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