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Crowns, Bridges, Dentures, Implants

Re-cementing loose tooth crown

04/10/2008

Question:

I have a front tooth that had root canal and a crown was placed on it. After 14 years, the crown has become slightly loose. My dentist now says this crown cannot be re-cemented back as the tooth base in the gum has a crack. He recommends to extract this tooth and install a dental implant with a new crown. No crack is visible in the X-rays and I have no pain at all. He states that a crack behind the root filling will not show in the X-ray. Please advise ?

Answer:

Unfortunately, your dentist is most likely correct. Root canal-treated teeth can crack, thus allowing the crown and/or post to become loose. We do not have any detection devices that will confirm a crack at this time, since they are so small. But eventually bacteria will travel down the crack and you will get a gum pocket and bone loss. I too would recommend replacing that tooth with a dental implant before the bone is affected.

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Response by:

The Ohio State University Julie A. Holloway, DDS, MS, FACP
Associate Professor of Restorative Dentistry
Director of Advanced Prosthodontics Education Program
Section of Restorative Dentistry and Prosthodontics
College of Dentistry
The Ohio State University
Julie A. Holloway, DDS, MS, FACP