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Medical Forum / General / Dentistry / October 2007Lost a front tooth crown
Hey everyone, Quick bit of advice needed. I had my front tooth crowned after losing most of it in an accident in 2001, however, tonight I've bitten too hard on uncooked food and broken it clean off! I look like an extra from jerry springer now! It's sunday night in the UK, so cannot get an out of hours dentist, I will need to call in the morning. I have taken tommorrow off work as I work as a radio presenter and voice-over, which means at moment, I cannot speak properly due to a large hole. There was no tooth below gum level anyway, and it was a root canal. The crown is fine and not broken (it only fell a few inches) and has a pink post protuding from the top of it. Will this be a simply re-attachment? I've told my boss I'm hoping to be back at work on tuesday, I'm praying it is simply a case of cemeting or replacing the post and nothing more complex that may take weeks. When I originally had the crown fitted I had an ugly temporary one for two weeks, and am so hoping that's not going to have to be the case again. It could be a simple recementing or a more complex issue. No way to know which from my desk :) Not being able to see any pieces of broken tooth is always positive, but your dentist will be able to help you better. Regards, George > It could be a simple recementing or a more complex issue. No way to > know which from my desk :) [quoted text clipped - 3 lines] > Regards, > George Thanks George, On closer inspection there appears to be very small bits of what look like tooth around the top of it, I did try and take pictures, but my phone has a crappy camera so you probably couldn't make much out, but: http://img44.imagevenue.com/aAfkjfp01fo1i-22584/loc875/08585_photo2_122_875lo.jpg >> It could be a simple recementing or a more complex issue. No way to >> know which from my desk :) [quoted text clipped - 11 lines] > > http://img44.imagevenue.com/aAfkjfp01fo1i-22584/loc875/08585_photo2_122_875lo.jpg Your link isn't working for me. Steve On 29 Oct, 01:34, Steven Bornfeld <dentaltwinm...@earthlink.net> wrote: > danwoo...@googlemail.com wrote: > >> It could be a simple recementing or a more complex issue. No way to [quoted text clipped - 16 lines] > > Steve No they appear to have taken it down! http://pichostonline.com/u/071029/4a5064c915.jpg I hosted it there now, its really bad quality, but bad news it seems, the crown isnt hollow it is full to the top, and looking at my gum there is no visible tooth, I know the root of the tooth is still there but i can't see any of it, it appears the tooth has broken away too. What are the chances of repairing this? My dentist still doesn't open for another 7 hours and i'm very upset about this. On 29 Oct, 03:08, danwoo...@googlemail.com wrote: > On 29 Oct, 01:34, Steven Bornfeld <dentaltwinm...@earthlink.net> > wrote: [quoted text clipped - 32 lines] > My dentist still doesn't open for another 7 hours and i'm very upset > about this. http://pichostonline.com/u/071029/9e855401c9.jpg Another very bad pic, sorry On Oct 28, 9:10 pm, danwoo...@googlemail.com wrote: > > What are the chances of repairing this? >From what I can see, it appears that the core (supporting portion of the crown) has broken off the root and is still inside the crown along with a post. I think those two dark spots might be cavities that weakened the neck of the tooth eventually leading to the crown breaking off. There usually will be a corresponding root portion with decay found in the gum. Unfortunately, it doesn't look too good for this tooth as far as I can see without examining you and viewing that blurry cellphone photo. You probably can fit it back into the root, but it will likely be wobbly. In a pinch, your dentist might be able to do something temporarily depending on how much root is left. If there is enough root left and an intact root canal, he might be able to clean a bit out of the canal for a post space and remove the decay, remove the core portion inside the old crown, pop a post into the root to be picked up in the crown, reline the inside of the crown with temporary acrylic, seat it until it sets up a bit, remove it, clean it up, and temporarily cement the works in. It might fall off with a sneeze considering the compromised support, but maybe it could get you through until a permanent solution can be provided. In any case, I would say that most likely a new crown, post, pins and core or an extraction plus either an implant or bridge would be indicated. The old crown probably isn't salvageable. Zzzdentist www.dentalminds.com > On 29 Oct, 03:08, danwoo...