What to Do When Your Crown Falls Off

A dental crown is designed to protect and strengthen a damaged tooth, so it can be surprising when one suddenly comes loose or falls off. While this situation is common and usually not an emergency, it does require timely attention. In this article we will cover why this can happen, whether pain is normal, and what you can do.

Why Can a Crown Fall Off?

Dental crowns can come off for several reasons, including:

  • Wear and tear over time – The dental cement holding the crown in place can weaken after years of chewing and biting

  • Tooth decay underneath the crown – Decay can reduce the tooth’s shape and grip, allowing the crown to loosen

  • Biting on hard or sticky foods – Ice, hard candy, or sticky foods like toffee can dislodge a crown

  • Grinding or clenching (bruxism) – Excessive force can loosen or damage crowns

  • Changes in the tooth or gums – Gum recession or minor tooth fractures can affect how well the crown fits

Pain: Is It Normal?

Pain levels vary when a crown falls off.

  • No pain: Many people feel little to no discomfort, especially if the tooth has had root canal treatment previously

  • Sensitivity: It’s common to experience sensitivity to hot, cold, or sweet foods.

  • Pain or irritation: If the nerve is exposed or the tooth is cracked, discomfort may be more noticeable.

If you experience severe pain, swelling, or ongoing sensitivity, contact your dentist.

What Should I Do Right Away?

  1. Stay calm and retrieve the crown if possible

  2. Rinse your mouth and the crown gently with warm water

  3. Protect the exposed tooth by avoiding chewing on that side

  4. Manage discomfort with over-the-counter pain relief if needed

  5. Contact your dentist as soon as possible to schedule an appointment

Avoid using household glue/superglue or permanent fixes at home! 

What Are My Options?

Your dentist will recommend treatment based on the condition of your tooth and crown:

  • Re-cementing the original crown – If both the crown and tooth are intact, this is often the simplest solution

  • Adjusting or repairing the crown – Minor modifications may be needed before re-cementing

  • Replacing the crown – If the crown is damaged or no longer fits properly, a new one may be required

  • Additional treatment – If decay or damage is present, further dental work may be necessary before placing a new crown

Prompt treatment often allows for the most conservative and cost-effective option.

We’re Here to Help

If your crown has fallen off, our dental team can assess the situation and guide you through the best solution to protect your tooth and restore your smile. Early care helps prevent complications and keeps treatment simple.

Contact our clinic to book an appointment or ask any questions – we’re always happy to help. :)

Dr David Kim

Dr David Kim is an associate dentist at QC Dental. Having graduated from Charles Sturt University, he brings knowledge & skill along with his gentle and caring character to the clinic.

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