My husband's crown fell out. ????
 

Hi, I just made this video to show you what it looked like. He was eating a bagel and announced "Oh my crown fell out".

It's about 7 years old, and there was a root canal done (my husband says this does not hurt him at all right now).

My question is,

1. Can they just glue this back in?
2. Will he have to have a new post made (which I think is the case).
3. Can they pull out what's left?
4. Does he have to get a dental implant?
5. Can they put a new post in, and re-use the crown?

Here's what it looks like

http://www.youtube.com/watch?v=JvYuwU5xD6o

And I made a video of what the remaining tooth looks like.
http://www.youtube.com/watch?v=QHJcbsFw2kk


Thanks much

Melody

The dentist will have to evaluate it.

I've 7 crowns, 3 on root canaled teeth. None of them have come off except one in the back on a whole tooth, recently.

The dentist after checking it out, just glued it back on..it sheared to the side, and caused the gum to swell up. (it is a gold metal crown.)

If he did not swallow it, it can be cleaned and reglued, unless there is a "reason" for it coming off. My crown fix was easy..thank goodness.

If there is decay or something wrong with the peg left behind or infection, then further work will be necessary. I expect Bryanna will have
alot to explain for you here.

REally??

The dentist can re-glue a crown with a post sticking out of it? Oh, that would much less expensive. I hope Bryanna can give me some answers.


And thanks much my dear Mrs. D

Melody

My back molar gold crown did not have a post.
I have gold ones on the molars for strength.

I only have one porcelain one with a post. That post goes into
the tooth. It is a small front upper molar.
Bryanna will explain in detail.

I've had no troubles with my crowns or 3 root canals. They all have been very good.

Hi Melody,

Thanks for the videos!!!

It looks like there is decay in the small root portion of his tooth that is remaining in his mouth. It also looks like a piece of his tooth actually broke off with the post and crown. To replace the post means to drill out the decay which leaves virtually no root structure left and just sets up a host of bacterial issues and a very weak, unstable root.

The honest truth is..... this is not a healthy tooth. We tend to think of our teeth as something separate from the rest of our body. When in fact they require nutrition from our blood to be healthy. There is no blood feeding this tooth because it has been root canaled and the vessel that use to supply the blood to this tooth has been severed. Having no pain with a root canaled tooth does not mean the tooth is okay. It actually indicates that the bacteria from this tooth is draining into another area. A good example of this type of situation in another area of the body is related to heart disease. Typically someone has no symptoms of heart disease until all of a sudden they have a heart attack. The attack is the result of an ongoing bacterial problem.

There is also a good chance that the root of this tooth is already fractured which is common in root canaled teeth especially when they have a post in them. To recement the crown back on means it will continually come off. To make a new crown means it too will continually come off because there is virtually not enough tooth structure to hold it on. Any heroic measures to repair this sick tooth will be costly and not worth the time or money. The loss of this tooth is inevitable.

Removing this tooth now is the only option that will get rid of the bacteria that is brewing in that area of bone. He may or may not be a candidate for an implant, he would have to discuss that with his dentist after review of xrays and clinical exam.

Sorry to deliver this bad news...... but that's the truth of the matter.

Hope all else is well with you!!

Bryanna

Hi.

I knew you were going to say this. Because I once read that a dentist would never have a root canal (because of bacteria that always remain in the canals), that dentists would pull a tooth and put in an implant.

But unfortunately that is way out of our league in this matter. But I have a question. If Alan gets the tooth pulled (or whatever is left of the tooth), can they put a fake tooth in there (anchoring it to the adjacent tooth). He has no teeth behind the one that fell out. He does have one tooth on the other side.

So I guess what I'm asking is can a dentist (if one can't afford an implant), can they secure a fake tooth by bonding it to an adjacent tooth (and is that cheaper than an implant?)

Thanks much

OH, here's a good question. What does he need to do (until he sees the dentist) to make sure he doesn't get any infection?. Should he be gargling with something (like Listerine) or some mouthwash? Or rinsing his mouth with salt warm water.? He has no discomfort whatsoever. But we don't want any infections happening here.

What I did do was give him a teaspoon of Silverbiotics. I take this every day and been doing this for years and I haven't had any kind of infections for A LONG TIME.

