Dealing with a Detached Crown After Root Canal Treatment: What to Do? - Dentistry

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Crown dislodgment after root canal treatment?


Hello, doctor.
Twenty years ago, I had a root canal treatment on the first upper right molar due to decay, and I had a crown placed on it.
Just now, I accidentally dislodged the crown while eating something sticky! Currently, I have no discomfort.
Since I am abroad and unable to seek medical attention, can I continue to brush my teeth normally, consume liquids, and wait until I return to Taiwan in two weeks to see a dentist? Thank you for your response!

Hami Guo, 30~39 year old female. Ask Date: 2017/11/26

Dr. Huang Tingfang reply Dentistry


Dear Miss Cantaloupe: Hello! As mentioned, you can brush your teeth normally, consume liquids, and return to Taiwan for follow-up care in two weeks.
The braces can be repaired and reattached; if they cannot be fixed, you may need to have them redone.
Please communicate with your doctor upon your return.
Thank you! Wishing you safety! Sincerely, Dr.
Huang Ting-Fang, Dentistry.

Reply Date: 2017/11/26

More Info


Dealing with a detached crown after root canal treatment can be concerning, especially when you're away from home and unable to seek immediate dental care. Here’s a comprehensive approach to managing the situation until you can return to your dentist.

First and foremost, it’s important to maintain good oral hygiene. You can continue to brush your teeth normally, but be gentle around the area where the crown was attached. Avoid using toothpaste that is too abrasive, as this could irritate the underlying tooth structure. Flossing is also essential, but be cautious not to disturb the area too much, as this could lead to discomfort or further complications.

Since you mentioned that you are currently experiencing no discomfort, that is a positive sign. However, it’s crucial to be vigilant. If you notice any signs of pain, swelling, or sensitivity, these could indicate that the underlying tooth is exposed to bacteria or food particles, which could lead to infection. If this occurs, you should seek dental care as soon as possible, even if it means finding a local dentist in the country you are currently in.

Regarding your diet, consuming soft, non-sticky foods is advisable. Liquids and soft foods will minimize the risk of further dislodging the crown or causing discomfort to the exposed tooth. Avoid hard, crunchy, or sticky foods that could put pressure on the tooth or cause the crown to detach again.

When it comes to the timeline of returning to your dentist in Taiwan, two weeks is generally a manageable period, provided you take care of your tooth and monitor for any changes. However, if you experience any discomfort or if the tooth becomes sensitive, it would be wise to seek dental care sooner, even if it means visiting a local dentist.

Once you return to Taiwan, it’s essential to see your dentist to have the crown reattached or replaced. The dentist will assess the condition of the underlying tooth and the crown itself. If the crown is intact and there is no damage to the tooth, they may simply re-cement it. However, if there are any issues with the tooth, such as decay or structural damage, further treatment may be necessary.

In summary, while you can manage the situation for a couple of weeks, it’s crucial to maintain good oral hygiene, avoid problematic foods, and monitor for any signs of discomfort. If any issues arise, seek local dental care. Upon your return, ensure you visit your dentist to address the detached crown properly. Taking these steps will help protect your dental health until you can receive professional care.

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