Tooth crown procedure
Common Questions and Answers about Tooth crown procedure
teeth
So I have not called either dentist or perio -- b/c I feel like this tooth does not need crown lengthening. I have had the procedure done on another tooth with good reason -- it was obviously broken below the gum line. I just think that I have already spent $1100-$1200 on the tooth and have no pains or problems even with a temporary crown staying on or being sensitive.
I'm scheduled to have a crown lengthening procedure done to a tooth that has already had a root canal and the crown kept popping off every year, after 3x, my "new" dentist, if you know what I mean, said I had to get this done or have it pulled. Yikes, needless to say I'm ansy. Can you please tell me how this compares to a root canal? I've been told it is much easier, I'm doing a lot of research, I imagine it depends on much gum needs repositioning.
I thought they had to get the tooth down to a similar size to crown the tooth after a root canal. If the tooth was ok for a crown would it not be a good candidate for a root canal?
I've had two full days of antibiotics, very little relief - esp to heat.
What I don't want them doing is putting the final crown on next Friday when this pain is still not pin pointed.
Ideally, crown lenthening is needed in order to establish biologic width. However, after crown lenthening procedure, interdental papilla may recede and there may be black triangle present between tooth#9 and #10, which compromise cosmetic result. In addition, crown-root ratio needs to be considered.The presenting x-ray does,nt show complete image of the entire tooth.
Before the mold was taken the dentist said he had to grind my tooth off down to where the crown would fit. During the procedure I could rub my tongue over that tooth and feel the tooth had been drilled down to within 1/8 to 1/4 inch of my gums. Why would the dentist have removed the good side that could help support the crown? After he drilled and shaped my tooth, then they did the mold for the crown. How would they know what my original tooth was like after whittling it away?
It sounds like a patient of yours had pain during the crown preparation procedure and now has pain on the opposing dentition as well as the treated tooth. I would also recommend not cementing in the crown permanently if possible and evaluating the tooth in 4-6 weeks after treament. Its possible that there is a pulpitis resulted from the dental procedure. If the pain is persistent or does not improve, it would be a good idea to do a root canal on that tooth.
At any rate tooth is still sensitive to hot and cold. I went in to the endo who did the procedure and he touchd the tooth with cold and at the time in his office I did not feel much pain, but at the right angle on the back of this tooth, I will feel cold and its a sharp pain. Just to reassure myself I took a tooth pick and touched up along the top of this tooth around the gum line where the crown meets the gum. I feel pain when I touch the top of that tooth where some exposed dentin is.
It seems to be most sensitive between the temporary crown and the tooth just behind it. Is it possible the root to the tooth behind the root canal is damaged? I went back to my dentist and he said everything looks fine and the pain should subside with time. I'm just concerned about permanently placing the finished crown (appt is next week) without finding the cause to my existing pain. ..any advice would be most appreciated!
It appears that decay continued or another cavity started, and the decay continued down the side my tooth to the bone. Oddly enough, I really had no pain to signify a tooth problem until a portion of the crown / filling collapsed and currently the only pain I get is from water. The dentist stated that because the cavity was to the bone, there was no easy way to put a cap on it because of lack of support.
an inlay also should be preferred whenever conditions allow over a crown. an inlay is also a conservative procedure as it removes the least amount of the tooth material. Another advantage not mentioned in the literature is that it should be easier to detect a decay around an inlay than in a crown. I would appreciate any comments to the statements above. Thank you in advance.
I NEED TO HAVE A CROWN REPLACED. tHE TOOTH UNDERNEATH IS A SMALL PIECE LEFT. i HAVE HAD TROUBLE IN THE PAST WITH THE CROWN FALLING OFF. nOW THE DENTIST SAYS I HAVE TO HAVE A NEW ONE. WHAT IS THE PROCEDURE FOR REMOVAL AND REPLACEMENT ON A TOOTH THAT IS BARELY THERE. wHAT DO i NEED TO EXPECT DURING MY APPOINTMENTS?
The recommendation for the crown depends on the location of the tooth, the perceived forces that the tooth is subjected to, and the amount of healthy/sound tooth structure that remains. Your tooth is compromised due to cavity and fracture .Further weakening has occurred due to the root canal procedure which has created a hole in the middle of the tooth.
