A. Can Dental Crowns Be Repaired?
A dental crown serves as a “cover” that is placed over your natural teeth. They provide protection for weak or damaged teeth and can be made from a variety of materials such as porcelain, ceramic, composite resin, metal alloys or other combinations of materials. Dental crowns are usually needed after root canals, extractions, or when you’ve broken or damaged your natural tooth in some way. These crowns protect the tooth enamel and adapt to your natural teeth. They can last anywhere from 10 to 30 years depending on the material.
1. How can a tooth crown break?
Porcelain crowns are the most prone to chipping and breaking. If your dental crowns are made of porcelain, they may not last as long as other dental crown materials. The most common causes of tooth crown damage include:
- Loss
- Teeth grinding (bruxism)
- Chipping by biting hard materials
- Grind your teeth
- Improper crown preparation or installation
- Tooth decay that prevents the anchoring of the crown
- Unhealthy gum pockets
2. Dealing with chipped or broken tooth crowns
If you notice a crack or chip in your tooth crown, the first thing you should do is call your dentist right away. Explain how the damage happened, what symptoms you are having and they will advise you whether or not you need to come to the dentist or hospital for an emergency visit. Examine your tooth and determine if there are any uneven or missing pieces, or if the crown is too loose. If this is present, you should not delay treatment. This puts you at risk because you could accidentally swallow the crown, cut your tongue or other parts of your mouth, and bleed.
If you bleed, we advise you to apply gauze to the source of the bleeding. Gargle with salt water to reduce inflammation and watch out for tooth sensitivity. If your teeth are sensitive to hot and cold temperatures, be sure to let your dentist know, as this may indicate that the pulp of your tooth (the soft interior of the tooth) has been attacked.
3. Repair of dental crowns
Whether the tooth crown can be repaired depends on the extent of the damage. If part of the crown comes off, save it and take it with you to the dentist. Very small cracks in the tooth crown can be treated, smoothed and polished with small files. Dentists can, in certain cases, repair damaged crowns with composite resin. However, if the damage is very severe, or if they are not properly equipped to restore the crown, it may be necessary to put in a new crown.
You should look for highly qualified and reputable dentists when it comes to dental crown repair and restoration. This is a more complicated procedure that requires special tools that not all dental clinics are equipped with. In the worst case, a crown cannot be restored, either through restoration or replacement. In this case, you may need a tooth extraction or a dental implant.
B. Dental Crown – When Does It Need To Be Repaired?
A dental crown usually lasts for several years, but it can chip or break. Sometimes a tooth crown can be repaired. But that depends on a number of factors, including the amount of damage and the type of dental crown you have. A damaged tooth crown must be repaired as soon as possible to avoid complications.
1. Tooth crown
A dental crown is placed over a person’s tooth to restore its shape, size, and strength. It can also improve your appearance. A dental crown can help protect a weak tooth from breaking or cover a poorly shaped or discolored tooth. In the event of a tooth fracture, it can hold the tooth together. A dentist may also recommend a crown if a person has a cavity that is too large for a filling. Most dental crowns last between five and 15 years, but sometimes a dental crown can become damaged.
2. Damaged tooth crown
Dental crowns are generally strong. But they are not indestructible. A crown can break due to a number of factors, including biting into something hard or a slap in the face. Wear and tear can also affect the condition of a crown over time. Sometimes people can see the damage. A person can also feel it with their tongue. But small cracks or chips can only be seen on an x-ray. After someone has been hit in the mouth or something cracks when biting, it is advisable to go to the dentist for a check-up.
3. Repair of dental crowns
If a tooth crown is damaged, it is important to ask your dentist for advice. The dentist can use the incident description to determine how long it takes the patient to visit the dentist’s office. Sometimes a person may need an emergency visit to the dentist. But in some cases, a person may wait a day or two for the tooth crown to be fixed. It is possible to repair a broken tooth crown. But that depends on how badly the tooth crown is damaged and how strong it is. People often break crowns made out of porcelain or porcelain fused to metal. If the chip is small, a dentist can repair it with a composite resin. Sometimes a crown just needs to be reshaped and smoothed out. But if the chip or damage is large, the dental crown may need to be replaced.
4. Caring for your crown
If your tooth crown is chipped or cracked, it will need repairs. Although dental crowns can be fixed, a crown may need to be replaced if it has suffered a major fracture. But it’s important to protect your dental crown and avoid things that could damage it. In addition, it is important to practice good dental hygiene and visit your dentist regularly. This will help your dental crown last a long time.
C. How To Fix A Broken Dental Crown?
A broken tooth crown can be alarming, but it’s not a cause for panic. There are several ways to solve the problem, one of which you can do yourself at home, at least temporarily.
