Having a dental crown break off, especially with a tooth fragment still attached, is a concerning situation. It can be painful, unsightly, and potentially lead to further dental problems if not addressed promptly. This comprehensive guide will walk you through the immediate steps to take, the potential causes, and what to expect during the repair process.
What Should I Do If My Crown Breaks Off With a Tooth Stuck In It?
The most crucial step is to remain calm. While distressing, panicking won't help. Here's what you should do:
- Locate the broken crown and the tooth fragment. Carefully examine the area to see if you can find all the pieces. If you find the pieces, store them in a safe, clean place—ideally in a container of milk or saline solution to keep them moist.
- Rinse your mouth gently. Use lukewarm saltwater to clean the area. Avoid using abrasive mouthwashes or anything that could irritate the exposed tooth.
- Assess the pain level. If experiencing significant pain, take over-the-counter pain relievers like ibuprofen or acetaminophen, as directed.
- Protect the area. If possible, use a temporary dental cement or even a small piece of sugar-free gum to cover the exposed tooth and help stabilize it, if the piece is manageable. This is a temporary solution and shouldn't be a replacement for professional dental care.
- Contact your dentist immediately. Schedule an appointment as soon as possible. Explaining the situation clearly will allow them to prioritize your case and plan for the necessary treatment.
Why Did My Crown Break Off With a Tooth Stuck Inside?
Several factors can contribute to a crown breaking off, sometimes taking part of the tooth with it:
- Underlying tooth decay: Decay beneath the crown is a common culprit. Even with a seemingly healthy crown, decay can occur at the gum line or underneath the crown, weakening the tooth's structure.
- Trauma or impact: A blow to the mouth from an accident or injury can fracture the crown and underlying tooth.
- Grinding or clenching: Habitual teeth grinding (bruxism) puts significant stress on dental restorations, potentially leading to cracks and breakage.
- Old age or wear and tear: Crowns, like any dental restoration, have a lifespan. Over time, they can weaken and become prone to fracture.
- Poor oral hygiene: Inadequate cleaning around the crown can lead to plaque buildup and gum disease, ultimately affecting the crown's stability.
- Defective crown: In rare cases, the crown itself may have been improperly made or placed, making it more susceptible to breaking.
Can a Broken Crown Be Repaired?
Yes, a broken crown can usually be repaired. However, the treatment will depend on the extent of the damage and the condition of the underlying tooth. Your dentist will assess the situation and determine the best course of action. Options may include:
- Recimentation: If the crown is intact except for a small chip or crack, the dentist might be able to clean and re-cement it.
- Crown replacement: If the damage is extensive or the underlying tooth is compromised, a new crown may be necessary. This often involves removing the remaining portion of the old crown and preparing the tooth for a new one.
- Root canal: If the tooth is severely damaged or infected, a root canal may be required before a new crown can be placed.
- Extraction: In rare cases, if the tooth is beyond repair, extraction might be the only option.
How Much Does It Cost to Replace a Broken Crown?
The cost of repairing or replacing a broken crown varies depending on factors like your location, the dentist's fees, the type of crown, and the complexity of the procedure. It's best to contact your dentist directly for an accurate estimate.
What Can I Do to Prevent My Crown From Breaking Again?
To reduce the risk of future crown breakage, consider these preventive measures:
- Maintain excellent oral hygiene: Brush and floss thoroughly twice a day.
- Use a mouthguard: If you grind your teeth, use a custom-fitted mouthguard, especially at night.
- Avoid biting on hard objects: Refrain from chewing ice, hard candies, or other substances that can put stress on your teeth and crowns.
- Schedule regular dental checkups: Regular visits allow your dentist to monitor your teeth and crowns and address any issues early on.
Remember, seeking prompt professional dental care is crucial when a crown breaks. Don't delay; contact your dentist as soon as possible to address the issue and prevent further complications.
