When a crown/pin breaks off, is an implant the only option?

Question

For many years, one of my front teeth is a crown. It came off several years ago and was re-cemented. Three weeks ago, it came off when the pin broke at the gum line. As a temporary measure, it was re-cemented but with a "splint" on the back side (attaching to teeth on either side) for additional support. I have a consult scheduled for tomorrow re: implant. At 66 yrs., any suggestions? Can the broken pin be removed/replaced with a new/larger one and my crown be re-attached? Thanks

Kourosh Maddahi, DDS · Answer

Hi:There is a slim possiblity that the post can be removed without damage to the tooth.  However, since the crown and the post has come out several times, then doing another post and crown may not be the best long term option.Best,Dr. Maddahi

Joseph B. Silberman, DMD, FAGD · Answer

Without an x-ray and/or photo, I can't comment on your particular situation. However, often times when a tooth breaks at the gumline the way you describe, the best course of action long term is to remove the remaining tooth structure and place an implant. If a larger post can be placed, for arguments sake, the tooth is at a higher risk of completely fracturing necessitating its removal followed by an implant. Your best long term solution is an implant.

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