If the tooth is destroyed, then a crown is placed on the remaining root, or it is placed as a bridge. It can be simple, on an individual tab or on a pin. When a crown with a pin falls out, it will be necessary to re-treat the root canal and make a new design. Some patients do not want to go to the doctor again and try to fix a broken tooth on their own. The only question: a crown with a pin fell out - what should I do?
The main reasons for the loss of crowns
A crown can fall out for several reasons:
- The weakening of the cement on which the crown is held, that is, its resorption.
- Erasing the crown or breaking it.
- Excessive pressure on the crown.
- Using temporary material to establish a crown.
- The appearance of caries under construction.
- Errors in grinding a tooth or in making a crown.
Only a specialist can determine the exact cause of the loss of the crown with the pin. But anyone can be to blame: a technician, orthopedic surgeon, or the patient himself.
The task of the dentist is to qualitatively prepare the tooth for prosthetics and fix the crown using good material. The dental technician in the manufacture of the crown must also adhere to all the rules for its creation. The patient must follow all the doctor's recommendations: follow the rules of hygiene and care for the crown, do not press on it, do not chew solid food in the crown area.
Emergency help
If the crown on the tooth with a pin in the channel has disappeared, then the question of going to the doctor should not even arise, because only a specialist can fix the problem. But there are situations when in the near future there is no way to visit the dentist's office. This can happen if a person is on vacation or a business trip. Technically, it will be impossible to return the construction to the place in the absence of the necessary skills and knowledge.
Therefore, at this time, it is important not to damage the abutment, as it is turned and most vulnerable to external influences. You need to treat him carefully, do not put pressure on him, try not to drink and eat nothing cold or hot. That is, to provide him with peace before going to the dentist.
What absolutely can not be done if you have a tooth crown
Do not try to put in place the dropped crown, anyway nothing will come of this venture. In addition, the following actions are strictly prohibited:
- Do not try to glue the crown to the tooth, remember that any adhesive that is not related to dentistry can be toxic.
- Any attempt to attach the prosthesis will fail anyway.
- With independent attempts to return the structure to its place, it is possible to damage both the prosthesis itself and the abutment tooth or pin.
Never use regular cement, glue or chewing gum!
The fallen out crown needs to be washed well and dried. Then try to return to the place, with a slight pressure, the structure should sit in place. This will allow her to stay in place for a couple of days, until a person goes to the dentist.
Ideally, you should immediately consult a doctor so that he can install a temporary crown made of plastic or compost until a new prosthesis is repaired or made. This will protect the open turned tooth or tooth pin.
What will be at the dentist's appointment?
If a crown with a pin falls out, what should I do at the doctorβs appointment? The specialist initially assesses the condition of a broken crown, tooth stump or pin. If necessary, an x-ray is taken. Under the condition of the integrity of the crown and the absence of other injuries, the doctor can immediately fix the prosthesis.
In the presence of damage, preliminary treatment and the manufacture of a new design will be required.
Here are the problems a dentist can solve when a crown with a pin falls out:
- Insert the dropped crown into place. To do this, first retainer residues are removed, the place is treated with an antiseptic. After which the tooth or tooth pin is prepared.
- If there is a tooth under the crown, then it is prepared again. If necessary, its treatment is carried out, the channels are cleaned, its base is restored due to the fixing structures. After that, the cast is taken. And after 7-10 days it will be possible to come to try on a new crown.
- If the root is destroyed in the stump, then it is removed. If this is not done, then the sore spot will become a source of infection. A bridge or implant is installed at the site of the extracted tooth.
If little time has passed since the first visit to the dentist, that is, the warranty period has not expired, then all subsequent procedures are completely free. In another case, the doctor will have to pay for the work.
Why is it important to get to your specialist?
Do not blame everything on a specialist if the crown has fallen off along with the pin. Perhaps this is not the doctor's fault. In addition, it is advisable to make an appointment with the same dentist, as he made an entry in his journal or patient card about how the prosthetics were performed, what material was used and what problems were resolved.
Sometimes dentists use conditionally temporary cements to build bridges, which serve an average of 1 to 2 years. Do not think that the doctor has saved on you. This need arises to track the condition of the crown, its stability, to clean the gums using special tools.
