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What to do if a crown falls off?

What to do if a crown falls off?

Dr. Vinita Tekchandani

Dr. Vinita Tekchandani Masters Degree In Oral & Maxillofacial Pathology

March 25th, 2025

What to do if a crown falls off? The bottom line is: don’t panic—but don’t ignore it either. A lost dental crown can leave your tooth vulnerable to damage, sensitivity, and infection if not handled quickly. The sudden feeling of a loose or missing crown can be alarming, especially if you’re eating or brushing your teeth when it happens. The problem? Exposed teeth are weaker and more prone to decay. But with the proper steps, you can protect your tooth until you see your dentist. In this blog, we’ll guide you through exactly what to do if a crown falls off—step by step.

1. What to Do Immediately After Your Crown Falls Off

If your dental crown falls off, the first thing to do is retrieve the crown and rinse it gently with warm water. Check your mouth for any broken pieces or injuries, and rinse your mouth as well. If possible, store the crown in a clean container or zip-lock bag and bring it with you to the dentist—it may be salvageable.

If you’re in pain, over-the-counter pain relievers like ibuprofen can help until you receive professional care.

2. Is It a Dental Emergency if a Crown Comes Off?

While it’s not always an emergency, it depends on how sensitive or painful the exposed tooth is. If you’re experiencing sharp pain, swelling, or signs of infection, you should contact your dentist right away.

In general, you should see your dentist within 1–2 days of losing a crown to avoid complications like tooth decay, gum irritation, or shifting of nearby teeth.

3. Common Reasons Why Dental Crowns Fall Off

Wondering why your crown came loose in the first place? Here are some of the most common factors:

  • Tooth decay under the crown
  • Cement breakdown that weakens the bond
  • Biting complex objects or sticky foods
  • Grinding or clenching teeth (bruxism)
  • Wear and tear over time.
  • Improper crown fit or faulty placement

Knowing the cause can help your dentist recommend the best long-term solution.

4. Can You Reattach a Dental Crown at Home?

While temporary dental cement (available at most pharmacies) can help secure the crown for a short time, it’s not a substitute for professional treatment. If you attempt to reattach the crown yourself, do not use glue, super glue, or any household adhesives, as they can damage your tooth or cause a chemical burn.

Only attempt a temporary fix if you’re in discomfort and can’t see your dentist within 24 hours.

5. How to Protect Your Tooth Until You See the Dentist

An exposed tooth without its crown is often more sensitive to hot, cold, pressure, and air. Here are a few protective steps to take while waiting for your appointment:

  • Try not to chew on the side where the crown came off.
  • Stay away from hard, sticky, or sugary foods.
  • Use warm salt water to rinse and maintain cleanliness in the area.
  • Apply clove oil for temporary relief if you’re experiencing sensitivity.
  • Use temporary dental cement if needed.

These precautions can help prevent further damage or discomfort.

6. What Not to Do If Your Crown Falls Off

To avoid making the situation worse, steer clear of these common mistakes:

  • Don’t ignore it—leaving an exposed tooth untreated can lead to serious complications
  • Don’t try to glue it back with household adhesives.
  • Don’t chew hard or sticky foods that could cause more damage.
  • Don’t delay your dental visit, even if there’s no immediate pain.

7. What to Expect During a Dental Crown Repair or Replacement

When you visit your dentist, they will:

  1. Examine the exposed tooth and the crown
  2. Check for any decay, damage, or infection.
  3. Determine whether the crown can be re-cemented or replaced.
  4. Clean and prep the tooth before securely bonding the crown

If a new crown is needed, impressions will be taken, and you may receive a temporary crown while the permanent one is made.

8. Will You Need a New Crown, or Can the Old One Be Saved?

In many cases, your dentist can reuse the original crown if it’s still intact and undamaged. However, you may need a new crown if:

  • The old crown is cracked or worn.
  • There is decay underneath.
  • The tooth structure has changed.
  • The fit was never ideal in the first place.

Your dentist will make the call based on your specific case.

9. How to Prevent Your Dental Crown from Falling Off Again

Maintaining oral hygiene and scheduling regular dental checkups are essential. To prevent future issues:

  • Brush and floss gently around the crown
  • Avoid chewing ice or complex objects.
  • Consider using a night guard if you clench or grind your teeth.
  • Visit your dentist every 6 months for checkups.
  • Address decay or gum issues early.

Taking care of your crown the right way can extend its life and protect your natural tooth.

Final Thoughts

If you’re unsure what to do if a crown falls off, the answer is simple: stay calm, protect the area, and schedule a dental visit as soon as possible. With prompt action and proper care, your dentist can often fix the issue quickly and save you from more serious problems down the road.

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