@googlemail.com wrote: >> On 29 Oct, 01:34, Steven Bornfeld <dentaltwinm...@earthlink.net> [quoted text clipped - 30 lines] > > Another very bad pic, sorry It would be useful to see the root stump, but the photography would probably be harder. Afraid anything I say will be speculation. Your dentist will be able to tell you if the tooth is worth saving. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 On 29 Oct, 13:52, Mark & Steven Bornfeld <bornfeldm...@dentaltwins.com> wrote: > danwoo...@googlemail.com wrote: > > On 29 Oct, 03:08, danwoo...@googlemail.com wrote: [quoted text clipped - 43 lines] > Brooklyn, NY > 718-258-5001 Thanks for the replies. He did an ex-ray and told me he would have to wait for the results to be certain. But he did manage to re-fit the current crown, he said my root was cracked pretty deep and he doubts its salvageable :-( It is my front left tooth (9 i think) but teeth 8 and 10 are also crowns. He advised the removal of the other two crowns and a 3-unit bridge. I am now wondering if its possible to do a one unit bridge between two existing crowns? Can someone tell me if its possible? I had the crowns fitted only 6 years ago and was expecting a bit longer from them, although the fact that one failed leads him to believe the others may soon as well. > On 29 Oct, 13:52, Mark & Steven Bornfeld > <bornfeldm...@dentaltwins.com> wrote: [quoted text clipped - 51 lines] > from them, although the fact that one failed leads him to believe the > others may soon as well. The adjacent teeth must be evaluated to be sure they are strong enough to serve as abutment (holding) teeth. I can't imagine why the crowns on #8 and 10 would fail simply because that on #9 failed. If they do, what is he going to do to make them strong enough not only to support their own biting load, but that of the (missing) tooth #9? Realistically, your fixed options for replacing #9 are a 3-unit bridge from 8 to 10, or an implant-supported crown on #9. Steve On 29 Oct, 13:52, Mark & Steven Bornfeld <bornfeldm...@dentaltwins.com> wrote: > danwoo...@googlemail.com wrote: > > On 29 Oct, 03:08, danwoo...@googlemail.com wrote: [quoted text clipped - 43 lines] > Brooklyn, NY > 718-258-5001 Bizarelly he said the gum had healed over (in less than 12 hours) and he has to cut with a scalpel quite deeply to reveal the root stump!! On 30 Oct, 23:46, danwoo...@googlemail.com wrote: > On 29 Oct, 13:52, Mark & Steven Bornfeld > [quoted text clipped - 49 lines] > Bizarelly he said the gum had healed over (in less than 12 hours) and > he has to cut with a scalpel quite deeply to reveal the root stump!! I posted this but don't think it worked: He did manage to re-fit my old crown but only temporary, he said (can't be sure until xrays come back for certain) but it appears the root is cracked pretty deep. This is tooth 9 we are talking about, but teeth 8 and 10 are also crowns, he advises the removal of 9 and 10 and a 3 unit bridge... I'm wondering if there is a possibility of putting a bridge between two existing crowns? He said the others will probably fail too if this one has... which is a shame I've only had them 6 years and was expecting a bit longer from them. > He did manage to re-fit my old crown but only temporary, he said > (can't be sure until xrays come back for certain) but it appears the [quoted text clipped - 4 lines] > probably fail too if this one has... which is a shame I've only had > them 6 years and was expecting a bit longer from them. Can't really say anything for sure from here. If 8 and 10 are decent abutments, the advice is probably sound. Other option would be an implant (or 'flipper' partial if finances are a major concern). Splinting between existing crowns isn't very likely to work. Steve > Bizarelly he said the gum had healed over (in less than 12 hours) and > he has to cut with a scalpel quite deeply to reveal the root stump!! Not bizarre at all. I assume the fracture extended under the gum--the gum didn't need to jump up to cover the root stump! ;-) Steve |
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