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Do I really need a crown?

  • 26-11-2012 12:49pm
    #1
    Registered Users, Registered Users 2 Posts: 1,354 ✭✭✭


    Had a successful root canal on a molar 3 months ago. Procedure carried out to eliminate extreme sensitivity to cold. Tooth itself was always and still is in good shape. So do I really need to crown it? I'm aware of best practice and all that but I need to be convinced that it is essential.

    Thanks.


Comments

  • Registered Users, Registered Users 2 Posts: 7,939 ✭✭✭ballsymchugh


    gebbel wrote: »
    Had a successful root canal on a molar 3 months ago. Procedure carried out to eliminate extreme sensitivity to cold. Tooth itself was always and still is in good shape. So do I really need to crown it? I'm aware of best practice and all that but I need to be convinced that it is essential.

    Thanks.

    does best practice not convince you??


  • Registered Users, Registered Users 2 Posts: 1,354 ✭✭✭gebbel



    does best practice not convince you??

    Normally yes, but that doesn't mean I can't question it. Especially in my case where I have an intact tooth. I'm just trying to tease it out that its an essential part of the treatment. It's a costly procedure, who wouldn't question it?


  • Registered Users, Registered Users 2 Posts: 3,240 ✭✭✭Oral Surgeon


    gebbel wrote: »
    Normally yes, but that doesn't mean I can't question it. Especially in my case where I have an intact tooth. I'm just trying to tease it out that its an essential part of the treatment. It's a costly procedure, who wouldn't question it?

    If it was that intact, it wouldn't have needed the root canal in the first place....

    The decay/fracture/fillings leading to needing the root canal treatment have weakened the tooth. The root canal procedure itself has further compromised the structural integrity of the tooth somewhat. How much is anyones guess here. Generally, you are best to get the crown on a compromised load bearing tooth before you have issues as if you wait until it breaks, it may not be possible or as straight forward....

    It may never fracture but if it does, you have wasted the money spent on the root canal treatment....

    Your own dentist is best placed to advise you...


  • Closed Accounts Posts: 9,535 ✭✭✭btkm8unsl0w5r4


    The tooth is now like a boiled egg where all the egg been taken out. It looks intact but its hollow. ALL molars should have crowns as soon as possible after root canal treatment if economically possible. The risk of a catestrophic fracture are too great, infact these ones that need root canals without significant decay are often very strongly loaded in the bite. The ammount of force you can place on a tooth at the back of your mouth in incredible. Hundreds of kilograms on a small tooth.

    OP defo get a crown.


  • Registered Users, Registered Users 2 Posts: 933 ✭✭✭Dianthus


    gebbel wrote: »
    Especially in my case where I have an intact tooth
    Not any more.
    Google "access cavity" (images) and you'll see exactly what fitzgeme is referring to...


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