With your first bite….oh no! Thanks for the response Dr. Sinkin, and a quick one at that! Is there a type of specialty or technique to help adjust bite and my occlusion? Crown lengthening is a common treatment procedure used to expose more tooth above the gum line (dentists call it sound or healthy tooth structure) where a tooth or teeth have broken or decayed at or close to gum level. You might want to touch base with your dentist on Monday to give him/her the heads up. More specifically, in your own words, it is largely filling. Since there are fragments pressuring the bones, it causes extreme pain and discomfort in a person’s mouth. Approve it: https://www.michaelsinkindds.com/blog/wp-admin/comment.php?action=approve&c=251945 I was able to make an apt with the Dentist tomorrow at 130pm. I had a crown placed on one of my molars 4 years ago. Thank you for your quick reply. I was just wondering, can I drink water normally? Gum disease, if left untreated, can cause tooth loss. I have recently stopped taking a mediation after 21 years, it was very toxic, posion to my body. If you can, try to see a dentist who will be able to make a new temporary crown for you and keep your tooth protected.If you don’t, the gum may overgrow and your tooth may move making the fitting appointment more difficult. Thank you, Dr. Sinkin! Sorry, realised I wrote bottom in last question, the tooth is missing from the TOP left hand side, 3 from the back. Dr. Sinkin. Comment: Good luck, Looks like I have cracked my filling . DISCLAIMER: The advice I offer in response to your questions is intended to be informational only and generic in nature. I also cleaned cleaned the temporary crown. First things first…calm down. Thank you for your help I am just very nervous as I am afraid of what the dentist will have to do! You have to be careful that the remaining filling doesn’t break off, so eat on the other side. If the crown was developing a crack, your gum may have become sensitive because the piece may have lifted away from the tooth allowing bacteria to invade the space and cause irritation. I have a history of teeth fracturing, which is why I had to have #20 extracted, as well as another tooth in the past year. A debonded (dislodged but intact) restoration will likely be recemented by your dentist and the less you do, the better. Should I just get some glue and adhere it back in place? Going in tomorrow to get the temp put back on. (And sometime, things just happen, like biting into something very hard which can also break natural teeth.) My advice….start by making a dental appointment for an evaluation only. Recently I felt a weird sensation, but not really pain, when chewing anything hard or sticky and realized the tooth seemed to be “rocking” slightly. Do some homework, ask for recommendations and find a caring dentist who can help you. Often times the nerve of an over- retained baby tooth disintegrates naturally. I had the frontal exposed portion of my crown break off last week. A softened piece of household candle wax can also be hand molded and pressed into place. I e searched online but found no real answers hence asking here. RELAX! And I am not yet 40 yrs old, at least not for another 3 weeks. Speak to your dentist and get a second opinion if you’re not comfortable with his/her assessment. Hello Dr., I am on vacation in NYC until July 6th. 4 years ago I went for wisdom tooth extraction and the surgeon broke my tooth 31 which was perfectly fine. My dentist,MD injected something (900.00) to promote some sort of graft (if I’m saying this right, so he has something to be able to attach a new tooth to. If you can’t find a dentist, be careful not to damage the tooth and give your dentist the heads up on Monday. We are in Fort Lauderdale, about to embark on a three week anniversary cruise (a gift from our children). Unfortunately the right paperwork at his work wasn’t filled out and I had to cancel the appt. Brush with warm water and use a desensitizing toothpaste like Sensodyne. Dr. Sinkin. Any advice would certainly be much appreciated. Knowing where you are now dentally and where you need and want to be (obviously free of pain and fully functional and cosmetically intact) is critical in determining how to get there. No insurance kept me from seeking care as well as a lack of available dentists locally. Can you give me a scenario for possible treatment options? DISCLAIMER: The advice I offer in response to your questions is intended to be informational only and generic in nature. Now I’ve waited to long and it’s to late. He took an x ray and probed under the margin of the crown at my lingual gum line to make this conclusion. This is a front tooth. The one on the right came out when I was chewing, I crushed it in an English muffin and went back to the dentist that morning for a new one. I wish I lived close so I could be a patient. Is it too much of a risk to go? Being in the type of pain that you describe for another 2 weeks is,not an option. I am very upset and don’t want to lose my tooth! You will need a new crown when you return to the United Kingdom. I don’t know what to do, I’m driving myself nuts worrying about this. Is there a less permanent cement that can be used, so if the crown has to be taken off it’s less traumatic to the tooth and gums, should it need to be removed?? Hi there, it is Sunday evening and while I was eating dinner, I felt a strange crunch and upon inspection I see that my bottom back molar on the left