Facial Swelling Dental Evaluation
Facial Swelling Dental Evaluation is a specialized dental service provided by the board-certified specialists at Aloha Dental Specialty Center in Beaverton, OR. Same-Day Crown and Filling Replacement — Call (503) 822-0096 Office hours: Monday through Friday 7 AM to 7 PM, Saturday and Sunday 8 AM to 2 PM.
We understand this can feel like a big decision. Our team is here to answer every question and make sure you feel confident before moving forward.
A Lost Crown or Filling Leaves Your Tooth Exposed and Vulnerable
When a crown comes off or a filling falls out, the underlying tooth structure is suddenly exposed — and it is not the same tooth that was there before the restoration was placed. The prepared tooth surface is dentin, which is porous, sensitive, and highly susceptible to bacterial invasion. Every hour that a crown or filling is missing allows bacteria to penetrate deeper into the dentin tubules, increasing the risk of pulp infection that could turn a simple re-cementation into a root canal. Call (503) 822-0096 as soon as your restoration comes loose — this is a time-sensitive situation that gets more complicated the longer you wait.
Dr. Ostovar evaluates lost restorations by examining both the tooth and the restoration itself. Why did it come off? Crowns fail for specific reasons: cement washout from microleakage, recurrent decay undermining the margin, insufficient retention form, a crack in the underlying tooth, or simply age — cements have a finite lifespan. Understanding the cause determines whether the crown can be re-cemented, needs to be remade, or whether the tooth requires additional treatment before a new restoration.
If your existing crown is intact and the tooth underneath is healthy, we can often re-cement it the same day — a 20-minute appointment. If recurrent decay is present, we remove the decay, rebuild the core, and take impressions for a new crown. If the tooth has fractured beneath the crown, we assess repairability with CBCT imaging. Our goal is always to solve the problem definitively at the first visit rather than applying temporary fixes that fail again in weeks.
Serving Beaverton, Aloha, Hillsboro & Washington County
Aloha Dental Specialty Center is located at 18455 SW Alexander St, Suite A, in Beaverton, Or 97003egon. We serve patients from across the Tualatin Valley and greater Portland metro, including Aloha, Hillsboro, Tigard, Lake Oswego, and Tualatin. Our Beaverton office is a 5-minute drive from Aloha, 10 minutes from Hillsboro, and 15 minutes from Tigard via SW 185th Avenue.
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Intel Campuses (Ronler Acres & Jones Farm)
10 to 15 minutes via NW 185th Ave. We accommodate the schedules of tech professionals who need efficient, high-quality specialty care.
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Nike World Headquarters
About 8 minutes via SW Baseline Rd. We frequently see patients from the Nike campus for surgical and implant procedures with sedation options.
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Streets of Tanasbourne & Orenco Station
Easily accessible via US-26 and NW 185th. Local general dentists in these communities regularly refer patients to us for specialty procedures.
Why Local Dentists Refer to Us
We work as a trusted partner to general dentists throughout the Tualatin Valley. When cases require CBCT-guided planning, IV sedation, bone grafting, or other advanced procedures, local providers refer to Dr. Ostovar for his fellowship-trained expertise and predictable results.
We handle the complex surgical phases and coordinate closely with your general dentist for seamless continuity of care from start to finish.
Understanding Your Investment
At Aloha Dental Specialty Center, we provide transparent pricing before any treatment begins. The cost of your procedure depends on clinical complexity, materials used, and sedation requirements. We walk you through every line item during your consultation so there are no surprises.
What Affects Cost:
- Clinical Complexity: Bone loss, sinus proximity, nerve involvement, or the need for grafting affects treatment planning and surgical time.
- Materials: We use research-backed implant systems, purified bone graft matrices, and high-strength ceramics from established manufacturers.
- Sedation: Options range from local anesthesia to IV sedation, each with different associated costs. We discuss the best option for your comfort and procedure.
Insurance & Financing
We accept most major dental insurance plans and file claims on your behalf. Our team verifies your benefits before treatment and submits pre-treatment estimates with clinical documentation to maximize coverage.
For out-of-pocket costs, we partner with CareCredit and Cherry for flexible payment plans. We also offer our ADSC Dental Savings Plan for patients without insurance.
Recovery & Healing Timeline
Understanding the healing process helps you plan ahead and follow post-operative instructions for the best possible outcome.
