[Emergency Dental] Wife's porcelain crown came off, what to do?

Does your dentist have an after-hours emergency #?

 

Try and keep it clean ( the crown and the exposed tooth)

 

I had that happen to me once on a weekend. I just left it off and called my dentist on Monday. Shouldn't be an issue, just be careful when eating.

I also think they sell a crown adhesive at places like CVS if you're really worried about it.

 

Xero,

Wish I could help. Is that painful??? I'm currently fighting an abcess.

 

Go to Walgreens or CVS and buy a temporary dental cement and put it back in place. Use that if the filling is still intact. If not then buy dental wax to keep the whole clean. Go to dentist ASAP

FWIW, my GF gave me this advice and she's a Dental assistant.

 

Are you serious? You have an abcess tooth. You've had a dentist look at it, I hope. It can be very dangerous.

 

Paging rezdawg

 

That's what I kee hearing, that it's pretty serious. I'm taking Ammoxocilllin for it. Was told dentist can't do anything until infection goes away. Still 5 more days of Ammoxocillin.



Not to derail, but the pain is something I would wish on no one. Throbbing pain. You've had one before, HeyP?

 

So, you saw a doctor who gave you the Ammoxocillin? You're right: A dentist won't work on it, but they'll take x-rays to determine if you need to go to an oral surgeon.

 

Yep. Not a dentist, just an ER doctor (it was hurting that bad).

 

Rezdawg is the ****.. West Houston Dentistry... PM him .. he is now my dentist for life

 

J-B Weld

 

Thanks for the xray part!

 

So the tooth in the back of her mouth lost the crown eh? Could perhaps a blunt object moving in a constant rythmic motion have cause this? Well done my friend, well done :grin:

 

Like these fine folks have said, send out the batsignal to Rezdawg.
He'll sort you out with advice or fix your wife's crown easy.

 

Im here, Im here...haha.

If the tooth has been previously root canaled, then she wont be sensitive and you dont necessarily have to find a quick way to get the crown back on. I would still advise it but it wouldnt be an emergency. Just see the dentist as soon as possible to get it recemented.

If the tooth has not had a previous root canal, there is a more likely chance that she would be sensitive...regardless, if it hasnt had a root canal, then it is best to get the crown on as soon as you can. Like many have mentioned, get temporary cement from CVS, pop that back in her mouth, and have her see a dentist on Monday morning.

As long as there is no damage to the crown, then it would be quick and easy to permanently cement the crown back. If there are any chips on the porcelain crown, then there may be a need for an all new crown.

Make sure, if it is an all porcelain crown, that they use cement that bonds to the tooth...not the cement that is used for crowns with an underlying metal substructure.

PM me if you have any other questions.

Hicklander, thanks brotha.

Ballerboy...you need a root canal...the amoxicillin is a nice short term fix, but youre not getting rid of the problem. That infection will come back, 100%, so make sure to stay on the ball about it. By the way, you can most definitely get the problem taken care of with the infection still there...we do that every single week in the office where someone shows up with an infection and we do immediate root canals on them. The only time we dont take care of the issue is when the side of the face is swollen like a grapefruit, in which case we would use a scalpel and cut open the gums, allow the bacteria to ooze out, place the patient on antibiotics, then have them come back. However, if the case is not that severe, then you can definitely have treatment done immediately without having to wait for the antibiotic cycle to end.

Also, If the root canal needed is extremely complex, then an endodontist will do the procedure, not an oral surgeon. However, 98% of the time, they arent that complex. The only root canals that we refer to an endodontist are on teeth that have had previous root canals that failed and need to be redone.

 

damn, rezdawg on the scene at 2:30AM. now that's service.

 

As others have said, this is not an emergency, and it happens with some frequency. Hope everything is fine.

Now, I hope this isn't obnoxious, BUT while we're all on the topic, I just heard (podcast) a really disturbing frontline show on the crisis of dental care in the US. Basically, it's totally separate from health insurance, so a huge number of people can't afford *any* sort of dental care, and they wait until they have a true emergency and go to an ER.

Anyway, lots of crowns are being prescribed (not for your wife, OP, but I mean in general.) This is apparently because the marginal rate of $ is better for a bunch of the new dental companies (e.g. Aspen) than giving fillings.

http://www.pbs.org/wgbh/pages/frontline/dollars-and-dentists/

SMH. Kind of sad that we'll be headed for a British style of teeth in my beloved country.