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Root canal and prepping for crown

  • 09-08-2008 9:58am
    #1
    Registered Users, Registered Users 2 Posts: 862 ✭✭✭


    Just thought I'd ask for some opinion.
    Went to a new dentist some time ago as upper tooth number 6 started hurting. She hit the tooth with the base of the dental mirror and said that it would need root canal treatment and then fitting of a crown. She carried out some remedial treatment and the tooth was fine-no pain. In the meantime, I was referred by my dentist to an orthodontist. He did a professional job (os so I thought). He carried out the RCT and said everything was not fine and prepped for the crown. Went back to my dentist and told her that the tooth was now sensitive to cold and it hurts a little bit. She took another xray (first one by her actually while the ortho took a few). She said that she suspects a hairline fracture but that the crown would keep it all together if indeed there was a fracture. What she did is she prepped my tooth by "injecting" my tooth with the amalgam filing (even though I told her during my first apt that I did not want fast dental amalgam. I asked her why she had done so and she said that it was better and offered much better stability...
    Anyway, I am due t see her in a few weeks.
    Is there any point in proceeding with the crown if there is a fracture?
    Can a fracture in dentistry be treated or does it mean the imminent death of the tooth= extraction
    Why should a tooth without nerves (RCT) be sensitive to cold and pain?


Comments

  • Closed Accounts Posts: 3,489 ✭✭✭iMax


    Just personal opinion, but a root canal thins out the tooth to a shell which the crown is then placed on, effectively a weak support for a crown. For about €800 I see this as being a waste of money as it would requite further treatment many times over down the line. I'd rather spend the money up front & get either a bridge or an implant.

    More expensive, but a better result & one which you'll probably be looking at getting done inside 20 years anyway


  • Registered Users, Registered Users 2 Posts: 862 ✭✭✭regedit


    iMax wrote: »
    Just personal opinion, but a root canal thins out the tooth to a shell which the crown is then placed on, effectively a weak support for a crown. For about €800 I see this as being a waste of money as it would requite further treatment many times over down the line. I'd rather spend the money up front & get either a bridge or an implant.

    More expensive, but a better result & one which you'll probably be looking at getting done inside 20 years anyway

    Thanks for that. Having lived abroad for most of my life and visiting the dentsit in Ireland for the first time I was dissapointed with the service. I got an implant in Croatia about 5 yearsa ago for some 600 Euros. A fantastic job and no problem with it. In Ireland, I had to pay 800 Eu for RCT. In Croatia, I had RCT done twice but they never made a big deal (i.e. booking you in advance, 2 hours etc). Just like any normal dental work. Mercury amalgams are used no longer in most of the continent and here they shove it upyour teeth without even asking.

    Anyone know if I proceed to extracting the tooth, how long would it take for the healing process to complete so that the dental implant can be carried out?
    iMAX,my understanding is that premolars play a crucial role in mastrication. Is that the case and would a bridge be stronger than a crown (bridge supporing itself on another tooth).


  • Closed Accounts Posts: 3,489 ✭✭✭iMax


    I'm not a dentist & don't profess to know anything more than my own experience with them. AFAIK the healing process would be in the region of two months..

    I have two bridges (one each side) & have to be moderatly careful, but they're both "2 piece" bridges (normal is three - one crown either side of the gap). I had a gap & a crown which needed to be replaced anyway, do I took the easier option. a three piece would be sturdier but would cost more & also involved modifying an existing relitively healthy tooth. At some point I'll get all my crowns replaced.


  • Registered Users, Registered Users 2 Posts: 1,127 ✭✭✭BryanL


    a root canal treated tooth can give as long and as good service as an implant.
    The very best teeth are your own teeth,don't rush to extract them for implants etc.
    A crown slides over a tooth and stops any crack going deeper or the loss of further tooth. Often amalgam is placed in the tooth after root treatment to provide a solid core, under the crown.
    it's best to discusss all your options with your dentist and ask them just what condition your tooth is in and what sort of result they expect with the crown placed?
    Bryan


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