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Emergency dental treatments

Recementing a crown that has come off: what to do and what we check first

A crown that has come off in one piece can often go straight back on, the same day, in about twenty minutes. What matters is what you do with it in the meantime, and what we find underneath.

Recementing a crown

Dr Ibraheem IjazClinically reviewed by Dr Ibraheem Ijaz, Principal Dentist · GDC 301711 · Last reviewed April 2026

What to do with the crown that has come off

Find it and keep it. Rinse it under the tap, put it in a small container or a sealed bag, and bring it with you. Do not wrap it in tissue, which gets thrown away, and do not leave it in a pocket. If the crown came off while eating and you think you may have swallowed it, do not panic; it will pass, but tell us so we can plan a replacement.

Do not glue it back with superglue or any household adhesive. Superglue sets hard and uneven, so the crown sits high, the bite is wrong, the tooth underneath is trapped in a pocket of bacteria and we often cannot remove the glue without damaging the crown. A chemist’s temporary dental cement, used sparingly, is acceptable if you cannot get to us the same day; our guide to temporary fixes before your appointment explains how. Keep the exposed tooth clean and expect it to be sensitive to cold and to biting. If the tooth underneath has had a root canal there will be no sensitivity, but it is more fragile than a live tooth and should not be chewed on.

When a crown can be recemented and when it cannot

The crown itself is rarely the problem. It comes off because the cement has washed out, because decay has softened the tooth it was sitting on, or because the tooth has broken. Which of those happened decides what we can do.

Cement failure only.

The crown is intact, the tooth underneath is sound, and the crown still seats fully with a click. This is the ideal case and we recement it straight away.

Decay under the crown.

Soft, brown tooth inside the crown or on the stump. Small decay can be cleaned and the crown recemented; larger decay means the crown no longer fits and a new one is needed, with a temporary crown in the meantime.

The tooth has broken inside the crown.

If there is a piece of tooth inside the crown when you find it, the stump has fractured. Whether it can be saved depends on how much is left above the gum; sometimes a post can rebuild it, sometimes extraction is the honest answer.

A post crown has come out.

If the crown has a metal or fibre post attached, it came out of a root-treated tooth. These can often be recemented but the root must be checked for cracks first.

The crown is damaged.

A cracked porcelain crown or a bent metal margin will not seal, and recementing it only postpones the replacement.

Recementing a crown step by step

Examination and X-ray.

We look at the tooth, look inside the crown, and take an X-ray to check for decay under the gum line and for cracks in the root. This is the standard £30 examination.

Cleaning.

Old cement is picked and brushed out of the inside of the crown, and any residue is removed from the tooth. If the crown is metal-based we may sandblast the fitting surface lightly to help the new cement grip. Anaesthetic is rarely needed; the tooth can be sensitive to air and water, so we work briskly.

Try-in.

The crown is seated dry to confirm it goes fully home, then you bite on coloured paper to check the bite is exactly as it was.

Cementing.

The tooth is dried and isolated with cotton rolls. A permanent cement, usually a resin-modified glass ionomer or a resin cement, is mixed and loaded into the crown, which is pressed firmly into place. You bite on a cotton roll while it sets, around three to five minutes.

Finishing.

Excess cement is flicked away from the gum margin with a probe and floss, and the bite is checked again. Total time is 15 to 25 minutes.

Fees for recementing a crown

Recementing is one of the least expensive emergency treatments and usually fits inside the examination slot. If the crown needs replacing, 0% finance over 6 to 18 months is available through Tabeo. The full price list is on the emergency fees page.

TreatmentFee (from)
Emergency examination including X-rays£30
Recementing an existing crownQuoted in writing at the examination
Temporary crown, if the original cannot be reusedQuoted at the examination
New all-ceramic crown£750–£1,000
Out-of-hours (after 6pm weekdays, weekends)Additional charge

Aftercare once the crown is back on

The first 24 hours. Avoid chewing on the crown for an hour while the cement reaches full strength, and avoid anything sticky, such as toffee, chewing gum or dried fruit, for the rest of the day. If the tooth was sensitive while the crown was off it may take a day or two to settle. Painkillers are rarely needed.

The first week. Chew normally but be sensible with very hard foods. Floss the crown by pulling the floss out sideways rather than snapping it back up, which can catch the margin. If the crown feels high when you bite, do not put up with it; a two-minute adjustment fixes it. Call us if the crown feels loose again, if it comes off, or if the tooth begins to ache on its own, which can mean the nerve was damaged by the period the tooth was exposed.

Why crowns come loose in the first place

Most crowns fail at the cement line after ten or more years of thermal cycling, hot tea and ice cream, which slowly dissolves the cement. Some come off because the tooth underneath was short or tapered and gave the crown little to grip; these may need a different cement or a new crown with a better shape. Grinding or clenching at night puts heavy sideways forces on crowns and shortens their life, and a night guard is worth discussing if you wake with an aching jaw. Decay creeping under the margin is the most common reason a recemented crown fails a second time, which is why we X-ray before we recement rather than simply gluing it back. Our crowns page explains what a modern all-ceramic replacement involves.

Questions, answered

Common questions

Can I glue my crown back on myself?

Not with superglue or household adhesives, which damage the crown and trap bacteria against the tooth. A chemist’s temporary dental cement is acceptable for a day or two until we can see you.

How much does it cost to recement a crown in Sheffield?

At Deepcar Dental Care the emergency examination with X-rays is £30 and the recementing fee is quoted in writing at that visit before we start. It is one of the least expensive emergency treatments.

Is a crown falling off an emergency?

It is urgent rather than dangerous. The exposed tooth is vulnerable to decay, sensitivity and fracture, and a crown left off for weeks may no longer fit because the neighbouring teeth drift. Aim to be seen within a few days.

Why does my crown keep coming off?

Usually because the tooth underneath is short or tapered and gives the crown little to grip, because decay has changed the fit, or because night-time grinding is loosening it. A crown that fails twice normally needs replacing rather than recementing.

Does recementing a crown hurt?

No. The tooth may be sensitive to air and cold while it is uncovered, which we minimise by working quickly, and anaesthetic is rarely needed.

The tooth came out inside the crown. Can it be fixed?

That means the tooth has fractured. If enough root remains above the gum a post and core can rebuild it and a new crown fitted; if not, extraction and replacement with an implant or bridge is the honest option.

How long will a recemented crown last?

If the tooth underneath is sound and the crown seats fully, it can last many more years. If the crown came off because of decay or a poor fit, recementing is a short-term measure and a new crown is the real fix.

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