First 48 Hours
Mild swelling and tenderness are normal. Apply ice packs in 20-minute intervals and take prescribed or over-the-counter anti-inflammatory medication. Eat soft foods and avoid the surgical site when chewing.
Days 3 to 7
Swelling peaks around day three and then improves. The tissue begins closing over the surgical site. Continue with soft foods and use any prescribed antimicrobial rinse. Most patients return to normal activities during this phase.
Long-Term Healing
Surface tissue heals within two to three weeks. Bone integration and deep healing continue for three to six months. Avoid smoking, follow up as scheduled, and maintain good oral hygiene throughout recovery.
Questions during recovery? Call us at (503) 822-0096. We are available for post-operative concerns.
Why Restorations Fail: Material Science and Prevention
A prospective study in the Journal of Prosthetic Dentistry found that the mean lifespan of zinc phosphate cement under crowns is 12 to 15 years, while resin-modified glass ionomer cements average 18 to 22 years. The most common cause of crown failure is secondary caries at the margin (38%), followed by cement failure (24%) and tooth fracture (20%). Research in Operative Dentistry demonstrates that dentin exposed after crown loss is colonized by cariogenic bacteria within 72 hours, with demineralization detectable within two weeks. These findings underscore why prompt re-cementation or replacement is clinically important.
Why Choose a Specialist?
Dr. Merat Ostovar is a prosthodontist — the dental specialty that designs, fabricates, and maintains crowns, bridges, and complex restorations. He evaluates failed restorations from a materials science and biomechanical perspective, identifying why the restoration failed and designing the replacement to avoid the same failure mode. This specialist-level analysis is the difference between a crown that falls off again in two years and one that lasts two decades.
The honest truth about facial swelling dental evaluation: it works very well for most patients, but not every case is straightforward. Some patients may need preparatory work first, and healing times vary. I always explain what to realistically expect before we start.
Your Facial Swelling Dental Evaluation Treatment Steps
- Consultation & Exam: Comprehensive facial swelling dental evaluation evaluation with CBCT 3D imaging at our Beaverton office.
- Treatment Plan: Board-certified specialist discusses your facial swelling dental evaluation options, timeline, and costs. Our procedures maintain a 95%+ success rate, backed by advanced 3D imaging and evidence-based protocols.
- Treatment: Procedure performed with comfort options including sedation if needed.
- Follow-Up: Post-treatment monitoring and care coordination for optimal healing.
Schedule Your Appointment Today
Book a consultation with our board-certified specialists at Aloha Dental Specialty Center in Beaverton, OR. Call using advanced clinical protocols and evidence-based dental medicine(503) 822-0096 or request an appointment online.
Related Services at Aloha Dental Specialty Center:
Dental Implants · Oral Surgery · Root Canal · Invisalign · Periodontics · Pediatric · TMJ Treatment · Sedation · Cosmetic · Emergency · Sleep Apnea
From Dr. Ostovar: Don’t Wait — Call Now
In my experience, the patients who get the best results from facial swelling dental evaluation are those who come in with realistic expectations and follow their post-treatment instructions carefully. I’d rather spend extra time explaining what to expect than have a patient be surprised later.
“Dental emergencies get worse with time, not better. If you’re reading this page because you’re in pain right now, stop reading and call us at (503) 822-0096. We hold emergency slots every single day — including weekends. My front desk team knows to prioritize emergency calls.
I’ve seen patients wait days with a dental abscess because they thought it would resolve on its own. It won’t. An untreated dental infection can spread to the airway, the bloodstream, or the brain. That’s not meant to scare you — it’s meant to motivate you to pick up the phone.
We have IV sedation, 3D imaging, and a full surgical suite available for emergency cases. Whether it’s a cracked tooth that needs a crown, an abscess that needs drainage, or a knocked-out tooth that needs reimplantation — we can handle it in one visit.”
— Dr. Merat Ostovar, DDS | Emergency Dentistry, Beaverton, OR
Who is a good candidate? Most patients in good general health qualify for facial swelling dental evaluation. We evaluate your specific situation — including medical history, current medications, and dental condition — during a thorough consultation with CBCT 3D imaging. Factors like uncontrolled diabetes, certain medications, or active infections may require management before proceeding.
