Help Doc, My Crown Fell Off!
So Doctor, can’t I just glue it in myself with some Krazy glue or Hot glue from home depot??
Answer: No, No, NOOO. Under no circumstance should this horrible idea even be attempted. When it comes to your mouth and your health, don’t undertake any creative ideas without consulting a professional first.
So, what do you do if your permanent crown fell off? No need to panic. Take a deep breath and follow these easy steps:
- Step One: Call our office to schedule an emergency appointment. For your convenience, we are open six days out of the week.
- Step Two: Take the crown, carefully clean out the inside of the crown (as much as possible), and put it into a ziplock bag until your appointment.
For permanent crowns, I don’t recommend the patient attempt to put the crown back on themselves with the aid of denture adhesives or toothpaste for the following reason: Permanent crowns are notorious for being easily swallowed and breathed into the lungs if not cemented in with a professional permanent dental cement. Please note, most crowns go below the gum line, so if the crown has been off for a period of time, a minor gum surgery may be necessary before a dentist can re-cement in the crown.
So, what if it’s a temporary crown?? If a temp crown falls off, call us and we will get you in right away to re-cement it. A temp crown is at less risk of being swallowed or breathed into the lungs (though either can still occur), and for this reason, an over the counter denture adhesive or some toothpaste will hold the temporary crown in until we can see you. If the temporary crown is still loose after applying the denture adhesive or toothpaste, then put in a zip lock bag and don’t risk it.
For the discomfort, use over the counter denture paste or Orajel and squeeze it around the exposed tooth structure. Take over the counter pain meds, and avoid extreme temperatures.
So Doc, What happens if I Swallowed/Breathed In My Crown??
If the crown is swallowed, and if you are willing to get your hands dirty, the crown can be retrieved in the toilet (from your poop) after it passes through your system in the following 24-48hrs. If a temp crown was swallowed, no need to go digging for it, we will simply make you another one.
Now, If a permanent/temporary crown was breathed into the lungs, or you think you may have breathed it into your lungs, then go immediately to the nearest emergency room. The doctors there will take a few images and pin point the exact location of the crown and get it taken out if necessary. Trust me, it beats getting pneumonia later!
If you have any questions, please do not hesitate to give us a call.
-Dr. Katherine Shao, D.D.S.