side has a corner of it that is loose. But less treatment is not necessarily more conservative treatment if one considers the long-term prognosis of a tooth. I have personally orchestrated comprehensive care over a 10-year period where now my patient is coming to the end of active care with her missing teeth replaced with strategically-placed implants. I am not in pain. However, i am in holiday until January and I’m not comfortable seeing anyone who is not my dentist. One step at a time. Dear Bruce, Broken Teeth or Lost Fillings Of course bonding to a molar crown to replace a broken piece cannot anatomically correct (the sloped appearance you describe) because bonding is not strong enough to withstand the forces of chewing. Dr. Sinkin I am presently on a camping holiday and unable to get to a dentist. If teeth with root canal are restored properly they can last a lifetime. Hi, I understand that Covid-19 has restricted the scope of dental practices, but this falls under the guidelines of emergency/urgent care. And with the proper care, your teeth should look as good and perhaps even better then before, though, admittedly, breaking one’s front teeth is very traumatic…physically as well as emotionally. So if I understood your comment correctly I (the dentist) can possibly add a post and reuse the current crown or will another one have to be made? I am rinsing with salt water after I eat anything to keep food out. You want to make sure it passes. I’ve had a cavity in one of my bottom right bicuspids. Let me know when you move to NYC…We’ll leave the light on. Do i do my upmost to save then now only to have them pulled out later on. Should i be worried. He would know the what and why of what you are seeing. If nothing untoward happens over the weekend, I suspect you’ll be fine until Wednesday. The teeth that had been anchors are now horribly broken and I’ve lost all confidence. And while having a new impression (the time, the taste, the unpleasantries associated with it) is surely an inconvenience, I am more curious as to why the temporary mishap occurred in the second and third place. That might give you a clearer view of the situation and make you feel better about the crown. Im surpose to get the tooth extracted in two weeks. I can feel part of my fillings moving around but it won’t fall off. Without going through “implant” or “post and crown” procedure, would the remainder of that tooth get infected with time (since the protective layer is gone)? Makes, Hi Ben, Feels like it could come outt. You are wedging in food and your gums are taking a beating. I suggest you call his dentist of record for further reassurance. My Dentist gave me a shot but that did not help. The good news is that your “root canaled” molar was protected by the crown. The tooth seems to have rotted out underneath the crown. It came off and they put it back on. That your dentist chose to restore your tooth with a gold crown indicates to me, at least on an intuitive level, that this was not the fault of improper care but rather a result of a weakened foundation. Currently 64 comments are waiting for approval. Gum disease Have regular cleanings and gum pocket measurements. Dont know what to do. Make a dental appointment as soon as you can. Thankfully my dentist was able to see me, perform a root canal and put a temporary cap on it. Consider finding another dentist. Essentially you have a hollow tooth that had broken and the temporary filling is disolving and displaced. Michael Sinkin DDS. This re-bar type serrated post sticks up above the gum line and allows us to build up a stump called a core. I have a filling in the middle and im sure it is old and the tooth probably just gave away.The tooth is all there but Im fearing the inner tooth wall is fractured .And that tooth is allive but Im not hurting thank goodness. Hi Kate. The gum looks healthy, pink to slightly purple, and there is no pain or uncontrollable odor. In fact, many of my patients find it boring and some even nod-off! I have an inner ear condition that comes and goes with dull pain and my family dr has me on decongestants, floconasal spray and non drowsy claritan to keep it under control, Im 61 by the way and never had this problem till 2 yrs ago. A piece came off when I was chewing. Trouble is in 8 days time I am due to go on a 3 week overland safari through Uganda and Rwanda, the last place I want to be with tooth pain (it doesn’t hurt now). I’m so worried I’ll get an infection or I all ready do. You don’t want to develop an abcess. More ofter they go the way yours just did…they fall out. Definitely brush the stump…use warm water and toothpaste. Can i just eat on the other side of my mouth until then. Your reaction to the prospect of having root canal treatment is not uncommon. It didn’t hurt wen it came out but it dosent look like all the root came out. Dr. Sinkin. I suggest that you have an evaluation by a Board Certified Oral Surgeon and/or a Periodontist to get another point of view and I would include your dentist in the process. There are many approaches to proper care. Debra, without seeing your tooth, your description leads me to surmise that your tooth may need to be extracted. The temporary crown is bulky and feels thick over what’s left of my tooth. Make sure your tooth is dry and avoid getting the glue on your gum. I didn’t have insurance and didn’t get a crown put on it. The pandemic and subsequent quarantine set the stage for such a situation. Or your dentist