When a crown comes loose or falls off, the tooth beneath may feel sensitive, unfamiliar or difficult to chew on. A crown protects prepared tooth structure, so leaving it uncovered can increase the risk of damage. Emergency Dentist Kensington provides assessment of loose and missing crowns, including whether the original restoration can be reused. Keep the crown if you have it and bring it to the appointment. If you are nervous about attending, let the team know when arranging your visit. You can explain what you find difficult, ask for a pause during the assessment and discuss the proposed care at your own pace. Bring any recent dental information you have, and mention allergies or changes in your medicines. The advice on this page is general; the instructions given by your treating dentist take priority.
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Understanding the problem
Cement can weaken with time, while decay underneath a crown may change the support or fit. Sticky foods, heavy biting forces and injury can dislodge a restoration. Sometimes a piece of tooth or a post comes away with the crown. A fracture of the supporting tooth changes the treatment needed, which is why simply sticking the crown back without assessment is not advisable.
When to arrange an assessment
A crown may wobble, feel different when biting or come off completely. Exposed tooth tissue can react to hot, cold or sweet foods. Discomfort, a bad taste or swelling beside the crowned tooth should be reported. Stop chewing on a loose crown because it may detach unexpectedly. Contact the practice even if there is no pain so the tooth and restoration can be checked.
Assessment and treatment options
The dentist examines the crown, margins and supporting tooth, with imaging where needed. An intact crown may be cleaned and recemented if the fit and tooth are suitable. Decay or damage may need treatment first. If the crown cannot be reused, a temporary covering and a replacement restoration may be discussed. Where the pulp is affected, root canal treatment may form part of the plan. Suitability, appointment timing and separate treatment fees are explained after assessment.
Your emergency appointment and fees
A private emergency appointment at Emergency Dentist Kensington costs £95 for a comprehensive emergency assessment with a dentist. The assessment helps establish the cause of your symptoms and the next appropriate step. Further treatment is charged separately, and the team will explain the proposed care and associated costs before you agree to it. Do not assume that a repair or procedure is included in the assessment fee. You can call 020 4652 9565 or use our online portal to check appointment availability.
Looking after your oral health
Attend reviews so crown margins and the supporting tooth can be monitored. Daily brushing with fluoride toothpaste and interdental cleaning help reduce decay around the restoration. Avoid pulling sticky foods against a crown and discuss clenching if restorations repeatedly loosen. A crown can require maintenance or replacement over time; early changes in fit or sensitivity are worth checking.