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Medical Forum / General / Dentistry / March 2009Safe to go bare after temp crown failure?
Had a crown for 10 years on #4. Found slight decay via x-ray, dentist removed crown to fix and did a composite filling. He attempted to replace the crown, but then said that the porcelain fell off the crown. I didn't have the funds for a new crown, so he did a temp crown (he indicated that the cost would be minimal, then charged me $275 for the temp (about half what it would have been for a perm crown with my insurance - my fault for not asking, but I digress....). That was last May, and the temp is starting to fail.....my question is - would it be safe to go bare, since the underlying tooth has been filled and thus protected? I thought I could, as long as I didn't mind the aesthetics of it all, but the hygienist said no way, since the tooth (having been previously prepped for the original crown) is now too weak to stand on its own and be unprotected....I couldn't ask the dentist, as he was "too busy" to come talk to me...... What's the truth? I already favor that side since it's a temp, and I can continue to be careful if I need to....is it safe, or do I need to get a loan and do the crown? Thanks for any help. I need a few years b4 I will be able to afford a new crown. >Had a crown for 10 years on #4. Found slight decay via x-ray, dentist removed >crown to fix and did a composite filling. He attempted to replace the crown, but [quoted text clipped - 15 lines] >Thanks for any help. I need a few years b4 I will be able to afford a new >crown. Isn't there anyone who wants to comment? Wondering if my post even made it to the group.....although it shows on my end.... 'Going bare' is not a great idea, but not from a lack of strength. Get a pre-fab stainless steel crown if you can't afford the good one right now. JMO, D >>Had a crown for 10 years on #4. Found slight decay via x-ray, dentist removed >>crown to fix and did a composite filling. He attempted to replace the crown, but [quoted text clipped - 18 lines] > Isn't there anyone who wants to comment? Wondering if my post even made it to > the group.....although it shows on my end.... >'Going bare' is not a great idea, but not from a lack of strength. Then why is it not a good idea? Infection, etc? Just curious.... >Get a pre-fab stainless steel crown if you can't afford the good >one right now. > >JMO, >D Thanks for the reply. Is there a place where I can go to buy such a crown, or do I ask the dentist to do it? I hope that's not a silly question, but when you say "pre-fab" it sounds like you mean they are already made, so can you actually buy them in a store? Or do you mean they are already made but in different sizes so that the dentist would need to size one to my particular fit? Can you give me a ballpark cost of one of these? Or the appropriate code? I can then look for it on my co-pay schedule. Thanks again for the help. You need to have a dentist numb the tooth, maybe adjust the preparation that is already cut, and fit the stainless steel crown. Us dentists out in the boonies do this for patients fairly often. It isn't 'ideal treatment', but it is safer than having no crown at all. D >>'Going bare' is not a great idea, but not from a lack of strength. > [quoted text clipped - 16 lines] > > Thanks again for the help. On Feb 17, 11:24 pm, indig...@help.com wrote: > >'Going bare' is not a great idea, but not from a lack of strength. > [quoted text clipped - 16 lines] > > Thanks again for the help. ADA Code D2931 If it is covered by your plan, beware that your plan may deny benefits for 5 years for ANY OTHER crown on the tooth i.e. a gold or porcelain final crown. >On Feb 17, 11:24 pm, indig...@help.com wrote: >> >'Going bare' is not a great idea, but not from a lack of strength. [quoted text clipped - 21 lines] >may deny benefits for 5 years for ANY OTHER crown on the tooth i.e. a >gold or porcelain final crown. Thanks to both of you. That would cost me $131, which would be tough but better than the $700 or so the regular crown would cost me. It sucks to be me, since once you add each procedure I get done to that tooth, I'll surely end up spending more in the long run. Already spent $275 for the temp, now $131, etc, etc, etc. Would that SS crown have a chance of lasting five years? Once again, just so I understand, what is the reason I have to cover it? Is it as the hygienist said - that it is no longer strong enough? What could happen? Loss of the tooth? Thanks again. On Feb 19, 7:48 am, indig...@help.com wrote: > >On Feb 17, 11:24 pm, indig...@help.com wrote: > >> >'Going bare' is not a great idea, but not from a lack of strength. [quoted text clipped - 33 lines] > > Thanks again. If you go "bare", the spacing between the prepared tooth and the adjacent tooth will close until the prepared tooth touches the adjacent tooth. Also, the upper tooth will drop downward along with the prepared tooth moving upward, with an overall resulting in a problem that cannot be fixed without having orthodontic tooth movement to regain the lost space that is necessary to fabricate a crown. The stainless steel crown will fit like socks on a rooster, but it can buy you some time. That said, over time (? 2 - 5 yrs?) the ill-fitting stainless steel crown will allow for bacteria to hide between the crown and the tooth resulting in tooth decay, gum disease, or both. Another 2 edged sword if you will. The best treatment is to get a well fitting/adapted final crown. You should google "stainless steel crowns". >On Feb 19, 7:48 am, indig...@help.com wrote: >> >On Feb 17, 11:24 pm, indig...@help.com wrote: [quoted text clipped - 48 lines] >fitting/adapted final crown. You should google "stainless steel >crowns". Thanks for the information. I've called a bunch of dentists, and not one of them will do the stainless steel crown. so I'm back with another question. That temp crown has a small slice/hole in the middle of the biting surface. Is there any type of cement or filling material that I can get to seal it up temporarily? Would any dentist do that for me, or will I just have to get a new temp (assuming I can even find one who will do even that)? |
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