How to React If a Crown or Cap Comes Loose
The first thing that a person should do if he notices that a cap or crown has come loose is to get immediate help. According to Dr. Robert Lichtenstein, DDS, a cosmetic dentist in Midtown Manhattan, a patient should put a call into his dentist before attempting any remedies at home.
Although a loose cap or crown is not an emergency dental situation, it is something that should be taken care of as quickly as possible. During the time between when a person puts in a call to his dentist and when he is able to come in for the actual appointment, however, Dr. Lichtenstein says that there are a couple of things that can be done to lessen the pain and prevent the cap or crown from coming off any further.
Dr. Lichtenstein recommends that people get to the drugstore to buy a product called Fixodent. Although Fixodent is intended to be used as an adhesive for dentures, it can also be used to help keep a crown or cap tight on a tooth for at least several hours. Ideally, a person should be able to get into his dentist’s office – or at least get in to see a dental assistant who can help – within that time period.
Dr. Lichtenstein always tries to see patients who have this type of problem as quickly as possible. Thankfully, he says, it is relatively uncommon for a crown that has been cemented on with a strong adhesive to come out of place. However, even when patients are under the care of the bests dentists, fluke accidents can occur.
Of course, this problem is not entirely uncommon with provisional crowns. Provisional crowns or temporary crowns, which are used from the time when a tooth is prepared for a final crown until the time when the finished crown is placed and cemented down, are much more likely to come loose. Dr. Lichtenstein estimates that this can happen between five and 10% of the time.
In the event that a provisional or a permanent crown comes loose, Dr. Lichtenstein advises people not to ignore the problem in the hopes that it will disappear on its own. Not only can ignoring an issue like this cause the affected tooth to become very sensitive, but it can also lead to decay or tooth fractures. Patients who wait just a day or two to seek treatment could be faced with trouble down the road if the tooth manages to move during that time frame and the crown itself no longer fits. This can create serious havoc in the mouth and make for a more expensive dental process.
To avoid these problems altogether, Dr. Lichtenstein recommends that his patients with crowns avoid eating candies like jelly beans and chewing gum. Any candy that is very sticky has the potential to get caught on a crown or a cap and cause it to become loose.
*Disclaimer: The information on this website is not intended to substitute for the medical expertise and advice of your healthcare provider. We encourage you to discuss any decisions about treatment or care with an appropriate healthcare provider.