is unreachable? I have just lost a crown, it’s come off on one piece and left a rough, short stumpy tooth behind. You can try warm salt water rinsing as well. Yesterday I was eating some hard bacon and the tooth fills loose. How can this be? We now live in a rural area no dentist and no insurance (retired). An anesthetic salve like Ambesol can also be applied for quick relief. My previous experience this year has been 3 root canals and 3 crowns. This happened on the other side last year and the fragment fell out no problem no issues as my dentist told me it was a dead tooth with dead nerves due to not completing another root canal due to lack of insurance and money . Thanks a million! Also he said it seems that it doesn’t matter what current highest quality bonding material his dentist uses to address appropriate situations the bonding never really combines or sticks successfully wth his teeth. No pain at all. Do I need to see if I can get in to a dentist today (Friday) while I am out of town, or could this wait until I return home next Thursday? As detailed as is your description, a more careful assessment of your occlusion dynamics is warranted if for no other reason, to insure the success of future. When I brush my teeth, should I brush the stump that my crown fell off of? Based on your update, there is no urgency. Your doctor may recommend getting mini dental implants, the fairly new addition to the family of restorative dental procedures. If you have Sensodyne toothpaste, it can help with the sensitivity. The temporary crown fell off the same day. Since it is a holiday, the office is closed till Tuesday. Dear Veronica, See your dentist as soon as you can get an appointment. He should be able to render some “first aid” that will tide you over until the insurance kicks in. His moth is mostly full but they’re bits + pieces of his real teeth. It’s Friday night and I work all day Saturday and Sunday. Good luck. If you broke the crown without damaging the tooth, a new crown can be made. Or you’re out of town? I have a resin veneer on my canine which fell off tonight. My dentist checked it and took x-rays; he says he doesn’t see anything that could be causing my pain, just a little irritation. I cannot get in touch with a dentist because of the July 4th holiday weekend. As long as there is sufficient tooth structure (which sounds to be your situation) and the surrounding bone is healthy and any treatment doesn’t compromise the adjacent teeth, having a crown placed on this tooth is the desired treatment. He had a tooth pulled a few months ago wth minimal pain + no swelling + no pain meds. But much of this is based on archaic notions from decades ago when root canal was not as refined a procedure as it is now. Only build up is showing. I have a picture of it if you would like me to send it to you privately. Your story is not uncommon. The pain I’m having is somewhat severe. We worry that during the procedure to remove the old crowns the root canals will be damaged as we’ve read that teeth that have had root canals are very fragile. Dr. Sinkin, Hi- How do you suggest I take of care of it? Having such a large filling placed in a molar following root canal is a prescription for disaster. How long can I do this for? If the tooth is un-restorable, then an implant may be a viable option. A bureaucratic slip up and you need professional help asap. There is much information that I would need in order to make an accurate assessment of the events you describe. Even with 60% of your tooth’s volume being filling and a broken cusp that goes below the gum-line, a beautiful, comfortable crown can be designed and fabricated and is how I would proceed. Never had a root canal when they put the crown on, which broke off in July and I can feel this metal thing. BUT BETTER IT’S BETTER TO BE SAFE THAN SORRY. It was quite a big piece. And of course, don’t floss the temporary. Thank you Dr Sinkin for being so helpful to everyone over the years, you are one unique individual. I had a deep filling fall out about 2 yrs ago. The dentist filed my tooth down to a peg and placed the crown. I had a root canal done about seven years ago but didn’t get the crown. BUT, there was little to no tooth left to hold the crown. Everyday I spit out blood. My intent is solely educational and my responses to your actual questions serve as springboard to discussion of a variety of dental topics that come up in day-to-day dental practice. This being the south (on a Sunday), we cannot find any emergency dentists open until tomorrow. What I am about to suggest is what I would do to my own tooth as a temporary measure only. Obviously you need to see a dentist. Generally teeth requiring root canal have lost much of their structural integrity because of the presence of large cavities, big fillings or trauma (which is why the nerve can become inflamed in the first place.) It’s a lot of pain. I’ll keep you posted also! The crown just came off while I was eating some nuts. From what you describe of your tooth a dental implant might very well be the proper treatment.That said, while I am a big advocate for implant dentistry and have placed and restored innumerable implants, preserving natural teeth is always my first preference. If you chipped your tooth, you might only need to have the area polished. Temporary crown must be out of bite, shorter than the adjacent teeth to allow undisturbed dental implant healing. Please read my previous blog: Painless Root