Name of the Procedure:

Recement Crown (D2920)

Summary

In layman's terms, recementing a crown is a dental procedure where a dental crown, which has come loose or fallen off, is reattached to its original place on the tooth.

Purpose

This procedure is done to reattach a dental crown that has come loose. The goal is to restore the tooth’s functionality, protect the tooth from further decay or damage, and improve the appearance of the smile.

Indications

• A crown that has become loose or detached.
• Dental discomfort or sensitivity due to a dislodged crown.
• Desire to protect a vulnerable tooth underneath the crown.

Preparation

• No significant preparations like fasting are typically required.
• Patients should ensure good oral hygiene before the appointment.
• Bring along the dislodged crown if it is still in possession.

Procedure Description

1. The dentist will first inspect the tooth and the dislodged crown.
2. Any residual cement or debris will be cleaned from both the crown and the tooth.
3. The tooth and crown will be dried.
4. A new dental cement is applied inside the crown.
5. The crown is carefully repositioned on the tooth.
6. Excess cement is removed, and the crown is adjusted to ensure proper bite alignment.

Tools Used:

• Dental mirror and explorer.
• Dental cement application tools.
• Cleaning and drying equipment (e.g., dental drill with a brush, air-water syringe).

Anesthesia:

• Typically, no anesthesia or sedation is required unless the procedure involves significant discomfort.

Duration

The procedure usually takes about 30-60 minutes.

Setting

This procedure is typically performed in a dental office.

Personnel

• Dentist
• Dental assistant

Risks and Complications

• Rare risk of re-displacement if not fitted properly.
• Possible temporary sensitivity of the tooth.
• Risk of crown or underlying tooth damage if the crown was improperly fitted or if the tooth has decayed.

Benefits

• Immediate improvement in dental function and appearance.
• Prevention of further tooth damage or decay.
• Restoration of the tooth’s strength and structure.

Recovery

• Generally, minimal recovery time is needed.
• Patients can usually resume normal activities right after the procedure.
• Avoid eating hard or sticky foods for a short period to ensure the crown sets properly.
• Follow-up appointment if any issues arise.

Alternatives

• Creating a new crown if the old one is damaged.
• Dental bonding if minor repairs are needed.
• Dental implant or bridge if the tooth is significantly damaged or decayed.

Pros of Alternatives:

• New crown or a dental implant might provide a longer-term solution.
• Dental bonding is less invasive.

Cons of Alternatives:

• Higher cost.
• Longer procedure time.
• More discomfort and longer recovery if a new crown or implant is required.

Patient Experience

During the procedure, the patient might feel slight pressure when the crown is being adjusted but should not feel pain. Post-procedure, mild sensitivity might be experienced, which can be managed with over-the-counter pain relievers if necessary.

Pain Management:

• Usually, no major pain management is required.
• Over-the-counter painkillers can be used if there is slight discomfort.
• Communication with the dentist if pain persists or intensifies.