I had a crown done a little over four months ago. Today it not only broke off, but the post broke as well. Is there any way to fix this or do I have to start over?
I haven’t examined you but will try to be helpful with the information I have. There are a few possibilities I can think of here. First, if the tooth broke off at the gumline, it likely means there wasn’t enough tooth there to begin with for a crown to be a viable replacement. I wouldn’t be too hard on your dentist. It sounds like he was trying to save the tooth, which is the best thing for you. However, if there isn’t enough left to save, the only thing you can do at that point is to have the remainder extracted and replace the tooth.
The best way to do that is with a dental implant. A prosthetic root is placed into your jawbone which makes it the closest thing to having a healthy natural tooth there again. A second option is a dental bridge. This suspends a false tooth between two dental crowns that will be placed on your adjacent teeth. This option makes more sense if one of those teeth already needs a crown. Otherwise, if possible, I’d get the implant. It is the better option.
One note of caution. A dental implant will need to be placed by someone with expertise. That requires post-doctoral training. Look for someone who is a fellow with the International Congress of Oral Implantologists. These dentists are highly trained with a significant success rate. A poorly placed implant can lead to problems such as jaw pain and TMJ Disorder, along with a host of other potential problems.
If the tooth didn’t break off at the gumline, then it could just mean that you had a weak post. That does happen occasionally. If that is the case, your dentist should be able to replace it without too much trouble.
This blog is brought to you by Sugar Land Dentist Dr. Siny Thomas.