A crown on a dental implant isn’t invisible and is prone to either become loose or even break in case of extreme stress, the first thing to do when a crown on dental implant becomes loose or falls off is not to get tensed or worry and visit the dentist with the crown.
Dental Implant is one of the strongest and most durable restoration option available to replace a missing tooth. An implant is either made up of Titanium or (Zirconium – new material under study) which fuse to the underlying bone through osseointegration. The Tooth or crown which is placed on top of the implant to replace the missing tooth is made up of ceramic or porcelain or Zirconium materials. The crown is the part which is exposed to all the external stress of biting chewing and foreign particles come in contact with it.
Note: If you feel that your Crown is loose, immediately visit a dentist as a loose crown can dislodge and can be accidentaly swallowed while chewing or while sleeping.
All three crown materials are very durable but they are not permanent and can lead to damage which can result in either loosening of the crown or it might fall off. The reasons for the crown to become loose are many.
Why do Crowns on dental implant become loose?
There are multiple reasons for the crown on a dental implant to become loose and some can be repaired or the crown just fixed back in place but in some cases the crown’s need to be replaced. In some extreme cases, the whole implant might need replacement. Let us look at the reasons for the dental crown on an implant to become loose –
- Loss of underlying luting cement ( most common cause and easily repairable)
- Breaking of the crown ( the crown needs to be replaced)
- Loss of screw in case of screw-retained implant crown’s. ( The screw needs to be replaced and crown can be fixed back)
- Breakage of Abudment ( the part which joins the crown to implant). This required replacement of the Abutment and sometimes crown, of there, is damage to the implant even the implant needs to be replaced.
- The whole implant has fallen out along with the crown
Reasons why a Crown becomes loose
What to do when a Dental Crown of Implant becomes loose?
For the above-mentioned reasons, we can clearly make it out that there are both reversible as well as irreversible solutions for the problem. In most cases, the crown can be placed back but in some cases like breakage abutment or implant or whole of the implant has fallen out you need to replace the whole implant and cannot just replace the crown.
First, make sure that You preserve the Dental Crown and do not throw it out – Place it a pouch and bring it to the Dentist
Do not try to place it in position by yourself as the crown can be swallowed while chewing etc if it is loose.
If the whole implant has fallen out along with the crown make sure that you visit the dentist immediately as the site of the implant can sometimes be used to place another implant immediately or Bone grafting can be done to make it ready for the future.
Purohit agrawal says
I am Purohit , A Bussiness Man From Nagpur Thanks For Sharing This Blog Tooth loss affects how well you chew and what foods you are able to eat. Some people who have missing teeth have poor nutrition, which can affect overall health. Raw fruits and vegetables require more chewing. Someone who finds it difficult to chew may avoid them. Other options, such as blending, pureeing and juicing, are not always considered.
Carol morris says
Out of interest… If the crown breaks off and the implant falls out..is it my responsibility to pay again?
Varun says
It depends on many factors, the duration for which the implant was placed, the reason for the implant failure, whether the implant has failed or just the crown was broken (in such a case you can replace the crown only). Whether it was body rejection which led to the implant failure etc.
So once this is cleared the Dentist will decide whether you need to pay anything from your side or they will do it for free.
wilma mccarter says
i lost my crown . Buit my pin is still there, What should i do
??
wilma mccarter says
i lost my crown . Buit my pin is still there, What should i do
i have never seen this sight before
Varun says
Your Dentist will most likely, build the tooth using a Restorative material like – GIC or Composite or Amalgam and then can place a crown again depending on the condition of the tooth.
Penny says
my crown with post has come loose and I am frightened to sleep with it in as I can put it back in ok so I know the implant is ok I think the cement has come loose just worried it might come out in the night or i swallow it i cannot see the dentist for 3 days so just checking if it ok to keep it out at night Thanks
Varun says
Its better if you just remove it and keep it aside, as you might swallow it in your sleep and that can be a big problem.
My advice is to keep it aside till you visit your dentist.