Is there a reason to panic, and what to do if you swallow a denture?

Reasons why a dental bridge may fall off

The integrity of the dental bridge is influenced by the following factors:

• The bridge was made to inaccurate measurements. Dentists believe that a bridge can only be made for five crowns and no more, otherwise the bridge design becomes unreliable.
• If the neighboring teeth that support the bridge are poorly prepared for prosthetics, this can also cause the bridge to fly off.
• Crowns for supporting teeth must be made of high-quality material, and they must be fixed with high-quality dental cement.
• Improper oral and dental hygiene. To keep your artificial teeth clean, you should have your teeth professionally cleaned twice a year. If this is not done, the period of wearing dentures will be greatly reduced.

Which bridge material to choose

Metal prostheses are a thing of the past; they have been replaced by progressive designs made from modern materials. Anyone can put a bridge on their teeth, taking into account price and functionality. I suggest installing bridges with segments from 3 to 5 teeth

(now we are not talking about total prosthetics during implantation):

Metal-ceramic bridges

Solid versions will be made by specialists in the laboratory using an impression, taking into account all anatomical features. Layers of ceramics are applied to the crowns by hand and baked at high temperatures. Such bridges are durable and belong to an affordable price category. They are often chosen for molar prosthetics and are suitable for installation on implants. Price – from 17,900 rubles. for 1 tooth.

Ceramic dental bridges

The advantage is rapid production using CEREC technology, indistinguishable from natural ones. Ideal for installation on teeth that fall within the smile zone. But in terms of strength they are close to natural teeth and require careful handling. They are performed on teeth (from 16,900 rubles per tooth) or on implants (from 24,900 rubles per tooth).

Zirconium bridges

Durable, suitable for installation on molars or anterior teeth. For the beauty zone, it is advisable to cover the base with ceramics for complete visual resemblance to real enamel. The CEREC manufacturing process allows defects to be eliminated quickly. Mounted on implants only. Cost from 24,900 rub. per tooth

Plastic temporary bridges

Only temporary structures are produced from plastic (RUB 9,900 per tooth). Temporary bridges are also needed for immediate loading when restoring the dentition using the “All on 4 (6)” protocols.

What to do when a dental bridge has already fallen off?

The best way out of this situation is to see a dentist as soon as possible. When visiting a doctor, you must bring your saved prosthesis, even if it is cracked in half. You should not repair the bridge yourself using various adhesives that can damage healthy teeth.

If the bridge did not break when it fell out, it will be put back in place using dental cement. If the denture breaks, an impression of the patient's teeth will be taken and a dental technician will make a new denture, which will require additional costs and a long time.

What can be done?

In order to increase the chances of the crown coming out naturally, you need to slightly reconsider your usual diet. Experts recommend including more fiber, fruits and vegetables in your menu. The most important thing is to drink as much liquid as possible: juices, tea, water. This is necessary in order to prevent constipation. Do not under any circumstances try to induce vomiting as you have discovered the “loss”.

Please note that the information is provided for informational purposes. Before you do anything, you must undergo diagnostic procedures and follow the doctor’s recommendations.

Method No. 1: sawing with a boron

So, let's figure out whether it is possible to remove a crown with permanent cement.

The method of removal using boron is the oldest and by far the most unaesthetic. This means that after using this tool, the sawn artificial material will only have to be thrown into the trash bin, because it can no longer be used for its intended purpose, that is, it will no longer be possible to re-prosthetize a tooth with it.

The technique is simple, cheap and quite effective, but it must be used by a doctor who has a high level of professionalism, because the approach requires caution and precision. An inexperienced specialist may damage the tooth itself or the soft tissue around it during the dismantling process.

With this method, it will not be possible to reuse the crown

“We removed the crown from the tooth with a regular bur and simply sawed it in half. There’s nothing terrible, but when the material got very hot, the smell, I’ll tell you, was not very good, plus there were slightly painful and uncomfortable sensations, even despite the fact that I had been given anesthesia before this, and the tooth itself had been under the prosthesis for a long time depulped!"

Mari, review from 32top.ru

This method is used if the patient has dentures made of inexpensive materials, which he would not mind disposing of later. The method is also suitable if the artificial structure itself is mobile or wobbly. Then it is simply sawed to the teeth, then, using special tools, the resulting edges are carefully bent in different directions and removed.

Algorithm of the doctor’s actions after the procedure

After removing the product, the dentist performs a clinical examination of the tooth. X-ray diagnostics are performed. The dentist’s actions depend on the clinical situation:

1. Treatment of the inflammatory process. If there are signs of pulpitis, periodontitis or other pathologies, the doctor removes the pulp and cleans the canals, applies medicine and installs a temporary filling. After the inflammation is eliminated, a filling is performed.
2. Restoration. Helps prevent destruction of dental tissues due to cracks in the crown.
3. Replacement of dental cement.
4. Complete replacement of an artificial crown.