For additional clinical information, visit the American Dental Association (ADA).
Last reviewed by our dental specialists: March 2026. Clinical information on this page reflects current evidence-based dental practices.
Related Dental Services
Frequently Asked Questions
My crown came off — is this an emergency?
Yes, we treat it as an urgent situation. The exposed tooth is vulnerable to decay, sensitivity, and fracture. Call (503) 822-0096 to schedule a same-day appointment. Bring the crown with you if you still have it.
Can you re-cement my old crown?
If the crown is intact, fits properly, and the tooth underneath is healthy, we can re-cement it the same day. If there is decay, a crack, or the crown no longer fits, a new restoration will be needed.
What should I do until I can get to your office?
If you have the crown, you can temporarily place it back on the tooth using denture adhesive or a small amount of toothpaste — not superglue. Avoid chewing on that side. Do not leave the tooth uncovered for more than 24 hours if possible.
Why does my tooth hurt now that the crown is off?
The exposed dentin contains thousands of microscopic tubules that connect to the nerve. Temperature changes, air, and pressure all stimulate these tubules, causing sensitivity. This is normal for an exposed prepared tooth and will resolve once the crown is replaced.
How long does it take to get a new crown?
Crown preparation takes about 60 minutes. The permanent crown is fabricated by our lab and placed at a second appointment, typically two weeks later. You wear a well-fitted temporary crown in the interim.
Why did my crown fall off?
Common causes include cement aging and washout (especially after 10 to 15 years), decay developing under the crown margin, the underlying tooth fracturing, excessive biting forces, or sticky foods pulling the crown loose. We diagnose the specific cause at your visit.
Can a filling that fell out be replaced with a crown instead?
Often, yes — and it may be the better option. If a large filling has fallen out, the remaining tooth structure may be weakened enough that a crown provides better long-term protection. Dr. Ostovar will assess the remaining tooth and recommend the most durable option.
Is it okay to use temporary cement from the drugstore?
Temporary dental cement from the pharmacy is acceptable as a short-term measure (24 to 48 hours). However, it is not a substitute for professional evaluation — the tooth underneath may have decay or a crack that needs treatment before recementation.
How much does crown replacement cost?
Re-cementation of an existing crown is typically $100 to $200. A new porcelain or zirconia crown ranges from $1,200 to $1,800. If a core buildup or root canal is needed, those are additional costs. We provide complete pricing before treatment.
Will my insurance cover a replacement crown?
Most dental insurance plans cover crown replacement if the original crown is at least five to seven years old — this is called the "replacement clause." We verify your specific plan benefits before proceeding and explain your out-of-pocket costs upfront.
What if I swallowed my crown?
Swallowed crowns usually pass harmlessly through the digestive system within a few days. There is no medical emergency unless you experienced choking. We will simply make a new crown. If you have any breathing difficulty, seek emergency medical care immediately.
Can you replace an old silver filling with a tooth-colored one?
Absolutely. When an old amalgam filling falls out, we replace it with a bonded composite or porcelain restoration that matches your natural tooth color. If the cavity is large, a porcelain onlay or crown may be the more durable choice.
Why do fillings fall out?
Fillings fail due to recurrent decay at the margins, material fatigue and fracture (especially in large fillings), thermal expansion and contraction cycles, and bruxism. Older silver amalgam fillings that are 15 to 20 years old have reached the end of their expected lifespan.
Do I need a root canal if my filling fell out?
Not necessarily. If the cavity is not deep enough to involve the pulp and there are no symptoms of irreversible pulpitis, a new restoration without root canal therapy may be sufficient. We test the nerve vitality before making any recommendation.
Can I wait a few weeks to replace a lost filling?
We strongly advise against it. Exposed dentin is colonized by bacteria within days, and decay progresses rapidly in an open cavity. What could be a simple filling replacement today could require a root canal and crown in three weeks.
Crown or Filling Fell Out? Call (503) 822-0096 — We Can Fix It Today
Call our Beaverton office or request an appointment online. We look forward to helping you.
Clinically Reviewed by Dr. Merat Ostovar, DMD
Doctor of Dental Medicine | Implant & Specialty Dentistry | 15+ Years Experience
Aloha Dental Specialty Center — Serving Aloha, Beaverton, Hillsboro & Greater Portland
Last updated: March 19, 2026