Impact of Dropping Temporary Dental Crowns on Infection Risks - Dentistry

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Crown issues?


Hello, doctor.
During the treatment process, the temporary crown accidentally fell to the floor, but the doctor disinfected it with alcohol.
Will this affect the use of the temporary crown? Is there a risk of bacterial infection? Thank you.

Miss Lin, 20~29 year old female. Ask Date: 2021/07/22

Dr. Lin Jiayong reply Dentistry


Hello: Since the temporary dental crown is used for a short period, it should not affect its usage.
It has been wiped with 75% alcohol, which should be sufficient for disinfection, unless you have any underlying immune issues.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/07/22

More Info


When a temporary dental crown accidentally falls to the ground, it raises valid concerns regarding its usability and the potential risk of bacterial infection. In this scenario, the dentist's decision to disinfect the crown using 75% alcohol is a crucial factor in determining whether the crown can still be used safely.

First and foremost, temporary crowns are designed for short-term use, typically while waiting for a permanent crown to be fabricated. They are not meant to withstand long-term wear and tear, and their primary function is to protect the underlying tooth structure and maintain aesthetics until the final restoration is placed. Given this context, the fact that the crown was dropped and subsequently disinfected does not inherently compromise its function, provided that the disinfection process was thorough.

Using 75% alcohol is effective in killing a wide range of bacteria and viruses, including those that may be present on surfaces like the floor. However, it is essential to consider the material of the temporary crown. Most temporary crowns are made from acrylic or composite materials, which can be sensitive to certain chemicals. While alcohol is generally safe for disinfection, it is advisable to ensure that the specific material of the crown can withstand such treatment without degrading.

Regarding the risk of bacterial infection, the primary concern arises from the potential for contamination when the crown falls. If the crown was disinfected properly, the risk of infection is significantly reduced. However, individuals with compromised immune systems or underlying health conditions may be at a higher risk for infections, and extra caution should be exercised in such cases.

In addition to the disinfection process, it is also important to consider the environment in which the crown fell. If the floor was clean and free from contaminants, the risk of infection is further minimized. Conversely, if the crown fell in a high-risk area (e.g., a bathroom or kitchen), it may carry a higher risk of bacterial contamination, even after disinfection.

Patients should also be aware of the signs of infection, which can include increased pain, swelling, redness, or discharge from the area surrounding the crown. If any of these symptoms occur, it is crucial to seek dental care promptly.
In summary, while the accidental dropping of a temporary dental crown can be concerning, proper disinfection with 75% alcohol can mitigate the risk of infection. The crown can likely still be used, especially if the material is compatible with alcohol and the environment was not overly contaminated. However, it is always best to consult with the dentist for personalized advice and to ensure that the crown is safe for use. Regular follow-up appointments are essential to monitor the condition of the temporary crown and the underlying tooth, ensuring that any potential issues are addressed promptly.

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