What to do if the crowns on your front teeth are loose?

Author: Brodsky Sergey Evgenievich Deputy Chief Physician, Candidate of Medical Sciences in the specialties: dentistry and medical microbiology What to do if there is a smell under a dental bridge, a tooth is broken or a bridge has fallen off, how to glue a dental bridge? Read on..

How is a dental bridge installed?

After deciding on bridge prosthetics, the dentist, at the very end of the work, must secure the dental bridge to the supports using glass ionomer cement or fixing screws. In dentistry, there are left and right, anterior and posterior supporting elements for bridges. The support can be either your own teeth or implants. As a rule, the left, right, anterior and posterior reference points are the same: these are either teeth or implants. Experienced prosthetists do not recommend installing and replacing dental bridges on mixed elements:

• in front is a tooth;
• behind - an implant or vice versa.

Patients often ask: “Why does a dental bridge fall out?” In the next paragraph we will tell you what to do if the bridge is loose in your mouth. How a bridge is attached to teeth or implants, photo.

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Why does a dental bridge wobble?

So, if a bridge made of cermet, zirconium, plastic or metal is shaking, the reasons for this are:

• Falling out or peeling off of the dental core tab or loosening of the fixing screw in the implant;
• Destruction of the anterior or posterior or (both) supports, no matter the tooth or implant;
• Atrophy of bone tissue and exposure of the gums around the root of the abutment tooth or the intraosseous part of the implant;
• Trauma (strike or fall);
• Incorrect load on the prosthetic structure, overestimation or underestimation of the bite (doctor’s error);
• Bruxism and hypertonicity of the masticatory muscles;
• Hormonal and systemic diseases of the body.

Thus, if the dental bridge begins to wobble, you should immediately consult a dentist. Timely removal of dental bridges in some cases allows you to save the supports on which it is attached and re-glue the dental bridge, both new and old.

If a dental bridge breaks and falls off

In this section we will look at a sad situation where a dental bridge broke and flew off. To better understand this sad fact, it is first necessary to note some generally accepted facts:

• from the point of view of the further use of the old bridge, it is absolutely not important what material the structure was made of: a bridge made of metal-ceramic or zirconium, metal or composite fell out, if this happened, it means either the dental bridge burst, or a tooth or implant broke under the dental bridge, and this requires either strengthening old ones or creating new supporting elements, as well as a new fixed prosthesis.
• any bridge prosthetics has a shelf life (for example: metal-ceramics lasts 10-12 years, stamped-soldered metal 6-8 years, acrylic plastics up to 2 years, composite up to 3-4 years, zirconium up to 15-20 years), respectively, by asking When asking a doctor whether dental bridges are being put back in place, it is necessary to take into account the time factor of their operation.

Most often, the main reason that a dental bridge is wobbly and painful is the mobility and destruction of either supporting teeth, or atrophy of the bone tissue where the tooth roots are fixed. Thus, the question of how to glue the fallen bridge loses its relevance, because the manufacture of a new structure is required.

Reasons why a dental bridge may fall off

The integrity of the dental bridge is influenced by the following factors:

• The bridge was made to inaccurate measurements. Dentists believe that a bridge can only be made for five crowns and no more, otherwise the bridge design becomes unreliable.
• If the neighboring teeth that support the bridge are poorly prepared for prosthetics, this can also cause the bridge to fly off.
• Crowns for supporting teeth must be made of high-quality material, and they must be fixed with high-quality dental cement.
• Improper oral and dental hygiene. To keep your artificial teeth clean, you should have your teeth professionally cleaned twice a year. If this is not done, the period of wearing dentures will be greatly reduced.

Which bridge material to choose

Metal prostheses are a thing of the past; they have been replaced by progressive designs made from modern materials. Anyone can put a bridge on their teeth, taking into account price and functionality. I suggest installing bridges with segments from 3 to 5 teeth

(now we are not talking about total prosthetics during implantation):

Metal-ceramic bridges

Solid versions will be made by specialists in the laboratory using an impression, taking into account all anatomical features. Layers of ceramics are applied to the crowns by hand and baked at high temperatures. Such bridges are durable and belong to an affordable price category. They are often chosen for molar prosthetics and are suitable for installation on implants. Price – from 17,900 rubles. for 1 tooth.

