My crowned tooth fell out of my mouth with the post attached. Do I need to have the tooth root removed?

The crown/post came out for a reason.  Rarely does cement just "unstick" and in cases like this, it is most often due to a fracture to the root (decay is likely present as well).  In the vast majority of these cases, this tooth will be coming out.  If it is recemented, it is just temporary (no matter HOW strong the "glue" is).  At this point, a bridge or implant should be considered, and the implant is likely the better and longer lasting choice

Hi:In most cases the tooth and the post can be recemented if there is no damage to the tooth or the post.  Best,Dr. Maddahi

Thank you for your great question. Whether to keep the tooth or remove depends on presence of healthy tooth structure to hold that crown. If there is no decay or a crack present in the tooth, post with the crown can be recemented. Otherwise the tooth should be taken out and replaced with implant or a bridge, if possible. Determination should be done by your dentist and options discussed with you.

If that tooth really is solid with no decay present, it could be recemented. That would be the least expensive option. Most of the time however, when I examine a tooth like this, I find decay or a fracture or both. Patients are often unable to detect this in their own mouth and the tooth seems fine to them. If decay is present, the best case is a new post, core and crown. The worst case is extraction. An implant is much preferable to a crown on a short compromised root.

This would really depend on why the crown and post came out. Usually, it is due to poor condition of the tooth. In these instances the tooth has to be removed most of the time. If there was a cement failure and the tooth was fine than it may be possible to just re-cement. You would really need an evaluation and X-ray to determine the condition of the tooth. Good luck!