Self-removal of the crown

Self-removal of a dental prosthesis is strictly prohibited. Only a qualified doctor can perform the procedure correctly. When removed at home, there is a risk of damage to the crown, injury or infection of the mucous membranes.

A dental bridge has become loose – what to do? Possible causes and solutions to the problem

Dental bridge prosthetics is a popular dental practice today, with the help of which segments of missing teeth are successfully restored. Such an orthopedic structure can be installed with support on your teeth or roots located on the sides of the defect, or on implants implanted into the bone. It also happens that after some time after fixation, the prosthesis becomes mobile. Such a nuisance can happen the next day after the procedure, or months and even years later. Later in this article we will look at why a dental bridge is loose and what needs to be done when characteristic signs of the problem appear.

Comments

Good afternoon. My metal-ceramic bridge on one tooth became movable. It is possible to remove the bridge without damage in order to reuse it. Thank you.

Svetlana (06/18/2019 at 11:25 am) Reply to comment

Dear Svetlana! As a rule, no, the bridge is completely removed (you need to saw it). In addition, it is fixed on at least 2 supporting teeth, which apparently have become unusable.

Editorial staff of the portal UltraSmile.ru (06/21/2019 at 12:23 pm) Reply to comment

Tell me, how do you remove the crown from the implant?

AlinaR. (06/22/2019 at 17:29) Reply to comment

Dear Alina! There are two extraction methods here, and which one to use will depend on how the crown is attached to the implant. If the fixation was screw (which is more preferable), then the doctor will simply unscrew the screws connecting the crown, implant and abutment. If the fixation was cement, then the specialist will use the cutting method - others are not suitable for implantation.

Editorial staff of the portal UltraSmile.ru (06/25/2019 at 09:19) Reply to comment

Which doctor should I go to to have my crown removed?

Makar (06/30/2019 at 10:02 pm) Reply to comment

Dear Makar! This manipulation should be performed by an orthopedic dentist.

Editorial staff of the portal UltraSmile.ru (07/03/2019 at 09:17) Reply to comment

Is this procedure, removing a crown from a tooth, painful?

Arfa (07/18/2019 at 04:47 pm) Reply to comment

Good afternoon This procedure cannot be called pleasant and comfortable, but it is painless, because... the doctor applies anesthesia. In addition, in most cases, crowns are used to replace already pulpless teeth that do not have a nerve. Pain and discomfort can only occur if inflammation has begun under the crown. Then pain can be felt not only in the tooth itself, but also in the soft tissues surrounding it.

Editorial staff of the portal UltraSmile.ru (07/26/2019 at 09:33) Reply to comment

Will my tooth hurt after the crown is removed?

Vedeneeva Victoria (05.08.2019 at 19:05) Reply to comment

Dear Victoria. A tooth can only hurt if it has developed periodontitis or granuloma. Less often, pain occurs because the crown removal procedure was carried out by a not very professional doctor, who could injure the gums or mucous membranes, or damage the tooth itself.

Editorial staff of the portal UltraSmile.ru (08.08.2019 at 09:25) Reply to comment

Tell me, what if the crowns do not fit tightly to the gums on the back side, where is the palate? is this normal? that is, the tricrowns on the right entered the cast gums; three crowns _and the other three on the back side I feel their edges with my tongue….

san (01/09/2021 at 04:13) Reply to comment

a metal-ceramic bridge costs 10 months on one side it moves away and sways I was at the doctor’s appointment and the answer was swing the entire bridge and come what to do

Natalia (09.12.2021 at 18:51) Reply to comment

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Tip #2: Assess the situation and be prepared for complications

If you swallowed a tooth crown, what should you do? First of all, try to be near the mirror and assess the situation. Consider the magnitude of the “loss.” Did the crown break off partially or was it completely swallowed? In the first case, you should be wary and closely monitor your condition, and it is also advisable to see a doctor as soon as possible, because the piece could have sharp edges that could injure the gastrointestinal tract and esophagus.

Our gastrointestinal tract is designed in such a way that other objects that are no larger than a tablet in size can freely pass through it along with food. But sometimes troubles still happen. Let's look at what other complications this situation is fraught with:

• internal bleeding,
• perforation of the wall of the stomach or intestines,
• intestinal obstruction.

If you have alarming symptoms, you should consult a doctor.
So, if the crown is intact, smooth and round, then it will not cause harm, and in this case, doctors advise sticking to a wait-and-see approach in the first few days. Most likely, either a natural or an artificial tooth will leave the body in the most natural way - depending on the individual characteristics of the body, this can take up to 4 days.