Ceramic dental bridges

The advantage is rapid production using CEREC technology, indistinguishable from natural ones. Ideal for installation on teeth that fall within the smile zone. But in terms of strength they are close to natural teeth and require careful handling. They are performed on teeth (from 16,900 rubles per tooth) or on implants (from 24,900 rubles per tooth).

Zirconium bridges

Durable, suitable for installation on molars or anterior teeth. For the beauty zone, it is advisable to cover the base with ceramics for complete visual resemblance to real enamel. The CEREC manufacturing process allows defects to be eliminated quickly. Mounted on implants only. Cost from 24,900 rub. per tooth

Plastic temporary bridges

Only temporary structures are produced from plastic (RUB 9,900 per tooth). Temporary bridges are also needed for immediate loading when restoring the dentition using the “All on 4 (6)” protocols.

What to do when a dental bridge has already fallen off?

The best way out of this situation is to see a dentist as soon as possible. When visiting a doctor, you must bring your saved prosthesis, even if it is cracked in half. You should not repair the bridge yourself using various adhesives that can damage healthy teeth.

If the bridge did not break when it fell out, it will be put back in place using dental cement. If the denture breaks, an impression of the patient's teeth will be taken and a dental technician will make a new denture, which will require additional costs and a long time.

Assessment of the situation

First of all, you need to stop panicking and tune in to a positive outcome. First, you should examine the oral cavity and understand whether the crown has fallen off completely or only part of it. In fact, the second option is more dangerous, since there is a high probability that part of the broken prosthesis has too sharp edges. This is fraught with damage to the gastrointestinal tract - perhaps this is the most dangerous complication.

If the artificial tooth falls off completely, there is a high probability that the crown will come out naturally, without causing complications or various troubles. If you experience any disturbing digestive symptoms, go to the doctor immediately!

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Service life of a bridge

The period of operation of the bridge depends on several factors:

• What material is the prosthesis made of?
• Structure length;
• What condition are the supporting teeth in?
• Is the chewing load evenly distributed?
• Condition of periodontal tissues.

As a rule, the doctor guarantees the impeccable service of the prosthesis for five years. If you provide the structures with careful care and follow all the dentist’s recommendations, this period can be extended to 25 years.

Why do you need to remove crowns?

1. The need to treat the tooth that is under the crown. Painful sensations and an unpleasant odor are signs of the development of pulpitis or even periodontitis (if the tooth has not been depulped). Most often, treatment occurs without removing the crown, but everything depends on the qualifications of the doctor and the clinical case. A hole is drilled in the crown through which diagnosis and treatment are carried out.
2. Destruction of the material on which the crown was installed. The orthopedic structure begins to wobble, causing discomfort while eating and talking. Sometimes, in order to re-fix the crown, you can do without damaging the orthopedic structure.
3. Re-prosthetics. These are cases when patients themselves want to replace them with a better quality crown.
4. Poor quality design. If the crown is cracked or does not fit well to the neck of the tooth and affects the bite, it must be replaced with a new one.
5. The service life has expired.

Comments

I have a crown on a post. If I suddenly accidentally swallow it along with the pin, how dangerous will it be?

Alexey (03/09/2019 at 21:40) Reply to comment

Dear Alexey. Swallowing a pin is a very rare and dangerous situation. This can only happen if the dentist did a poor job installing it. If such a situation does occur, then it will be necessary to take an x-ray and get an emergency consultation with a gastroenterologist, because the consequences can be tragic - damage to the walls of the stomach and intestines, internal bleeding. Most often, to remove the pin, doctors resort to surgery, i.e. perform a surgical operation.

Editorial staff of the portal UltraSmile.ru (03/11/2019 at 09:11) Reply to comment

My son had a temporary filling with arsenic placed on Friday, and he swallowed it on Saturday. We won't be able to see the doctor until Monday. What to do and why is it dangerous?

Victoria Kalinina (03/17/2019 at 11:47 am) Reply to comment

Dear Victoria. Modern arsenic pastes contain small amounts of toxins and are quite safe, and their dosage is too minimal to cause significant harm to the body. But in some cases, arsenic can cause poisoning and intoxication of the body, nausea and vomiting, and allergic reactions in a child. Therefore, it is recommended to rinse the stomach, give the child sorbents and antihistamines, and carefully monitor his condition. If necessary, call an ambulance or consult a pediatrician on Monday.