Before I know it the new dentist had my tooth ground down for a crown. He told me that he would install a crown but I guess that I was unsure of what it was. I was horrified when I realized how much of what I thought was a perfectly healthy front tooth was gone. I almost feel mutilated. Was all of this necessary for a small corner chip? He told me that it would last forever but later I saw that his website says crowns should last over 8 years. I almost feel that he upsold me for monetary gain.
I had a root canal and experienced prolonged drilling, deep and hard. This tooth was subsequently crowned. A few days after the root canal the tooth in front of it became quite sensitive. In fact, 5 days after the root canal I returned to the OS complaining of pain and wondering if it was the root canal, which he determined was not the case.
Now my tooth is so extremely sensitive to cold and biting.
Anyways, he referred me to other dentist for root canal procedure and advised that a crown would be needed after root canal procedure. I had a pre-determination done by my insurance and saw that also a post and core procedure would be done along with root canal. I had another dentist look at my tooth and she could not say for sure either whether I would need a root canal or not. She said a Cat Scan of my tooth (not covered by my insurance) will tell me exactly if i need root canal done or not.
Oh my gosh, I was shocked but didnt stop the procedure. He checked it with a tooth he had and began the procedure to put the crown on. He was pushing on my tooth and it hurt so bad that I asked him to put anesthetic in. He got the needle and dripped the fluid all on my tongue and down my throat. I was numb for 4 hours.
He then put the tooth in, then out and shaved it it sounded like, then in, then out, then in, then out, about 11-12 times.
I recently had a cavity removed from a molar. Because it was quite deep, the dentist filled it with a sedative filling and we waited two weeks to see if I experienced any sensitivity. During that time I did not have any sensitivity to cold or hot and the tooth felt fine. Originally, I was told that the remaining tooth structure was about 2 to 3 mm away from the root and that if it did not become sensitive, the tooth would be restored with an onlay.
Then in January 2007, I underwent a free gingival graft procedure where tissue was harvested from my palate - the site was directly adjacent to the tooth with the new crown. Since graft procedure, the crowned tooth has become extremely sensitive to heat and cold and is also uncomfortable with chewing pressure. The tissue graft and harvest site have healed perfectly and both look "excellent" according to the periodontist that performed the procedure.
I am wondering what are all the pros and cons for veneers vs crown, for a root canaled tooth. My tooth has a largish filling on the side in addition to the root canal, so my prime worry is whether a veneer can protect my tooth against getting cracked or damaged. Cost wise they both are about the same, I will be going for metal free ceramic crown/veneer.
Thanks in advance.
While with the temporary crown I complained about pain on the tooth when biting down..The dentist response, the temporary crown is just too high! He went on with the positioning the permanent crown on, adjust the bite and send me home…
I came back complaining that I still have the pain on the same tooth. OH! Then you need a root canal!! He said.
My question is: Shouldn’t he figure that out before putting the permanent crown in?
Is this lack of experience on his part?
different cements, blowing air on the tooth, pressing a permanent crown on a tooth, dilling on a tooth, even picking off temporary cement all inflame the nerve (pulp). Inflammation can be reversible or irreversible. In your case, My plan would be to wait a few more weeks. If there is no improvement, I would remove your crown (I would cut it off if i had to) and make you a new temp and then a new crown that I would cement with a cement that has a sedative mixed into it.
Though I was given a local anesthetic, as soon as the dentist started preparing the tooth, I had tremendous pain. He had to finish the procedure and had to give several more injections to no avail. The tooth, every time he worked on a particular section of it, was completely painful. There was no relief with the local. (This never happened in any other dental procedure I ever had.) He said I probably had an anomolous nerve.
If the nerve is involved, then root canal may be necessary. If the crack goes under the gum line, then a crown lengthening procedure may be necessary-- this procedure helps to expose more of the tooth by repositioning the gum tissue. If the crack goes down the root too far, the tooth may need to be removed altogether. My best advice is not to wait for it to get worse. Cracks are usually not restorable with fillings--the tooth needs to be covered and protected.
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