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Medical Forum / General / Dentistry / September 2004Permanent cement not needed for a Gold crown?
A molar that had a root canal was given a gold crown some months ago. My dentist says a permanent filling isn't needed and suggests we leave it as is in case any problem develops. He insists there is no risk by leaving it with just the temporary cement because it fits well and there are no spaces. Do you think this it's okay to leave the gold crown this way? >A molar that had a root canal was given a gold crown some months ago. My >dentist says a permanent filling isn't needed and suggests we leave it as [quoted text clipped - 3 lines] > >Do you think this it's okay to leave the gold crown this way? YES, but be aware that the temporary can wash out. You can check it if its a lower tooth .... uppers involve two mirrors .... JOEL > A molar that had a root canal was given a gold crown some months ago. My > dentist says a permanent filling isn't needed and suggests we leave it as [quoted text clipped - 3 lines] > > Do you think this it's okay to leave the gold crown this way? Depends upon the temporary cement. But why not use a more permanent material in the access hole? Amalgam or resin won't leak as much, won't wear as much, and is almost as easy to remove if necessary. Another question is why he thinks a problem may develop. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > A molar that had a root canal was given a gold crown some months ago. My > dentist says a permanent filling isn't needed and suggests we leave it as [quoted text clipped - 3 lines] > > Do you think this it's okay to leave the gold crown this way? nope! the temporary cement is only for short period .The retension depends on preparetion cements shoudnt be the main poit of retension.You must exchange the temporary cement into permanent becouse of mickro-leak(percolate) regards My dentist said permanent cement is not needed because the gold crown fits so well there are no spaces with the kind of temporary cement used. I don't know any other reason. I could go back and ask for permanent cement but what do I say? Dr. X the dentists on the internet say you should use permanent cement :-) I mean, is my dentist really wrong about this? If he is, then please give me some particular reason that I could give to him. Thanks! I think :-) > My dentist said permanent cement is not needed because the gold crown fits > so well there are no spaces with the kind of temporary cement used. I don't [quoted text clipped - 4 lines] > > Thanks! I think :-) There is no polite way to say this--there is ALWAYS a space, even if microscopic. If the cement is soluble, it will sooner or later wash out. He is wrong, or may have some reason to suspect he may have to remove the crown to check it for some reason. Under the circumstances, he may simply refuse, and this is his right. It is also your right to check with another dentist. Steve His dentist is right on...the tooth had a root canal and THEN a crown. No access hole in the new crown. He put it on with temp glue. I've done this many times and just schedule the patient in 4-6 weeks to bump it off and permanent cement if it has calmed down. I wouldn't leave it on for much longer due to leakage as the others here have stated.. > > My dentist said permanent cement is not needed because the gold crown fits > > so well there are no spaces with the kind of temporary cement used. I don't [quoted text clipped - 13 lines] > > Steve > His dentist is right on...the tooth had a root canal and THEN a crown. No > access hole in the new crown. He put it on with temp glue. I've done this > many times and just schedule the patient in 4-6 weeks to bump it off and > permanent cement if it has calmed down. I wouldn't leave it on for much > longer due to leakage as the others here have stated.. My presumption is that the dentist intended to leave it in temp. cement indefinitely. If it is to be used temporarily for a reasonable length of time that is something altogether different. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 What do you use to 'bump' the crown off ? >His dentist is right on...the tooth had a root canal and THEN a crown. No >access hole in the new crown. He put it on with temp glue. I've done this [quoted text clipped - 22 lines] >> >> Steve -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >What do you use to 'bump' the crown off ? CROWN BUMPER ... why do you ask? >>His dentist is right on...the tooth had a root canal and THEN a crown. No >>access hole in the new crown. He put it on with temp glue. I've done this [quoted text clipped - 22 lines] >>> >>> Steve >>What do you use to 'bump' the crown off ? > >CROWN BUMPER ... why do you ask? Thought you said *CHROME* Bumper ;0) -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE >>>What do you use to 'bump' the crown off ? >> >>CROWN BUMPER ... why do you ask? > >Thought you said *CHROME* Bumper ;0) Only for chrome crowns ....... Joel Yes, the gold crown was put on before my endodontist did the root canal. No access hole as you stated. I was scheduled to have permanent cement applied to the gold crown but when I came in, my dentist said there was no reason to take off the crown and use permanent cement. He said at each 6 month visit it would be checked and if needed, the permanent cement would be put on at that time. I had no problems with the tooth after the root canal. There is no reason I know of that would imply any possible problem developing. I called my endodontist and he suggested I tell my dentist to use permanent cement. I did call my dentist today and set up an appointment to have permanent cement applied next week. I am completely dumbfounded as to why my dentist has acted this way. He always used permanent cement in the past on crowns. The only reason he gave for not using permanent cement is there are no spaces and no need to worry. I am strongly considering changing to another dentist for the future. > His dentist is right on...the tooth had a root canal and THEN a crown. No > access hole in the new crown. He put it on with temp glue. I've done this [quoted text clipped - 22 lines] >> >> Steve |
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