Canal, An Oxymoron? Dear Sandi, – Dr. Sinkin. This is especially true with large ones. Enjoy your weekend and let me know how you make out. What I don’t understand is why your dentist can’t see you sooner. It is always soemthing . Knowing that materials, training, and tools can involve the surging of the prices. A doctor’s diagnosis may discuss the potentiality of a tooth broken at the gum line can it be saved questions. As I wasn’t prepared, I told him I need time to digest and will call him back to arrange for an appt to extract the tooth. I, however, disagree with this diagnosis! Anything I can do until then? I started to develop pain there that would last 20 minutes a day a few times a day. But there is just no way on earth we can afford anything without insurance. …. Scene l – Pain that Halts you in “Mid-Chew” And yes, occlusal guards do need replacement or modification when additional dental care alters the shapes of the teeth involved. I can’t tell you how many times patients wrap their displaced restorations in a tissue only to then throw it in the garbage! Bummer. I can glue it tomorrow, Sunday before Memorial Day, and hopefully get into the dentist yet this week. In your situation, it was having the tooth crowned. I just went to the dentist expecting to need two crowns upper right redone due to decay. Hi Nikhil, So sorry to hear about your tooth. what can I do so I can eat until I get back to the dentist. 3. Dr. Sinkin. We have also tried aspirin, Aleve, Orajel, and a lost filling/ loose cap repair kit (has an applicator and some putty that states it would take away the pain). This blog is great and I think you do a great job at putting a lot of peoples’ fear and anxiety to rest when it is not needed. Good luck! You seem to have a problem that should be addressed before you develop an even bigger one. The tooth next to my Eye tooth was surpise to have a root canal diwn kast summer, but I didn’t have the funds. If any abdominal distress occurs, seek medical care. If you do find it, clean it thoroughly with soap and water and rubbing alcohol and place it back on your tooth with a denture adhesive like Fixodent or Polygrip. Dr Sinkin. The posts are still in. In theory and practice, I have no problems with a 3 unit bridge. Dear Renee, I am also nkt feeling any pain atvthe moment. I wouldn’t be surprised if the filling is still in place and the piece that broke off is/was unsupported tooth. I wish you luck. Thanks, Dr Sinkin! You don’t want to chance dislodge the filling.From your initial description, this tooth was destined to have a crown.The thin wall of tooth offered no real structural support and was splintering away before your eyes hence the cracking. Unfortunately it was right at the front too so I was absolutely mortified as well as in pain (well, one just to the side of the two front ones). The tooth probably already had a large filling which weakened the remaining structure. The tooth underneath is exposed and is sensitive to hot and cold. Be safe. As far as your tooth is concerned, don’t worry. The temp filling is gone and the toith is exposed. Or it’s possible that during its extraction procedure, a tooth has broken (for example, the crown of a … Usually the thermal sensitivity dissipates as salivary proteins coat the tooth. Now onto your question. Any advice offered is no substitute for proper evaluation and care by a qualified dentist. The problem you are describing is very common and while you will need to see your dentist to address your broken tooth, you can wait until after the holiday weekend. When I picked it up it fell apart in my hands. I’ve searched the web and can’t find what I’m looking for anywhere. He was unable to locate the canal to see if a root canal would be an option.As it was right before Christmas he was able to place a pin and use a temporary crown warning me that there could be pain when the anesthesia wears off. Should I be concerned? It is curious that your tooth was fine for two weeks before it started bothering you and it is this timeline that has caught my attention. So I was happy. 4. If you were in my chair (and your 3-week old bone graft is not an issue) I would most likely have a well-fitting temporary crown made on 19. What can i do. If your tooth did not have root canal treatment, I would imagine that it’s quite sensitive. While one’s occlusion can change over time, especially in the presence of parafunctional habits like clenching and bruxing (grinding), it is a normal part of aging. I most probably swallowed my gold teeth it was a L shaped gold teeth and I am 2 months pregnant.Is it going to effect my baby?..I’m scared. Dear Tammy, I won’t be able to see the specialist for about a week. Back crown broken off at gum line. Get yourself to your dentist asap. You really need to see a dentist ASAP, as in make an appointment now. Do you know if your tooth had a vertical root fracture? Whether that be with another crown for your #31 or replacing the entire tooth with an implant depends on a critical evaluation of the current state of your tooth and an answer to the question, why did two crowns fail in such a short time? Get a professional evaluation. Of all the days for a major dental issue…Sunday afternoon as I prepare to start a new job tomorrow!!! Will his gums be ok? There are many ways to treat tooth broken at the gum line can it be saved problems from a patient. That you have no pain makes me think that what you refer to as the exposed nerve (stump