But if you believe that the edges of the swallowed fragment could be sharp and want to protect yourself, then it’s time to see a doctor. You should also be alerted to the alarming symptoms accompanying complications if you monitor your condition for several days rather than immediately go to a specialist: nausea or vomiting with blood, feces with blood, wheezing or wheezing, shortness of breath, signs of general intoxication of the body.

Method No. 2: using ultrasound

Are you wondering how to remove a crown from permanent cement in one of the safest and most innovative ways, and without causing any damage to it? Then ask your dentist if it is possible to use ultrasound in your case. Through impulses, the doctor acts on the cement composition, which gradually cracks. The specialist moves along the “tooth-crown” boundary; under the influence of vibrations, the cement is destroyed.

The product can be removed using ultrasound

The procedure really allows you to remove the structure in its original form, but it has a number of disadvantages. First, ultrasound has a rather gentle effect, so it is not always possible to achieve the goal the first time, and sometimes you have to visit the doctor several times. Secondly, only products that are made from not very dense materials are amenable to hardware exposure to sound waves. For example, it will not be possible to remove structures made using glass ionomers using ultrasound. Third, vibrations may be unpleasant for the patient.

Method No. 5: using the Coronaflex device

The device looks like a pistol, and its operating principle is based on compressed air, which escapes from the device under pressure and breaks the cement. At the same time, this device does not have any negative effect on the artificial material of the structure or on the soft tissues of the patient.

The Coronaflex device is not available in every dentist today, so the procedure with it will be more expensive compared to other methods. However, it makes sense to use the device if you have a zirconium dioxide crown, which can be reinstalled after, for example, the tooth under the structure is cured. In addition, the procedure using this device is more comfortable, safer, and requires less time to solve the problem. Also, according to patient reviews, the device makes virtually no noise, which allows you to feel comfortable in the dentist’s chair.

The Coronaflex device removes the crown quite comfortably

If a child swallows a tooth

In the period from 6 to 11 years, active replacement of primary teeth with molars occurs. They fall out painlessly, so a situation often arises when a baby eats a molar while swallowing food. Parents should not panic: they do not have sharp edges or roots.

A hearty lunch - as a solution to the problem of a swallowed prosthesis

To ensure tooth extraction naturally, doctors recommend feeding your baby foods that stimulate the intestines. If your child has swallowed an incisor, make him oatmeal with some pieces of prunes added. Beet salad, fermented milk products and sweet yogurt improve and speed up the process.

Prevention helps to prevent tooth swallowing. When brushing every day, you should inspect your mouth to look for chips or cracks. Every 6 months you should visit a dentist who checks the condition of the crown and prosthesis, the quality of cement or clasps.

Video - what happens if you swallow a tooth or denture

Why do you need to remove crowns?

1. The need to treat the tooth that is under the crown. Painful sensations and an unpleasant odor are signs of the development of pulpitis or even periodontitis (if the tooth has not been depulped). Most often, treatment occurs without removing the crown, but everything depends on the qualifications of the doctor and the clinical case. A hole is drilled in the crown through which diagnosis and treatment are carried out.
2. Destruction of the material on which the crown was installed. The orthopedic structure begins to wobble, causing discomfort while eating and talking. Sometimes, in order to re-fix the crown, you can do without damaging the orthopedic structure.
3. Re-prosthetics. These are cases when patients themselves want to replace them with a better quality crown.
4. Poor quality design. If the crown is cracked or does not fit well to the neck of the tooth and affects the bite, it must be replaced with a new one.
5. The service life has expired.

How a dentist can help

When answering the question of what to do if a dental bridge is loose, it is worth emphasizing again that first of all you need to seek professional help. In such cases, the orthopedic structure is removed, for which in modern dentistry they usually use ultrasonic units for decementing. Also for this purpose, special crown and bridge removers can be used, for example, a Kopp apparatus or other equipment. In some situations, if the prosthesis is intact and there are no signs of damage on it, it can be installed back after troubleshooting.

Kopp apparatus for removing orthopedic structures

If the orthopedic structure cannot be removed without damage, the specialist may resort to the help of special scissors and crown-cutting forceps. In this case, after that you will have to take impressions again and create a new prosthetic device.

After removing the bridge, the doctor carefully examines the condition of the mucous membrane and supporting teeth. If necessary, anti-inflammatory therapy is prescribed, but first the specialist removes plaque and accumulated deposits. In most cases, it is necessary to re-fill the channels in the supports, install new pins or stump inlays. If the teeth have already decayed too much, they are removed and after restoration they return to the question of finding alternative methods of restoration, for example, the optimal solution in such a situation would be implantation.

It also happens that the reason for bridge mobility is the end of its service life. If cracks, severe abrasions or chips appear on it, a new structure will need to be made.

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