Loose or Failing Crown

What to do if your crown becomes loose
If you notice that your crown feels loose or comes away completely, it is important to act quickly:

• Keep the crown safe – If the crown has come off, store it in a clean container and bring it to your appointment.
• Do not attempt to glue it back yourself – Household adhesives are unsafe for dental use.
• Avoid chewing on the affected side – This prevents further damage to the tooth.
• Rinse your mouth gently with warm water to keep the area clean.
• Take over-the-counter pain relief if there is discomfort.

These measures can help protect the tooth until you are seen by an emergency dentist.

Common causes of loose or failing crowns
Crowns are durable, but they are not indestructible. Some common reasons they may loosen include:

• Natural wear and tear over time.
• Decay developing beneath the crown.
• Weakened dental cement or bonding material.
• Trauma or injury to the mouth.
• Excessive grinding or clenching of teeth (bruxism).
• Biting down on very hard foods.

Whatever the cause, our emergency team is here to assess the situation and provide appropriate care.

What to expect at your emergency appointment
When you attend your emergency appointment for a loose or failing crown, your dentist will:

• Examine the crown and underlying tooth to check for damage or decay.
• Take X-rays if necessary to assess the stability of the tooth and root.
• Provide pain relief to keep you comfortable during the procedure.
• Explain treatment options clearly so you can make an informed decision.

Treatment options for a loose or failing crown
The right treatment will depend on the condition of both the crown and the tooth beneath it. Options may include:

• Re-cementing the existing crown – If the crown and tooth are still in good condition, the dentist may be able to clean and reattach it securely.
• Replacing the crown – If the crown is damaged or worn, a new one may be required to restore proper protection and function.
• Treating the underlying tooth – If decay or a fracture has developed beneath the crown, this will need to be addressed first before a crown can be replaced.
• Root canal treatment – In cases where the pulp of the tooth has become infected, root canal therapy may be necessary before fitting a new crown.
• Extraction (in rare cases) – If the tooth cannot be saved, it may need to be removed. Replacement options such as implants, bridges, or dentures can then be discussed.

Aftercare and recovery
Following treatment, you will be given clear aftercare instructions, which may include:

• Avoiding hard or sticky foods on the treated side.
• Keeping the area clean with careful brushing and rinsing.
• Taking recommended pain relief if needed.
• Returning for any follow-up appointments to complete permanent restoration.