remnant) might actually be a portion of a root canal filling. Both root canals that had subsequently been crowned, one was temporary, the other permanent. The dentist wants to do a crown. By the way, your decision to avoid care because of your lack of insurance will end up costing you more out of pocket dollars and more time in the dental chair. Date: 07/12/2015 7:16 AM (GMT-05:00) How he/she handles your current dilemma may give you insight as to whether you’ve chosen the right dentist for you. The description of your molar is a situation that I have seen on literally hundreds of occasions. I don’t know how it happened but it did. In your case gum growth will probably not complicate the surgery but I would not delay any longer. I saw another dentist for a second opinion he he recommended a oral surgeon specializing in root canals. I was told root canal teeth do this often (break off). He numbed me, and drilled down the tooth (which I found out about during online research). Isn’t a crown supposed to be there to protect and cover up the tooth totally and that for several years??? DISCLAIMER: The advice I offer in response to your questions is intended to be informational only and generic in nature. Post (abutment) that sits on the implant (like a mini-tooth) and holds the crown. Here is my suggestion: try to get an appointment with your dentist before the holidays. Nitrous oxide and/or a mild sedative may be helpful, but in truth, nothing trumps compassionate care. The tooth should be evaluated by a general dentist before any discussion of extraction takes place. Thank you for your time! Like root canal treatment or a split tooth, a broken molar is something we may put off for as long as possiblebut read on to find out why we shouldnt. Best of luck. The worst thing is I’m on vacation in a remote part of Asia and can’t get to a dentist for nearly 2 weeks. Some of my patients get temporary dental filling material like DenTemp and “plug up” the void. Play it safe-see a dentist and have a good trip. Seeing your dentist within 5-7 days after your dental crown broke will usually be safe. The circumstances being what they are, I’m sure you will get the help you need. Titanium implant (which is under the gum and securely attaches to your jaw bone); it replaces the root of a missing natural tooth. Just keep the area clean. Dr Sinkin, Hi Will the liquid getting between the tooth and crown cause problems? This is a very economical way to preserve the tooth and avoid the dental mishap you now must deal with. If you are curious about your recovery period, you must know more about the essential, Missing a tooth or multiple teeth? So as I understand the situation, four years ago when your tooth #31 broke, your dentist felt it was an important enough tooth to treat and save. Occasionally the gum will overgrow around the base of the prepared tooth so your dentist may have to get you numb to properly seat the crown. (It’s not impacted, but just a fat wisdom tooth that won’t fit all the way in my mouth). The filling is still there and hadn’t caused me pain for quite a while. However, that doesn’t mean that the crowns placed will last forever. Dr. Sinkin, Perhaps the local dental society could help you locate an affordable dental clinic in a teaching hospital or school. Dear Marie, Hopefully there is a dentist available on board. Good luck. So, let me get right to it. Thanks in advance. Why wouldn’t it hold? However the dentist noticed the tooth has cracked and that he can’t put the crown back. My tooth feels fine, a little sensitive, but I have an appointment to see my dentist on Monday. A vertical apical root involves the middle of the tooth and its root. Recently, it hurt a little but I noticed it was because another piece of it was loose. Dr. Sinkin. Avoid hard foods. It sounds like you had a molar root canal without having a proper restoration such as a crown or onlay placed to protect your weakened tooth from fracture. So, I have no clue how this happened, but my back tooth on my upper jaw is either chipped or cracked (I can’t really tell which), but I think its a slight chip or crack. If the nerve is not exposed, the sensitivity may subside as the tooth surface is covered with salivary proteins. Nine months ago I was told there was decay under it so the crown was cut off, cavity treated, build up and post done and new crown placed. As time passes, the excessive biting force on a “high spot” increases the irritation and the tooth becomes demonstrably sore. Dental fear can be crippling and quite dreadful. Is there some other consequence if I don’t take him first thing tomorrow morning, and wait later in the week when I can somewhat safely ask to leave work early?? However I cannot get to a dentist till after new years because I’m going out of town. You may need to work on it a bit, but it will come out with minimal distress. I am worried about any “leaking ” of the filling as well as any precautions I should take. I realize finances are an issue, timing is!!!!!!! Blog to those of us who have these dental mishaps seem to happen at gum. Sticks up above the gum and or bone see her dentist immediately dilemma what to do.... The advice I offer in response to your questions is intended to be replaced I informed so!, like shaping pottery curious, did you have a good deal in getting both do! Especially the timing with your dentist to discuss your concerns but they ’ not. 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