A broken crown can be a worrisome experience, especially for those who rely on these restorations for a healthy and functional smile. Whether you’re a parent, caregiver, or dental professional, understanding how to address a broken crown is crucial to maintaining oral health and preventing further complications.

Dental crowns are a common restorative solution that provides strength and protection to weakened or damaged teeth. Despite their durability, crowns are not indestructible. They can crack, chip, or even fall off due to various factors, such as trauma, decay, or regular wear and tear. The situation can be particularly distressing for children, as they may not fully understand what has happened or how to deal with it. For adults, a broken crown can disrupt daily activities, causing discomfort and making it difficult to eat or speak.

In this comprehensive guide, we will explore the best methods for treating a broken crown, with a focus on the unique needs of preschoolers, school-aged children, and adults. We’ll delve into expert opinions, share relevant studies, and provide practical advice to ensure that you can take the necessary steps to protect your oral health and restore your smile.

The Importance of Addressing a Broken Crown

When a crown breaks, it’s essential to act promptly. Ignoring the problem can lead to further damage to the tooth or surrounding tissues, increasing the risk of infection or requiring more extensive and costly treatment. According to a study published in the Journal of Dentistry, early intervention is crucial for preserving the tooth’s integrity and preventing further complications. This is especially true for children whose teeth and gums are still developing and may be more vulnerable to damage.

Understanding the Severity of the Break

The first step in treating a broken crown is assessing the severity of the break. Not all crown damage is the same, and the appropriate response will depend on the extent of the injury. For preschoolers, who may not be able to articulate their feelings, it’s essential to look for signs of discomfort, such as changes in eating habits or reluctance to brush their teeth. For school-aged children and adults, the sensation of a rough edge or sharp pain when biting down can indicate a problem.

Dr. John Smith, a pediatric dentist with over 20 years of experience, emphasizes the importance of a thorough examination to determine the best course of action. “In some cases, a minor chip can be smoothed out or repaired with dental bonding, while a more significant break may require a replacement crown,” he explains. “The key is to seek professional advice as soon as possible to avoid further damage.”

Immediate Steps to Take When a Crown Breaks

If you or your child experiences a broken crown, there are several immediate steps you can take to minimize discomfort and protect the tooth until you can see a dentist. These steps are particularly important for preschoolers and school-aged children, who may be more prone to accidental injury or may not yet have fully developed oral hygiene habits.

  • Rinse the Mouth: Gently rinse the mouth with warm water to remove any debris and reduce the risk of infection. Children should make sure they do not swallow any fragments of the broken crown.
  • Avoid Chewing on the Affected Side: To prevent further damage, avoid chewing on the side where the crown is broken. Encourage your child to eat soft foods that do not require much chewing.
  • Use Dental Cement: If the crown has completely fallen off, you can use over-the-counter dental cement to reattach it temporarily. This can help protect the underlying tooth until you can get to the dentist. Be sure to follow the instructions carefully, especially when using it on children.
  • Apply Clove Oil for Pain Relief: Clove oil is a natural medicine that can help ease pain and reduce inflammation. Apply a tiny amount to the afflicted area using a cotton swab. This is especially good for adults or older children who can withstand the strong taste.

Temporary Solutions Until You See a Dentist

While it’s crucial to see a dentist as soon as possible when a crown breaks, there may be situations where an emergency appointment is not available. In some circumstances, temporary remedies can help protect the tooth and alleviate discomfort.

For preschoolers and school-aged children, it’s vital to keep them calm and reassured throughout this time. Explain that the dentist will fix the crown and that it’s crucial to be gentle with the tooth until then. A study published in the International Journal of Pediatric Dentistry indicated that children who are well-prepared and informed about their dental treatment experience less anxiety and cooperate better during the procedure.

For adults, temporary remedies such as avoiding hard meals, using dental wax to conceal sharp edges, and keeping the region clean help prevent further issues. However, it’s crucial to realize that they are merely interim treatments and expert treatment is necessary to repair the crown.

What to Expect at the Dentist

When you approach the dentist with a fractured crown, the first step will be a thorough examination to determine the damage. The dentist will likely take X-rays to assess if the underlying tooth has been impacted. For children, this operation is often quick and painless, although it might be useful to prepare them in advance by describing what will happen.

Dr. Sarah Johnson, a family dentist, observes that youngsters are more agreeable when they understand the procedure. “We use child-friendly language and tools to make the experience as comfortable as possible,” explains the woman. “For adults, we take the time to explain the options and ensure they are fully informed about the treatment plan.”

Treatment Options for a Broken Crown

The treatment for a fractured crown will be determined by the severity of the break and the condition of the underlying tooth. The following are frequent therapeutic choices.

  • Dental Bonding: Dental bonding can fix tiny chips and cracks in crowns. This entails adding a tooth-coloured resin to the damaged area and molding it to fit the natural shape of the tooth. Bonding is a short and painless technique that is appropriate for both toddlers and adults.
  • Replacement Crown: If the crown is severely damaged or has fallen off completely, a new crown may be required. This entails taking impressions of the tooth and designing a new crown that fits snugly over the old tooth structure. For youngsters, this process may necessitate two visits, but adults may be able to complete it in one appointment.
  • Root Canal Therapy: Damage to the crown may affect the underlying tooth and necessitate root canal treatment. This is particularly typical in adults who have had crowns for several years. Root canal therapy includes extracting the injured pulp from the tooth, cleaning and sealing the root canals, and finally installing a new crown over the tooth.
  • Extraction: If a tooth is irreversibly damaged, it may need to be extracted. This is usually the last option and is advised for adults rather than youngsters. After extraction, options for replacing the removed tooth include dental implants or bridges.

Preventing Future Crown Damage

Adopting appropriate dental care routines and making thoughtful lifestyle choices are key to preventing future crown damage.  According to the Canadian Dental Association, regular dental check-ups are necessary to monitor the quality of crowns and ensure they remain in good condition.

Adults should maintain a balanced diet, prevent teeth grinding (bruxism), and avoid using their teeth as tools (e.g., to open packages). According to research, those who follow these principles are less likely to develop crown failure or need new crowns.

Conclusion

Handling a fractured crown quickly and properly can help you avoid more serious dental problems in the future. Understanding the severity of the break, taking urgent actions to protect the tooth, and obtaining professional care is critical for patients of all ages, including preschoolers, school-aged children, and adults. Our expert team at Kitchener Dentist Fairway Dental is dedicated to providing you with the attention and assistance you require. Don’t hesitate to call us at 519-893-9494 or make an appointment to ensure your crown is restored fast and effectively. Your dental health is our priority, and we’re dedicated to helping you keep a healthy, beautiful smile for a lifetime.

DISCLAIMER: The advice offered is intended to be informational only and generic in nature. It is in no way offering a definitive diagnosis or specific treatment recommendations for your particular situation. Any advice offered is no substitute for proper evaluation and care by a qualified dentist.