Your options for repairing a broken crown include:
- Gluing the broken crown
- Recementing the crown (if still intact)
- Replacing the broken crown with a new crown
- Replacing a crown with a dental onlay
- Extract the tooth and replace it with a dental implant.
Ultimately, you need to see a dentist to fix a broken crown. But read on to learn more about this relatively common occurrence and what to expect.
1. How are crowns damaged in the first place?
A crown, like a normal tooth, can be damaged, e.g.
- A punch in the face
- A fall
- Teeth grinding
- Bite something hard
- Plain and old normal wear and tear
Although they can last for decades depending on placement in the mouth, crowns are not waterproof. Most crowns last 10 or 15 years before needing to be replaced.
2. How damaged is your crown?
While it may seem irrelevant, the nature of the damage to your crown can affect whether it should be repaired or replaced. It could also indicate that other teeth were damaged in the same event that damaged the crown.
Crown damage generally falls into one of these categories:
- Crack: A major vertical or horizontal crack in a crown should be readily apparent upon inspection.
- Hairline crack: You may not even notice an extremely fine crack until you see the dentist, and it can be easily repaired.
- Broken off: A small or large piece of the crown has broken off.
- Cracked: The crown may be broken or whole, but it will fall off and stop working.
3. What to do before visiting a dentist for a broken crown?
A cracked crown isn’t usually a dental emergency unless it leaves jagged edges on the tooth that could cut your tongue or cheeks. Otherwise, you should be able to handle the situation until you get to the dentist.
In the meantime there are a few things you can do:
- The first is to assess the damage and determine if the crown is still attached or has fallen off, which you can do by looking closely in the mirror. At this point, run your finger over the tooth to look for jagged edges.
- If the crown isn’t serrated but isn’t securely fastened, you’ll need to pull it out so you don’t choke on it. (If you think you’ve swallowed it, it will probably pass without causing any internal problems.)
- When the exam is over, rinse your mouth with warm water to remove any small fragments of the crown that may be present. At this point, you can temporarily replace the crown if it appears intact.
- Before replacing the crown, first lightly clean the inside and outside of the crown with a soft toothpaste and brush to remove any residue or old cement. Then apply a small amount of toothpaste or temporary cement to the crown where it is to be replaced and reattach. It is very important that it fits properly so as not to damage the tooth or neighboring teeth.
- Call the dentist now and let them know the status of the crown – whether you’ve replaced it or not – and make an appointment to have the crown professionally repaired.
4. Your 5 options to fix a cracked crown
Here’s what your dentist can do to fix a broken crown:
a. Dental bond
The same method that can be used to make minor repairs to natural teeth can sometimes be used to restore a broken tooth crown. If, for example, there is only a hairline crack, bonding can also be carried out as an alternative to a crown replacement. Bonding is a quick, painless procedure in which the dentist applies a composite resin the same color as the tooth to the crown, shapes it to repair the damage, and then dries it under a UV light.
b. Replacement crown
The dentist may determine that the crown is badly damaged or not worth preserving as it should be replaced soon anyway. In this case, he first removes the broken crown (if it is still there) and inserts a new one. To remove the old crown, the dentist begins by numbing the gums to limit discomfort. He can also use an adhesive to weaken the cement.
He can then cut a small hole in the crown to break the cement seal and lift the crown, or he can use a small rotary tool to cut the crown into sections and remove each piece one at a time. He will then clean the tooth to remove debris and cavities, or even perform a root canal on the tooth if there is significant decay. Then, using a rubber-like impression material or a digital scanner like the iTero that we use here at Bunker Hill Dentistry, the dentist takes an impression of your teeth to create the new crown. Until it’s done, you’ll get temporary crowns, which are much easier to remove than the broken permanent crown.
c. Tooth coating
Also known as a partial crown, a tooth onlay can be a viable alternative to a new crown. A dental onlay is preformed in a lab from resin, porcelain, or gold and then bonded to the tooth so that it fits into the ridges of the tooth and wraps around the cusps. With this method, more tooth structure can be preserved than is possible with a crown. If you’ve had your crown for a while, you may find that material performance has evolved to the point in recent years that an onlay will suffice instead of a crown.
d. Rebuild the crown
If you still have the crown and it’s undamaged, just dropped, the dentist may also be able to reattach it to the tooth after cleaning and examining it. It would probably need to have the old cement removed from your tooth or the old crown or both and it would need to be shown by x-rays to still fit the tooth structure well, but if so, that could be a relatively easy option.
e. Dental implant
In extreme cases, the crowned tooth may be too decayed or weakened to place a new crown, in which case the entire tooth must be extracted and replaced with an implant. This procedure requires local or general anesthesia before the gums receive a small incision to accommodate the titanium post, which is embedded in the jaw and serves as the root of the tooth. In addition, there will be an abutment and a restoration (crown) that looks and chews like a normal tooth.