Tag Archives: crowns falling off

Dental Crown Keeps Falling Off

I have a dental crown that has fallen off four times. It was this last time that the dentist mentioned that we’ll need to do a gingivectomy in order for there to be enough tooth to keep on the crown. Is this legitimate? I’m frustrated about this crown and don’t really want to mess up my gums in the process.

Evan


Dear Evan,

Porcelain crown being placed on a tooth

 

I’m not keen on your dentist. I’ll tell you right away that most dentists go their entire career without a dental crown falling off, but to have the same one fall off four times…

As to the gingivectomy, this is done by removing some of the gum tissue in order to expose more of the tooth structure. While this is sometimes needed, I’m curious as to why he would not have noticed the need for it before he did the first crown.  That he is just noticing this now tells me that he is either incompetent, or you don’t really need the procedure and he’s using that as an excuse to make you a new crown.

The first thing I recommend is that you ask for a refund for both yourself as well as the insurance company if any of it was billed to them. This should not be an issue because you don’t have a functioning dental crown. Keeping it in your mouth should be the minimum standard.

Then, I want you to get a second opinion about your dental crown from another dentist  Don’t tell them what your original dentist said. Let them give their unbiased diagnosis.

I think another dentist should be able to get this straightened out fairly easily.

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Click here to learn about one-visit crowns.

 

Can’t Get CEREC Crowns from My Dentist

I’m so sick of temporary crowns that fall off all the time. Every time I’ve gotten a crown it’s been a disaster from the get-go. I get a temporary and it falls off at every meal. It’s impossible to deal with. Now I find out I need another crown. I told my dentist I want a CEREC crown so I don’t have to deal with a temporary. He insists they’re not as good. I’m seriously considering switching dentists over this. What do you think?

Fanny,

Dear Fanny,
A tooth receiving a CEREC crown

I can understand your frustration. While temporary crowns do occasionally fall out (after all, they’re meant to be temporary) what you’ve experienced is way beyond normal. It says a bit about the skill of your dentist. I wouldn’t normally suggest switching dentists simply because you want a one-day crown, but it seems like your dentist lacks skill.

I’m not sure why he means they’re not as good. They’re just as strong as their traditional counterparts. The biggest difference and the only weakness I can see in comparison is CEREC crowns are milled out of a single block of porcelain. Some dentists feel that for your very front teeth it would look better for you to have a traditionally made crown so the dentist can craft it from several blocks of porcelain giving it more natural variety.

Cerec Crowns and Teeth Whitening

One other thing to consider. Hopefully, your dentist told you that once crowns are milled, their color is permanent. If you want your teeth whitened, you should do it before getting this latest crown if it is in a visible part of your smile.

That way your dentist will match your crown to the new color. Of course, if any of your old crowns are visible, those will need to be re-done to match. If they’re on back teeth which don’t show while you smile, I wouldn’t bother changing them though.

Picking a New Dentist

If you do decide to switch dentists over this issue. May I suggest you consider every type of procedure you may want, even future. If it’s just a good general dentist you want, who keeps up with the latest technology, that won’t be too hard to find.

If, however, you have more cosmetic interests in your future you’ll want to find a highly skilled cosmetic dentist. If they keep up with the advances in cosmetic work, you can be almost positive they keep up with the general side as well. So, how do you find an expert cosmetic dentist in your area? I’d check the American Academy of Cosmetic Dentistry’s website. You’ll want to be certain to get a dentist who’s reached accreditation level.

This blog is brought to you by Dr. Mike Malone.