I have a loose crown, the front top left tooth beside

Q. I have a loose crown, the front top left tooth beside the eye tooth. It has been loose for about 2 years. My dentist kept saying it wasn’t that loose but on a recent visit decided it was and that it should be removed. She has tried to remove it twice and yesterday used what I think she calls a crown remover which is hammered onto the tooth. This, in fact, seems to have tightened it and she still wasn’t able to remove it. The X ray does not show any sign of a crack in the post or tooth but she fears the tooth could be split and that is why it is difficult to remove. She’d like to try again but I fear more banging with the crown remover may break the root if it is not yet broken. She took an impression as an interim measure in case it is broken and I’d need a denture as a temporary measure before an implant or bridge. Would it not be better simply to leave it to loosen on its own than cause more stress to the root in trying to remove it. I would really prefer to save the tooth if at all possible and feel I should have a second opinion. It now only wiggles marginally, since it seems to have tightened with her manipulation yesterday, and there is no pain. The surrounding gum appears to be healthy.

A. The crown may be on a post which fits into the root. If this is the case the partial removal can wedge the post in a new position making it seem firmer. However in this case there is no seal and liquids, bacteria, and small food particles will cause decay over time.
If you wish to come to our birmingham practice for a free second opinion please contact my receptionist mentioning the web link. In the first instance I would like to know if the existing crown can be replaced. If it cannot implants and bridges can be discussed as there are options to avoid dentures even in the short term.

Dr Rob Tennet St Johns Dental Practice 18 Bennett’s Hill, Birmingham, B2 5QJ Web: www.e-dentalpractice.co.uk

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