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Tooth down to Gum Level - To Crown or not?

  • 06-04-2013 8:43pm
    #1
    nettlesoup
    Registered Users, Registered Users 2 Posts: 42 ✭


    The tooth in question (number 10) is dead and is down as far as gum level, the rest is gone. It currently has a loose crown which I was not happy with anyway. The root of tooth is sound.

    I have been advised to replace with implant as the dentist in question said that they could not give a guarantee if they crowned it. I would actually prefer to go with a new crown.

    I would welcome any opinions.


Comments

  • #2
    btkm8unsl0w5r4
    Closed Accounts Posts: 9,535 ✭✭✭btkm8unsl0w5r4


    If its not going to last then your just wasting time and money. Also the root fracture down the line could severely compromise the result with the implant. If in doubt get a second opinion or a specialist referral.


  • #3
    nettlesoup
    Registered Users, Registered Users 2 Posts: 42 ✭nettlesoup


    Thanks Fitz. Just wondering how a root fracture down the line might compromise the result with an implant, is it by infection?

    Also is there any type of bond that can be pumped into the root canal
    that might secure the post of the crown and reduce the chance of the crown coming loose?


  • #4
    btkm8unsl0w5r4
    Closed Accounts Posts: 9,535 ✭✭✭btkm8unsl0w5r4


    nettlesoup wrote: »
    Thanks Fitz. Just wondering how a root fracture down the line might compromise the result with an implant, is it by infection?

    Also is there any type of bond that can be pumped into the root canal
    that might secure the post of the crown and reduce the chance of the crown coming loose?

    Root fractures tend to blow big holes in the bone. No you cant really reliably bond the root together, remember you can generate around 400kg of pressure between your teeth. Post in teeth do nothing but weaken to root, there is no reinforcement. The post is needed to retain the crown.

    If the dentist thinks its not restorable then dont restore it. If you do be prepared to get very little time out of the crown and possibly make the implant more complex.


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