My Crown Broke Off at the Gum Line: What to Do Now
A broken crown at the gum line is a dental emergency. This means you need to seek professional help immediately. Ignoring the problem can lead to serious complications like infection, further tooth damage, and even tooth loss. This post will guide you through the immediate steps to take and what to expect from your dentist.
What should I do if my crown broke off at the gum line?
The first step is to remain calm and contact your dentist or emergency dental service as soon as possible. Before your appointment, you can take some preliminary steps to minimize discomfort and potential damage:
- Rinse your mouth gently: Use warm salt water to rinse the area, helping to clean the exposed tooth and reduce inflammation. Avoid harsh mouthwashes.
- Inspect the broken crown: If possible, carefully retrieve the broken piece and store it in a clean, airtight container (like a sealed baggie). Your dentist might be able to repair the crown if the break is not too severe.
- Protect the exposed tooth: If the broken crown has left a sharp edge, consider covering the area with a small piece of sugar-free chewing gum to temporarily protect the exposed tooth structure. This is a temporary measure only.
- Avoid chewing on that side of your mouth: This prevents further damage to the exposed tooth and surrounding gum tissue.
- Take over-the-counter pain relievers: If you are experiencing pain, acetaminophen or ibuprofen can help manage discomfort until you see your dentist.
What causes a crown to break off at the gum line?
There are several reasons why a crown might break off at the gum line:
- Decay under the crown: Bacteria can sometimes penetrate the seal between the crown and the tooth, leading to decay. This weakens the tooth structure and makes the crown more susceptible to breakage.
- Trauma or impact: A blow to the mouth can easily fracture a dental crown.
- Grinding or clenching: Habitual teeth grinding (bruxism) puts significant stress on dental restorations, making them prone to breaking.
- Poor oral hygiene: Inadequate cleaning can contribute to decay under the crown, eventually leading to fracture.
- Old age or wear and tear: Crowns, like any dental restoration, can eventually wear down and become more fragile over time.
What will my dentist do?
Your dentist will thoroughly examine the affected tooth and assess the extent of the damage. Several options might be considered:
- Crown repair: If the break is minor and the original crown is retrievable, your dentist might be able to repair it.
- Crown replacement: If the damage is significant, or if the crown is not repairable, a new crown will be necessary. This typically involves preparing the tooth again and creating a new, custom-fitting crown.
- Root canal: If decay has reached the pulp (the soft tissue inside the tooth), a root canal might be necessary to save the tooth.
- Extraction: In some cases, especially if significant damage is present or the tooth is beyond repair, extraction might be unavoidable.
How much will it cost to fix a broken crown?
The cost of fixing a broken crown varies greatly depending on factors like your location, the extent of the damage, the type of crown, and your dental insurance coverage. It's best to contact your dentist directly for an accurate cost estimate.
Can I prevent this from happening again?
You can take steps to minimize the risk of future crown breakage:
- Maintain excellent oral hygiene: Brush and floss regularly and visit your dentist for professional cleanings.
- Wear a mouthguard: If you grind or clench your teeth, a mouthguard can significantly reduce the stress on your dental restorations.
- Avoid chewing hard objects: Refrain from biting down on hard candies, ice, or other hard substances.
- Schedule regular checkups: Regular dental visits allow your dentist to identify and address potential problems early.
Addressing a broken crown promptly is crucial for preserving your oral health. Don’t hesitate to contact your dentist immediately. Remember, seeking immediate professional attention is the best way to ensure the longevity and health of your affected tooth.
