Will I need a dental implant if a crown won’t stay on my tooth? I am nervous about losing my upper teeth because I have already lost all my bottom teeth. Thank God for All on 4 and a good dentist who did the denture. I’m concerned about my top teeth. I have three dental crowns on my upper front teeth. The crown on the right center tooth won’t stay on. It is a root canal tooth with a crown on it since 2002. Within the last five months, the crown fell off six times. My dentist re-cements the crown, but why does it keep falling off? I’m afraid the tooth is too weak and will need another implant. My dentist doesn’t seem alarmed. I don’t understand it. Thank you. Jeri
We understand your concerns.
Why Does a Dental Crown Repeatedly Fall Off?
A dental crown may repeatedly fall off based on the crown construction or how a dentist prepared your tooth for the crown. It is unlikely that the cement or bonding material is the problem. However, you’ve had the crown since 2002, so the problem may be that you have little tooth structure left to retain a crown. A dentist skilled in tooth restoration must examine your tooth and crown.
Will You Need a Dental Implant If a Crown Keeps Falling Off?
If a dental crown keeps falling off and you have enough healthy tooth structure life, you will not need a dental implant. However, if the tooth is broken off at the gumline, the following technique will not work.
A skilled cosmetic dentist may be able to build up your tooth and secure the crown with these steps:
- Place a flexible fiberglass post deep into the tooth’s canal
- Cement the post in place
- Bond dental composite to the tooth and post
- Shape the composite to resemble a natural tooth prepared for a crown
- Attach the crown to the preparation
If your front tooth is weak or has little structure remaining, a dentist will recommend tooth extraction and a dental implant.
Consult with a Cosmetic Dentist
We recommend scheduling an appointment with an advanced cosmetic dentist for X-rays and an examination. If you need a dental implant, consult a periodontist to plan your treatment. You may need bone grafting after the extraction, but sometimes you can receive a graft and a dental implant during the same visit.
It’s good that your implant-supported denture is successful. All-on-4 dental implants have been life-changing for many people. We wish you success with your tooth and crown.
Atlanta periodontist Dr. David Pumphrey sponsors this post.