressed, although under sedation, I never have a problem with anything being done. Anyway, I hope when you read this, you think you will be able to help me
Hi, I currently have a front top tooth that has a crown that is only held on by a small pin. It now wont stay in for more than a few days. The tooth is almost gone and is below my gum level. I have also had the small surgeryto fill te root of this tooth several years ago. Is this the type of situation for an implant? If so what happens for the space while the implant is bonding to th gum? Any info and budget costs would be usefull in deciding how to proceed with this. Thanks,
Hi, I have just been to my NHS dentist and a crown which I have had for 5 months fell out and the post is too small therefore they have suggested a dental implant. I would like to find out the cost of an implant for one fronttooth – roughly as I think I would rather come to a private practice to get this done
I can’t believe this. My tooth fell off the post of my dental implant. I’m thinking this is an issue. Should I expect my dentist to fix this at no charge.
Thanks for your question. You would need to speak to the dentist that carried out your treatment to find out what their policy is regarding subsequent gurantees for your treatment. There could be a number of reason that the restoration has come off the implant post; that don’t necessarily suggest that there is an issue. Regards
i have 4 bridged teeth at the front and 3 of them have had root fillings done on them. the front tooth has a fractured root after having the procedure done on it and i have had a problem with it ever since. my dentist recommends me to have a implant because he say’s i will loose the tooth in time but he doe not do them but would recommend a dentist for me.the trouble is they are exspensive and im wondering how long i could go before i need to have this done. is there any other option or advise you could givr regarding this problem. thanks sean.
I’ve just asked my dentist about having a dental bridge to replace my dentures that i had fitted last year. they say i can’t have a bridge fitted because i have 2 teeth missing ( front tooth & the next one to it. I’m a little bit disapointed to hear this because the dentures are so uncomfortable to eat & talk with. I was hoping the dentures were just a stop gap. I had to have an old crown extracted last year and was told then that I would have to wait at least 6 months before a could have a dental bridge done. Hence the dentures to put me on till my gums settled down after the extraction. Regards
perhaps you should seek a second opinion to see if you’re suitable
I go an implant post put in right after my tooth was pulled. However that was 9 months ago , I can’t afford to go to the dentist so I have to wait one more month. I want to know if that is ok to wait that long . my wife doesn’t want to ask the dentist because she doesn’t want them to know we didn’t have money. The implant post is in the lower back jaw and feels and looks fine. please help I have no pain and it looks like it did when they first put it in. It has a healing cap and everything is fine. I just like to know if it will hurt waiting this long , however I dont have any choice.
It’s not a problem to leave things longer than normal keep the area nice and clean, I’m sure it will be ok
All my teeth have fallen off the implants can they be recemented
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