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Question:
Loose Crown and Post: About 7 years ago, the tooth next to my front tooth had a root canal and cap with a post.

The post was needed because the tooth had been previously capped about 20 years earlier and it snapped. Recently, the cap with post has been cemented twice and falls out after about 3 months.

Is there a possible alternative to repair this crown and post? Post is attached to the crown. I am trying to avoid a last resort dental implant.

Answer:
More than likely a post and crown that has fallen out twice in a short period of time is not a cement failure but due to one of several other reasons.

The first thing to determine is if the post/crown is poorly fitting. It is possible that the post and crown (usually 2 separate pieces) can be re-made if the remaining root structure is good.

Sometimes a post and crown comes out when the root is fractured. If this is the case then an extraction is the only option. This may also be the best option if the root is short or the post hole is too wide and creating too weak of a root.

If the tooth must be extracted then there are choices for tooth replacement. An implant is often the best option but depending upon each individual situation there are other options to consider.

If you're not satisfied with the answers or options you receive from your current dentist, then by all means seek a second opinion.

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