Quick question for any Dentists... Crown issue
Discussion
I’ve had a crown. Upper second right hand premolar (I think)
Done 18 years ago and came loose last year. Lockdown 1 so no dentist so cleaned the post up with Chlorodyl, cotton wool buds around it to keep dry and then some superglue.
Lasted until December.
Came loose again a couple of weeks ago so I thought I’d look at it again.
Bit of wobbling and then what remains of the post came too. Crown and post separated so a bit of a ‘’oh f
k’ moment. 2 pieces.
However, after a couple of tries dry fitting the crown to the post and then pushing back in, I was confident enough to get the SG out again. Bit of blood obvs as I’m not looking at it the same way a dentist does and took a couple of goes to get the correct orientation.
After that, when I’d worked it out,
Quick app of SG to the crown, stick post back in and then dab of SG to the post and back in. Was quick but I’ve crunched a few things this evening to test, so ok for now.
I know it’s not ideal but can I get away with it for a few more months?
Done 18 years ago and came loose last year. Lockdown 1 so no dentist so cleaned the post up with Chlorodyl, cotton wool buds around it to keep dry and then some superglue.
Lasted until December.
Came loose again a couple of weeks ago so I thought I’d look at it again.
Bit of wobbling and then what remains of the post came too. Crown and post separated so a bit of a ‘’oh f
k’ moment. 2 pieces.However, after a couple of tries dry fitting the crown to the post and then pushing back in, I was confident enough to get the SG out again. Bit of blood obvs as I’m not looking at it the same way a dentist does and took a couple of goes to get the correct orientation.
After that, when I’d worked it out,
Quick app of SG to the crown, stick post back in and then dab of SG to the post and back in. Was quick but I’ve crunched a few things this evening to test, so ok for now.
I know it’s not ideal but can I get away with it for a few more months?
Hi mate. Dentist here. I would get it seen to asap. The chances are that after so many years in function, the root has fractured, therefore the post is likely to keep decementing. When cracks exist, they make a mess of the area, you suffer extensive bone loss (making potential dental implant placement later harder as well), and are prone to infections and abscesses as bacteria colonise the crack. Some studies suggest an average lifespan of 7yrs for a post crown so 18yrs isn't a bad run at all. However probably time to have it all extracted. Good luck.
cringle said:
Hi mate. Dentist here. I would get it seen to asap. The chances are that after so many years in function, the root has fractured, therefore the post is likely to keep decementing. When cracks exist, they make a mess of the area, you suffer extensive bone loss (making potential dental implant placement later harder as well), and are prone to infections and abscesses as bacteria colonise the crack. Some studies suggest an average lifespan of 7yrs for a post crown so 18yrs isn't a bad run at all. However probably time to have it all extracted. Good luck.
Many thanks!Original Dentist suggested 10 or so years. He did a couple of root canal wisdom teeth at the same time and various other gold crowns.all stuff that’s lasted too. He did say at the time, they’ve probably last longer ‘Cos I’m good!
I wasn’t very careful with my teeth in the first 25 years, hence probs when I was 30.
It slightly disappointed me as I had another that was going wobbly. Told it couldn’t be saved but I did everything and 6 months later, the bone on that one seemed to have grown back (no wobbles now) xrays indicate new bone growth.
I had a proper checkup in January and pre orthadontal disease (I smoke) but I’ve tried to be very careful with oral hygiene and tartar removal since then.
Slightly off-topic, but I lost a filling last month.
Managed to get an emergency appointment but was told if the new filling didn't work I'd be looking at a crown (I have a few already).
So I asked what a crown might cost and was told £550 or so.
Is that the going rate these days?
Thankfully the filling is still there!
Managed to get an emergency appointment but was told if the new filling didn't work I'd be looking at a crown (I have a few already).
So I asked what a crown might cost and was told £550 or so.
Is that the going rate these days? Thankfully the filling is still there!
Slight update and asking for a 2nd opinion from dentists.
Went in today. With crown and post in a little jar.
It’s a filled tooth before the post and crown and it seems the tooth has cracked at the side.
Advised removal of the tooth and then an implant.
However, as I can’t deal with being a ‘gappy no teeth’ person..
I popped it back in this afternoon with liberal doses of SG. It took a couple of dry tries to get the correct angle etc. But I’m now chomping again.
Just to add, I was crap at looking after my teeth but my usual dentist has been a star for the past 20 odd years
Notwithstanding a cracked tooth (roots where filled) Is there anything that insists on a pull and implant, rather than filling below gum and doing another crown?
The usual chap is away until March. I’d prefer to go back to him. But can’t take his advice as he’s not contactable.Very much a dentist that says, if it’s possible, I’ll do it.