So I figured what the heck, and I gave him a teaspoon full.

Is there anything he needs to do until he sees his dentist? The guy doesn't get there until Monday.

Thanks much

Melody

Hi Melody,

In the past, dentists often chose to have root canals done on their own teeth.... but because the clinical evidence of infection in these teeth has become so apparent and the information has become so abundant in the dental journals, more and more dentists are personally opting for the extraction and implant.

In Alan's case because he has no teeth behind this one, there is no <<reasonable>> way to put a bridge in that area. There is no way to "bond" a fake tooth to the tooth in front. The only way to fill this space with a bridge would be to do what is called a cantilever bridge. The tooth in front of this one would be crowned and a fake tooth would hang off of the crown. The problem with this type of bridge is that it is not stable and the pressure of chewing would eventually injure or break the anchor tooth in front.

Believe it or not, the cost to do a cantilever bridge is about the same price as one implant! So the implant option is worth talking to your dentist about.

In the meantime, he should brush this tooth to keep it and the gum area clean. DO NOT use listerine or any type of mouthwash that contains alcohol, dyes or preservatives. These mouthwashes kill ALL of the bacteria, both good and bad which sets you up for infection. They also reduce the salivary flow.... again a set up for decay and infection.

It's important that he realize that this tooth is already infected. It's not hurting because there is an opening in which the bacteria is actually draining into his mouth. Although this is not a good thing, so long as the bacteria has a way to release itself, he will not get any swelling. But with that said, for obvious reasons, this is not something you put off taking care of.

Please let us know how things are going!

I'm not familiar with the product Silverbiotics. But so long as he doesn't consume it for any length of time, it should be ok to take for now. Some colloidal silver products can cause ageryria, which is a discoloration of the skin. Depending on the product and the amount and duration of consumption, this condition can be temporary or permanent.

Bryanna

Got it. Only brushing, no mouthwash, no nothing. He's calling up the doctor on Monday. I've been using SilverBiotics for years. It's colloidal silver but I only take one teaspoon a day but I'm not like that Blue Man on youtube who had his whole body turn blue, but he's healthy as a horse.

I haven't had to be on any antibiotics for YEARS because I don't get infections. And I'm a diabetic. I'm just very careful, try to control my blood sugar very well, and I take a cranberry pill every single day and I drink lots of water. So far so good. Oh, I also get my teeth cleaned every six month and I'm religious about brushing and flossing.

Can't thank you enough. He'll either get it pulled by the dentist or he'll be referred to an oral surgeon.

Will update.

Melody

Bryanna;

This morning as I was leaving the house my husband says "Oh, I can't have any dental work this week, I'm on plavix and aspirin therapy". I looked at him and said "oh my god, that's right". So I have no idea if a dentist, oral surgeon, whomever, will pull a tooth when a man is on plavix and aspirin. Maybe he'll get to see someone today and they will put him on an antibiotic until he CAN get this done?

Will update.

Thanks much

Melody

Bryanna:

Well, this was a surprise. We just came back. The dentist took an x-ray, called me in and said "I can save this tooth. The crown is not broken, He needs a new post. Alan said "go for it'. The doctor said there was no infection whatsoever and he doesn't need any antibiotics. He drilled out the rest of what was inside Alan's mouth, he took out the post out of the original crown, he put a new post in Alan's mouth. Put the crown back in. He showed me. No needles no nothing. Took 40 minutes.

The result is


http://www.youtube.com/watch?v=L0VrNyZVlpE

Cost $150

Alan is fine, he is happy and I'm giving him the Silverbiotics every day. Can't hurt.

lol

Melody

Hi Melody,

You may have read in many of my posts here that there is no such thing as "saving" (as in "curing") a dead root canaled tooth. When using the word "save" in these cases, it simply means to "retain" not cure. So although the tooth seems like it's all put back together and everything seems to be fine because there is no pain, the unhealthy tooth is still present and the root is even more fragile than before. Unfortunately, it's only a matter of time before the root will fracture, if it hasn't already from being drilled into and the bone will become compromised making extraction and replacement of this tooth a bit more complex and expensive. So thank goodness your dentist only charged you $150 to do this type of patch up dentistry!