Editorial staff of the portal UltraSmile.ru (03/24/2019 at 09:18) Reply to comment

Does it make a difference what you swallowed: a piece of a natural tooth or an artificial crown?

Vlasov Yu.V. (04/12/2019 at 16:13) Reply to comment

There is practically no difference, the consequences can be similar. But some experts believe that a swallowed piece of a natural tooth will not cause any complications in 100% of cases, but artificial material may be incompatible with the body and its swallowing is often fraught with unpleasant consequences.

Editorial staff of the portal UltraSmile.ru (04/15/2019 at 08:57) Reply to comment

My child swallowed a baby tooth two days ago and feels great, but for some reason nothing comes out naturally. When is it time to start worrying?

Alina (04/28/2019 at 15:04) Reply to comment

Dear Alina, let your child eat more solid vegetables and fruits, whole grains, and drink warm water and milk more often. If the problem is not resolved within 4-7 days, then to completely remove the issue and calm down, contact your pediatrician.

Editorial staff of the portal UltraSmile.ru (05/04/2019 at 11:02) Reply to comment

I, 10/22/20, swallowed a dental bridge of 7 teeth along with food. A painful state, now everything is behind them. 02.11.20 they left.

Natalya (11/02/2020 at 12:40 pm) Reply to comment

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Tip #2: Assess the situation and be prepared for complications

If you swallowed a tooth crown, what should you do? First of all, try to be near the mirror and assess the situation. Consider the magnitude of the “loss.” Did the crown break off partially or was it completely swallowed? In the first case, you should be wary and closely monitor your condition, and it is also advisable to see a doctor as soon as possible, because the piece could have sharp edges that could injure the gastrointestinal tract and esophagus.

Our gastrointestinal tract is designed in such a way that other objects that are no larger than a tablet in size can freely pass through it along with food. But sometimes troubles still happen. Let's look at what other complications this situation is fraught with:

• internal bleeding,
• perforation of the wall of the stomach or intestines,
• intestinal obstruction.

If you have alarming symptoms, you should consult a doctor.
So, if the crown is intact, smooth and round, then it will not cause harm, and in this case, doctors advise sticking to a wait-and-see approach in the first few days. Most likely, either a natural or an artificial tooth will leave the body in the most natural way - depending on the individual characteristics of the body, this can take up to 4 days.

But if you believe that the edges of the swallowed fragment could be sharp and want to protect yourself, then it’s time to see a doctor. You should also be alerted to the alarming symptoms accompanying complications if you monitor your condition for several days rather than immediately go to a specialist: nausea or vomiting with blood, feces with blood, wheezing or wheezing, shortness of breath, signs of general intoxication of the body.

If a child swallows a tooth

In the period from 6 to 11 years, active replacement of primary teeth with molars occurs. They fall out painlessly, so a situation often arises when a baby eats a molar while swallowing food. Parents should not panic: they do not have sharp edges or roots.

A hearty lunch - as a solution to the problem of a swallowed prosthesis

To ensure tooth extraction naturally, doctors recommend feeding your baby foods that stimulate the intestines. If your child has swallowed an incisor, make him oatmeal with some pieces of prunes added. Beet salad, fermented milk products and sweet yogurt improve and speed up the process.

Prevention helps to prevent tooth swallowing. When brushing every day, you should inspect your mouth to look for chips or cracks. Every 6 months you should visit a dentist who checks the condition of the crown and prosthesis, the quality of cement or clasps.

Video - what happens if you swallow a tooth or denture

Possible causes of the problem

If the crown on your front tooth rotates or becomes loose, you should consult a specialist. Mobility may be associated with errors made during the treatment process. There are other reasons too.

• Bite abnormalities. Due to the incorrect location of the dentition, the load is distributed unevenly, so the hard tissues gradually become thinner.
• Exceeding the maximum load. It is not recommended to chew nuts, seeds, or candies. Eating foods that are too hard can also damage your crown.
• Food particles getting into the hood. If the crown does not fit tightly to the gum, various small particles can accumulate under it, which causes decementation.

What determines the strength of a crown?

Most often, crowns become loose after poor quality treatment. Many people turn to unverified clinics because they offer prosthetics at very low prices. However, often after such procedures you have to look for a good doctor to correct the mistakes of a less experienced specialist.

