Hello.
This is Seoul Bardi Dental Clinic.
Has a crown you had been using well for a long time
suddenly gone pop out of your mouth?
It happens to more people than you might think.
“You didn’t have any particular pain... and I used it well all this time,
so I can just have it put back on, right?”
Many people think of it this lightly.
Today, we will answer the three questions patients most often ask
when a crown comes off.
- In what situations can a crown be reused?
- If it cannot be reused, what treatment is needed?
Q1. “My crown came off.
Can I just put it back in?”
To give the conclusion first,
if the tooth is clean and healthy, it can be put back on.
If the reason for crown debonding or coming off is not damage inside the tooth,
that is a real relief.
250310
If the tooth remaining inside has no decay and is healthy,
we can clean off the existing cement
and reattach it so it can be used well again.
However, in these cases... it is not possible.
If the inside of the tooth is already decayed
or there is pain in the area where it came off, simple reattachment is difficult.
In such cases, additional treatment is needed.
Q2. “My crown came off.
Do I definitely need root canal treatment?”
Just because a crown has come off
does not mean root canal treatment is always necessary.
If the decay is limited to part of the tooth
and the remaining tooth structure is healthy,
all that is needed is to remove the decay and place a new crown.
However, if the decay is deep
and has infected the nerve,
root canal treatment is necessary.
- Pain when chewing
- A throbbing pain when exposed to cold or hot stimuli
- On X-ray, inflammation visible at the root tip
If you have the symptoms above,
we need to remove the infected nerve tissue and inflammation with root canal treatment, and then make and place a new crown.
There was a patient who came in after leaving a gold crown off for a long time.
At first, they said they were just roughly putting the fallen crown back on at home.
250822 Progression of internal tooth decay after the gold crown came off
If you look at the photo, the decay has progressed quite deeply, right?
At first, the patient also said, “Just stick it back on for me!” but came back a few days later.
“It’s fine when I drink cold water,
but it hurts even if I just bring my hand near it..."

In the end, this patient underwent root canal treatment, and fortunately it was completed well, along with crown treatment.
251010 After root canal treatment was completed
Q3. "The crown just came off. Do I need an implant too?"
Just because a crown has come off
does not mean all cases lead to an implant.
However, unfortunately, in the following cases,
you will need to have the tooth extracted and consider an implant.
This is because treatment more fundamental than simply reattaching the crown is needed.
- Root fracture (crack/split in the tooth root)
250529 Broken fragment due to tooth fracture
250529 A crack extending down to the tooth root on X-ray
- When there is not enough tooth structure due to deep decay, or only the tooth root remains
240831 Front tooth with only the root remaining
240831
- When severe gum disease has caused bone resorption and chronic inflammation to progress
250828
If any of the three cases above apply, unfortunately, extraction and an implant should be considered.
If the crown feels loose,
or there is an unpleasant smell,
please do not panic—keep the fallen tooth carefully
and come to the dental clinic as soon as possible.
At Seoul Bardi Dental Clinic,
instead of saying, “The decay is severe, so you must start over,”
we carefully diagnose the depth of the decay and the condition of the gums,
and prioritize conservative treatment to preserve your precious natural teeth as much as possible.
We provide only the treatment that is truly necessary,
without unnecessary overtreatment.
If you have any questions about today’s content,
feel free to leave a comment anytime!
Thank you.
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Can a Crown That Has Come Off Be Reattached as It Is?
| This post was written directly by Seoul Bardi Dental Clinic for the purpose of providing medical information, in compliance with Article 56, Paragraph 1 of the Medical Advertising Act. The information provided is for reference only, and we recommend that you visit a medical institution and receive guidance from medical professionals for symptom assessment and accurate management methods. All procedures/surgeries performed at the dental clinic may involve risks that vary by individual (inflammation, bleeding, swelling, etc.). Please make decisions after sufficient consultation with the medical staff in advance. The treatment cases in this post were photographed with the consent of patients who completed treatment at our clinic, and the before-and-after photos were taken under identical conditions. |