<p>At the end of January, D fainted in a bathroom after having her blood drawn at the doctor’s office. She hit her face on the sink going down and fractured one of her top front teeth. After a root canal on the tooth a temporary crown was placed and the dentist said he wanted to wait a few months to make sure there was no infection before putting on the permanent crown. The first temp. crown came loose three weeks ago and he put on another one. D just woke up and came downstairs upset saying this second temp. crown is now loose. She said when she went to bed last night the tooth was fine. She has an appointment to get the permanent crown started on the 17th of April. We are leaving for NYC tomorrow to visit Fordham and she of course doesn’t want to go with a very loose front crown. Hopefully the dentist will be able to secure it enough to last a week or so. My question is for anyone familiar with front tooth crowns–will the permanent crown be more stable? Is an implant something we should be considering? This entire situation is heartbreaking because she’s a beautiful girl who was always known for her ready smile 
Thanks for any insight.</p>
<p>The permanent crown will definitely be more stable. </p>
<p>I’ve had many crowns in my day and the permanent crown was never postponed to make sure there was no infection. That’s something I’ve not heard of. Maybe there was something special with this tooth.</p>
<p>I have not had a lot of fun with my front tooth crowns. The permanent one will be more stable than a temp. However, I think I have had 3 “permanent” front crowns – and I now have a bridge. </p>
<p>There was a lot of messing around (including multiple oral surgeries) before we finally gave up on the tooth. I wore a temporary “flipper” for six months or so, and then did the permanent bridge which is the best solution – for me. Implants were not standard treatment when all this started – and might have been a good idea if they were really available when I was 20.</p>
<p>Lots of people do very well with their crowns – I am just not one of them!</p>
<p>DH has had crowns on both his front teeth since he broke the teeth in gym class in middle school. (45+years ago) He had root canals done about a week before the crowns were installed and has never had issues with those teeth. </p>
<p>I have a mouthful of crowns, but not my front teeth. I’ve never had a permanent crown come loose. Temps coming loose–frequently. Occasionally even had a temp come off completely. (You can use toothpaste to temporarily stick it back on until you can get to a dentist.)</p>
<p>Since you mentioned your D’s crown coming loose overnight, you might have her checked to see if she grinds her teeth in her sleep.</p>
<p>I have had temporary crowns come off unexpectedly. On a front tooth, there is a little less to anchor to, and she might need to be awfully careful to not bite on anything hard or chewy with that temporary. Many folks have permanent crowns on front teeth and do just fine. Have also heard that denture adhesive can be used as temporary glue for crowns. No personal experience, however.</p>
<p>Dentist suggested S use Polident in case his temporary partial front tooth came out before he could fix it permanently…S didn’t need to, thankfully…</p>
<p>Temporary crowns are usually not securely glued to the tooth. Permanent crowns are secured in place with some very strong adhesives, so they stay put. Research porcelain veneers for front teeth - veneers are basically one-sided crowns; they have been around for ages, and a lot of people do not think twice about getting them for cosmetic purposes. Your D will be OK.</p>
<p>Thanks to all of you for your helpful comments! I will definitely ask the dentist if she is grinding her teeth at night because I can’t think of another reason it would be loose in the morning. I’m hoping she has better luck with the permanent crown and we don’t need to explore other more invasive/costly options but I want a tooth that is functional as well as attractive so we will do what it takes. Thanks again!</p>
<p>I got a permanent crown on my front tooth in 1976. (Diving board accident.) Now, 36 years later, it’s still as secure as the day it was put on. No root canal, or anything. Unfortunately, however, it has stayed its original color while the rest of my teeth have begun to show coffee stains. I think it’s time to do something about that. :(</p>
<p>I would take her to consult with a cosmetic dentist before getting the permanent crown. They can do lovely things with teeth that regular dentists do not do.</p>