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Medical Forum / General / Dentistry / April 2006Loose Crown on tooth-dentist wants it to fall out
I have a loose crown, it has been loose for 6 months and my dentist will not take it off because he said it will do too much damage to the tooth underneath. He said to wait until it falls out on its own, Is this the normal procedure for this? The tooth is in the front, so naturally I don't want to be toothless there. Also, the gums around the tooth is irritated, probably from wiggling the crown and there is a nasty taste coming from it. It is driving me crazy actually. I am wondering if most dentists take this approach or if it would be worth seeking another opinion. This crown is about 3 years old. > I have a loose crown, it has been loose for 6 months and my dentist > will not take it off because he said it will do too much damage to the [quoted text clipped - 6 lines] > if it would be worth seeking another opinion. This crown is about 3 > years old. I assume the tooth has had root canal treatment and a post. Almost certainly what has happened is that the post has loosened from the canal. If a crown is loose, it will generally be very easy to remove and re-cement (assuming all is well underneath). Generally I will try to remove a crown in the condition I think yours is in. There is an increased risk of decay and root fracture if the thing is wobbling around in there. Occasionally I've had patients with multi-tooth bridges where the bridge has loosened up on one or more (but not all) teeth and I have been unable to remove it without risking damage to the teeth. I have occasionally left some of these bridges in and monitored closely--assuming in a few weeks or months time I will try again and remove it. But I cannot see a justification for waiting in this case. Usually if the crown is pulled straight out it will come out--then the tooth underneath can be closely examined and the post/crown re-cemented or replaced as needed. I would get a second opinion. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 Is the whole tooth loose? or just the crown. what tooth is it in front? front front, or front side, could you send a picture? or link to one here are some thoughts. Possible lateral with impacted canine underneeth.(root resorption) Infected, abscessed, etc,Advanced Perio, possible spint needed? nasty taste = infection of some sort, (periapical, periodontal, etc), if it's an internal reabsorption thing going on, then we want to keep it as long as possible to keep the bone around it. anyway,, we need more info to help better. Dr. braces >> I have a loose crown, it has been loose for 6 months and my dentist >> will not take it off because he said it will do too much damage to the [quoted text clipped - 26 lines] > > Steve It is tooth number 10, right in the front. I am pretty sure there is no post on this tooth, but it did have a root canal done on it. That is my concern too, because of the gum around it being so red, if it is actually the tooth loose or the crown. I can move it back into place though and it stays, so I am not sure that would happen if the tooth was loose. Also there isn't any seperation between the gum and the tooth. Thanks for the input, I go to the dentist tommorow and if it cannot be corrected it looks like I will ask another dentist to look at it. reply to: nasty taste = infection of some sort, (periapical, periodontal, etc), if it's an internal reabsorption thing going on, then we want to keep it as long as possible to keep the bone around it. R E P L Y This may result in a condition known as Schmutz Pyorrhea. SignatureJoel344 I went in yesterday to have it looked at and it is a loose post according to the dentist. However, he said he cannot "pull it off" and recement it. He said I need a new crown. I guess he is going to drill it off. And I am going to pay for the new crown because it is less than 5 years old so it isn't covered by insurance. They only pay half anyway but it would have helped. My bigger problem is, I cannot get an appointment until the first week of June. Isn't that too long to wait to fix this?. I think it will fall out before then and I want to avoid an embarassing situation. I guess I am going to have to look for another dentist to fix this - I think nearly two months is a long time to wait for an appointment, is that common? > I went in yesterday to have it looked at and it is a loose post > according to the dentist. However, he said he cannot "pull it off" and [quoted text clipped - 7 lines] > another dentist to fix this - I think nearly two months is a long time > to wait for an appointment, is that common? If it's that loose it should be possible to pull it off. It may well be best to try to make a more retentive crown. Making a new crown is not a quick appointment you can "slip in" the schedule. However, doing some kind of temporary restoration should be easy. Two months to wait for an appointment may be routine for some dentists, but unknown to this dentist. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 Thanks for the advice. I went to my husband's dentist this weekend. He took the crown off with two taps, all was fine underneath, no decay, and recemented it. He said there wasn't alot of tooth left underneath, that if the crown didn't hold he would recommend an implant. However for the time being it feels sturdy and the gums are back to normally and the nasty taste gone. Guess I am looking for a new dentist, this is the second issue I have had with mine that I wasn't satisfied with. > Thanks for the advice. I went to my husband's dentist this weekend. He > took the crown off with two taps, all was fine underneath, no decay, [quoted text clipped - 3 lines] > and the nasty taste gone. Guess I am looking for a new dentist, this is > the second issue I have had with mine that I wasn't satisfied with. Thanks for the update. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 |
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