3 roots, 4 crowns, all amalgam to white fillings, 20 years later, I sort of want to trust his advice.
Note:
Emergency dentist said no way it’s going back in. Sometimes we can re-fix. But not this one.
I watched what She did to wiggle it back in.
Home, job jobbed.
Went in today. With crown and post in a little jar.
It’s a filled tooth before the post and crown and it seems the tooth has cracked at the side.
Advised removal of the tooth and then an implant.
However, as I can’t deal with being a ‘gappy no teeth’ person..
I popped it back in this afternoon with liberal doses of SG. It took a couple of dry tries to get the correct angle etc. But I’m now chomping again.
Just to add, I was crap at looking after my teeth but my usual dentist has been a star for the past 20 odd years
Notwithstanding a cracked tooth (roots where filled) Is there anything that insists on a pull and implant, rather than filling below gum and doing another crown?
The usual chap is away until March. I’d prefer to go back to him. But can’t take his advice as he’s not contactable.Very much a dentist that says, if it’s possible, I’ll do it.
3 roots, 4 crowns, all amalgam to white fillings, 20 years later, I sort of want to trust his advice.
Note:
Emergency dentist said no way it’s going back in. Sometimes we can re-fix. But not this one.
I watched what She did to wiggle it back in.
Home, job jobbed.
TVR1 said:
Slight update and asking for a 2nd opinion from dentists.
Went in today. With crown and post in a little jar.
It’s a filled tooth before the post and crown and it seems the tooth has cracked at the side.
Advised removal of the tooth and then an implant.
However, as I can’t deal with being a ‘gappy no teeth’ person..
I popped it back in this afternoon with liberal doses of SG. It took a couple of dry tries to get the correct angle etc. But I’m now chomping again.
Just to add, I was crap at looking after my teeth but my usual dentist has been a star for the past 20 odd years
Notwithstanding a cracked tooth (roots where filled) Is there anything that insists on a pull and implant, rather than filling below gum and doing another crown?
The usual chap is away until March. I’d prefer to go back to him. But can’t take his advice as he’s not contactable.Very much a dentist that says, if it’s possible, I’ll do it.
3 roots, 4 crowns, all amalgam to white fillings, 20 years later, I sort of want to trust his advice.
Note:
Emergency dentist said no way it’s going back in. Sometimes we can re-fix. But not this one.
I watched what She did to wiggle it back in.
Home, job jobbed.
Well done, although it does make me question why we even need qualified dentists Went in today. With crown and post in a little jar.
It’s a filled tooth before the post and crown and it seems the tooth has cracked at the side.
Advised removal of the tooth and then an implant.
However, as I can’t deal with being a ‘gappy no teeth’ person..
I popped it back in this afternoon with liberal doses of SG. It took a couple of dry tries to get the correct angle etc. But I’m now chomping again.
Just to add, I was crap at looking after my teeth but my usual dentist has been a star for the past 20 odd years
Notwithstanding a cracked tooth (roots where filled) Is there anything that insists on a pull and implant, rather than filling below gum and doing another crown?
The usual chap is away until March. I’d prefer to go back to him. But can’t take his advice as he’s not contactable.Very much a dentist that says, if it’s possible, I’ll do it.
3 roots, 4 crowns, all amalgam to white fillings, 20 years later, I sort of want to trust his advice.
Note:
Emergency dentist said no way it’s going back in. Sometimes we can re-fix. But not this one.
I watched what She did to wiggle it back in.
Home, job jobbed.
The broken bits of root won’t stay fixed in place, the constant flexing will break any cement, so the crown will keep coming out.
Bacteria will flourish in the dead space where the root is fractured which will lead to bone being lost around the root. As you’ve already been told here, this will make any replacement implant tricky.
Bacteria will flourish in the dead space where the root is fractured which will lead to bone being lost around the root. As you’ve already been told here, this will make any replacement implant tricky.
GordonL said:
The broken bits of root won’t stay fixed in place, the constant flexing will break any cement, so the crown will keep coming out.
Bacteria will flourish in the dead space where the root is fractured which will lead to bone being lost around the root. As you’ve already been told here, this will make any replacement implant tricky.
Thanks. I just really dislike being gappy, even for a while. Maybe its a side effect of the last year. Previously, id be all for yeah, pull it, lets crack on with the implant but this time, it's really made me upset and I mean, really upset that something else has gone wrong...Bacteria will flourish in the dead space where the root is fractured which will lead to bone being lost around the root. As you’ve already been told here, this will make any replacement implant tricky.
none the less, I'm in next Monday to whip it out and discuss options.
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