Melody, if you would.... when this tooth is finally removed, could you post a picture of the extracted root so everyone can see what it looks like? A visual is always worth a thousand words and it may be helpful to someone else who is in this predicament.

Thanks for the update!

Bryanna

Sure, I'll be happy to make a photo or video of the root (if this ever happens). Here's a good question for you. I have root canalled teeth and crowns (some over 40 years old). I never had a problem. How come?

Melody

Bryanna:

I just went on youtube and typed in Root extraction. Oh my god, all those videos of teeth and roots and root canals. I can't watch this. lol

Melody

Melody,

You do have a problem with your root canaled teeth if you consider chronic infection and toxins a problem. Irrelevant of the procedure, the thousands of tiny accessory canals of all root canaled teeth will harbor dead nerve material. This material becomes infected either from a tooth infection or during the root canal procedure when the blood supply that is needed to keep it healthy is cut off. In addition to that, the medicaments used to disinfect the interior of the large canals are toxic and are systemically absorbed into the vascular system. Root canaled teeth that were done 20+ years ago can be highly toxic because the disinfectant that was routinely used was formocresol. Very often, a cotton pellet was soaked in formocresol and then placed inside the tooth for the life of the tooth. The big misconception about teeth is that they are somehow disconnected to the rest of the body as if they were just sitting in the jawbone. Whether a tooth is root canaled or not they are in fact intricately connected to the vascular system which is the "mother" system that is responsible for the health of all other systems of the body. So anything placed inside of a tooth leaches through the accessory canals into the periodontal ligament into the jawbone into the blood stream.

It is often stated by a patient... "I have no symptoms in my root canaled teeth, so they must be fine". It's important to recognize that not all infections or diseases cause immediate physical symptoms at the site of the initial offender. However, the infection or disease will manifest itself in various ways and areas of the body. For instance.... diabetes doesn't initially make your pancreas hurt but it does cause or contribute to a host of other physical ailments such as periodontal disease.... heart disease doesn't initially make your heart hurt..... kidney disease doesn't initially make your kidneys hurt.......... and so on. Very often these organs look okay on xrays until the organ starts to break down.

One huge problem with dentistry .... is the lack of factual information given to the patient about the systemic connection between the teeth and the rest of the body. When you go to your physician and you're diagnosed with diabetes, you are given verbal and written information about the systemic consequences ... same with heart disease... kidney disease......

So the bottom line..... symptoms are just one aspect of an underlying problem which may be silent for a very long time.

Melody, I'm here as a messenger to share the information that is well known in dentistry but not readily offered to patients mainly because it takes a lot of time to explain this stuff and it can be alarming in the sense of... "why didn't you tell me this before". My hope is that more and more people will start to question their dentist rather than just follow blindly along.

I hope I've answered your question :)

Bryanna

Absolutely, and I bet if I read what you wrote to all of my friends and relatives there won't be a single individual that would go along with what you said. I agree with you. I understood what you said. That being said, I am not in any position to have any of my teeth pulled and implants put in. I'm a dental phobic who was lucky enough to find a kind and compassionate dentist who took me on as a patient some years ago when a doctor at the Cornell diabetic protocol told me "Melody, you must see a dentist, you are diabetic". Well, I had no choice. I went. I've been lucky (in that they have not found any problems). I get regular exams, and cleanings every 6 months. I had two crowns (no root canals) and thankfully since I've been going to him (I have had a bad TMJ attack and he explained that when one has arthritis in the body and I have it in the jaw area too, it gets exacerbated by stress) and brother, did I go through stress. But it subsided as the dentist said it would. I don't think anyone knows (or would believe) what you wrote. If I said to them. "your teeth and gums can lead to disease in your body", they would look at me like I was from another planet. That's why I think dentists don't go into detail like you did. It would go over people's heads.

So I really do thank you for explaining all that you did to me. Let's hope I remain as lucky as I am today for many years to come. I use a sonic care toothbrush, I floss after each meal and before bedtime. I eat no sugar, no chips, no raisins (one dentist called it dental napalm), I never forgot that. I don't drink soda in any form. So I really do all that I can do at my end to maintain whatever is left to maintain.

Is there anything else I can use (or not use) to keep this up. I'm picking your brain now. lol

Thanks much

Melody