HELP! I broke a crown over a dental implant!?

In one of my front teeth, I have a dental implant, which naturally has a crown over it. Now, being the idiot I am, I managed to crack it all the way across the back, and it broke. The whole bottom half and front piece (which I guess it connected to it) are wiggly and loose to the point where I fear if I eat or drink anything, it will fall off. I called my dentist, she's having me come in first thing tomorrow morning. In the meantime, what do I do? If it falls off, will it hurt me? I know I might cut my tongue on the edge of the top piece, but would anything else potentially harmful happen to me? The screw can't come out while I'm asleep or anything, right?

HELP! I broke a crown over a dental implant!?
I'm a dentist.





Without seeing what's going on, I cannot make a diagnosis.





Crowns, when they fail, fail catastrophically. This means that something breaks off completely. The fact that something is still attached to the implant and wiggling, however, suggests that the abutment screw is loose. The crown may certainly be damaged and in need of replacement, but my concern is the implant. Implants, just like tooth roots, can fracture (which would also cause the screw to be loose).





As for the whole thing coming off in your sleep, it's certainly possible. I would recommend sleeping with your head propped up.
Reply:sounds like the implant post screw has come adrift.


maybe the implant is placed at an acute angle which is causing undue stress to the post.


if the crown is not removable then it will need to be cut off and the post will need to be resecured.

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