When undergoing prosthetics, it is important to pay special attention to preparing the tooth for the installation of a crown. The reliability of fixation of the orthopedic structure depends on:

• from the shape of the stump tab or pin,
• height of location and taper of the base,
• thickness of fabrics for sanding,
• forms of the gingival ledge.

When preparing a tooth, sufficient water cooling is necessary. It is recommended to install crowns on living tissue, since dead tissue is fragile, which shortens the service life of the structure.

Method No. 2: using ultrasound

Are you wondering how to remove a crown from permanent cement in one of the safest and most innovative ways, and without causing any damage to it? Then ask your dentist if it is possible to use ultrasound in your case. Through impulses, the doctor acts on the cement composition, which gradually cracks. The specialist moves along the “tooth-crown” boundary; under the influence of vibrations, the cement is destroyed.

The product can be removed using ultrasound

The procedure really allows you to remove the structure in its original form, but it has a number of disadvantages. First, ultrasound has a rather gentle effect, so it is not always possible to achieve the goal the first time, and sometimes you have to visit the doctor several times. Secondly, only products that are made from not very dense materials are amenable to hardware exposure to sound waves. For example, it will not be possible to remove structures made using glass ionomers using ultrasound. Third, vibrations may be unpleasant for the patient.

Algorithm of the doctor’s actions after the procedure

After removing the product, the dentist performs a clinical examination of the tooth. X-ray diagnostics are performed. The dentist’s actions depend on the clinical situation:

1. Treatment of the inflammatory process. If there are signs of pulpitis, periodontitis or other pathologies, the doctor removes the pulp and cleans the canals, applies medicine and installs a temporary filling. After the inflammation is eliminated, a filling is performed.
2. Restoration. Helps prevent destruction of dental tissues due to cracks in the crown.
3. Replacement of dental cement.
4. Complete replacement of an artificial crown.

Self-removal of the crown

Self-removal of a dental prosthesis is strictly prohibited. Only a qualified doctor can perform the procedure correctly. When removed at home, there is a risk of damage to the crown, injury or infection of the mucous membranes.

How a dentist can help

When answering the question of what to do if a dental bridge is loose, it is worth emphasizing again that first of all you need to seek professional help. In such cases, the orthopedic structure is removed, for which in modern dentistry they usually use ultrasonic units for decementing. Also for this purpose, special crown and bridge removers can be used, for example, a Kopp apparatus or other equipment. In some situations, if the prosthesis is intact and there are no signs of damage on it, it can be installed back after troubleshooting.

Kopp apparatus for removing orthopedic structures

If the orthopedic structure cannot be removed without damage, the specialist may resort to the help of special scissors and crown-cutting forceps. In this case, after that you will have to take impressions again and create a new prosthetic device.

After removing the bridge, the doctor carefully examines the condition of the mucous membrane and supporting teeth. If necessary, anti-inflammatory therapy is prescribed, but first the specialist removes plaque and accumulated deposits. In most cases, it is necessary to re-fill the channels in the supports, install new pins or stump inlays. If the teeth have already decayed too much, they are removed and after restoration they return to the question of finding alternative methods of restoration, for example, the optimal solution in such a situation would be implantation.

It also happens that the reason for bridge mobility is the end of its service life. If cracks, severe abrasions or chips appear on it, a new structure will need to be made.

What can be done?

In order to increase the chances of the crown coming out naturally, you need to slightly reconsider your usual diet. Experts recommend including more fiber, fruits and vegetables in your menu. The most important thing is to drink as much liquid as possible: juices, tea, water. This is necessary in order to prevent constipation. Do not under any circumstances try to induce vomiting as you have discovered the “loss”.

Please note that the information is provided for informational purposes. Before you do anything, you must undergo diagnostic procedures and follow the doctor’s recommendations.

How does the withdrawal take place?

The procedure for removing a dental crown can be done in different ways. The most common of them is using the Koch apparatus. This device is placed in the patient's mouth, and by applying pressure to the edge of the crown, the crown is “displaced” without pain or damage. This method is often used when the patient wants to keep the dental crown intact. If the integrity of the crown is not so important, you can remove the crown by simply sawing it. This method often frightens patients, since the preparation process is quite complicated. During filing, ultrasound is applied to the tooth, causing the material to crack, allowing the tooth to be freed. Sawing severely damages the structure, so installing the same crown will not be possible.

You can carefully remove the crown using the Coronaflex device. The orthopedic design completely retains its shape, so it can be reinstalled.