If the crown on temporary cement loosened
When using temporary cement and loosening the crown, a person can smell an unpleasant odor from under the structure. No need to try to stick the prosthesis yourself, as this can be fraught with such consequences:
- It is possible to install the prosthesis on the wrong side and its displacement. As a result, when teeth are closed, there is a risk of deformation or structural failure.
- The crown may not sit properly in its place, which will lead to chips and difficulties with chewing food. The gum under the prosthesis may be damaged, which will lead to pain in this area.
- During loosening of the crown, it begins to act on the gum, which increases in size. After the doctor installs the prosthesis, the swollen gum will begin to interfere with him, and this will entail subsequent problems with the crown, its loosening or the development of the inflammatory process.
- Bonding of the crown is not possible at home and for the reason that special preparation is required. Firstly, it is necessary to clean its inner surface of residual cement. Then degrease, and only then put the prosthesis on a new fixing base. Such manipulations can only be done in the dentist's office.
How to extend crown life
To minimize the risk of breakage and loss of crowns, you must adhere to these rules:
- The choice of quality material.
- There must be a proper installation. To do this, make sure that the structure is tightly attached to the base, that is, to the pin, abutment teeth and gums. If even scanty gaps are present, this will allow food to penetrate under the crown, which will lead to an inflammatory process.
- Compliance with the rules for the care of crowns, only then they will last a long time. This is the observance of oral hygiene, timely treatment of gum disease and caries.
Regular preventive examinations by the dentist will not be superfluous. So the specialist will be able to detect crown damage at an early stage, which will allow timely and painless elimination of problems and prevent the development of complications.
Prevention
Additional preventive measures to hold the crown in place include:
- High-quality and regular brushing of teeth, gums, as well as the crown itself. It is advisable to use the right hygiene products.
- To completely get rid of food particles stuck between the teeth, you need to use dental floss.
- Do not put too much pressure on the ceramic-metal structures.
- Do not get involved in too hard foods.
- Periodically carry out professional toothbrushing in the dental office.
The crown fell out with a pin
If the crown fell out with a pin, what should I do? There may also be several reasons for this situation:
- The special anatomical structure of the root.
- The fragile structure of the roots.
- Poor passage of the channel during therapy. In this case, the pin tab is not installed for the entire length of the root, which causes a weak installation of the crown.
- Removing the pin.
- If the patient had a history of pathologies such as periodontal disease, thin root walls. But at the same time, the dentist ignored the information, or the patient did not warn him about this in advance.
Can I stick a crown at home?
If a crown with a pin falls out, what should I do at home? A doctor in a dental office can use temporary or permanent fixative material. Temporary fixation is necessary in order to determine how the crown or prosthesis will stand during wearing and use. If the contact between the prosthesis and the base has taken place, the patient does not feel discomfort, then after a few days the crown is strengthened with permanent cement.
It happens that the crown flies off the tooth at the wrong time. For example, when going to the dentist is impossible. Therefore, a person should know how to fix a tooth crown. In this situation, you can visit any pharmacy. There you should buy a gel for fixing the crown (for example, the Protefix glue). In its composition, it is similar to temporary cement, and for a certain period will not allow the structure to fall off again. The gel is applied to the inside of the crown and then pressed against the tooth base. When it hardens, the excess mass is removed.
Is it possible to fix the crown with Korega cream? To maintain the structure for a certain period, this gel is applicable. It is worthwhile to understand that these are just temporary measures, and in the very near future it is necessary to visit the dentist for a crown to be permanently fixed.
What is still better?
If the place for the crown is well treated, then it can be completely covered with a stump tab to ensure the tightness of the structure. If it is impossible to cure the roots or canals of the tooth, you can stop your choice by installing a pin. In this case, it is possible to remove the device over time and completely update the design of the prosthesis.
Do not despair if the bridge has fallen shortly after its installation. But, on the other hand, even when loosening the crown, it is necessary to visit the dentist as soon as possible. So it will be possible to adjust the treatment, without waiting for the consequences in the form of a prosthesis and the need for a new establishment.
Do not delay the visit to the dentist. And do not ask a question: when the crown fell off the tooth, what to glue? Anyway, sooner or later you have to go to the doctor. Moreover, at the very beginning the structure is not damaged, and the orthopedist will only insert it into place using a new cement mortar. If you delay the trip to a specialist, you will have to make a new prosthesis and re-treat.