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Medical Forum / General / Dentistry / November 2004RCT on 5 and fuse it to 4 because 4 is broken?
Would this make sense? Crown goes on 4 because it's cracked; about a 1/3 of it is left mostly on buccal. 5 is vital and not decayed, has a filling, somewhat discolored. Does it make sense to do RCT on 5 and fuse it to 4, because 4 will be weak otherwise. If it makes sense to fuse, does it make sense to fuse without RCT. no thoughts on this? I kinda don't like the idea of messing with 5, RCT, just to make 4 stronger; at the same time I don't want the crown to break if it's weak. Any other solutions? >Would this make sense? > [quoted text clipped - 7 lines] > >If it makes sense to fuse, does it make sense to fuse without RCT. >no thoughts on this? > >I kinda don't like the idea of messing with 5, RCT, just to make 4 >stronger; at the same time I don't want the crown to break if it's >weak. Any other solutions? Implant. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE %%%%%%%%%%%%%%%%%%%%%%% You can go a long way with a smile. You can go a lot farther with a smile and a gun. -Al Capone (1899 - 1947) >>no thoughts on this? >> [quoted text clipped - 3 lines] > >Implant. IMPLANT! .. Stephen Mancuso, D.D.S. Troy, Michigan, USA Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting. I missed these 2 responses somehow. Anything else apart from implants? The tooth now has a crown with a dowel post. Is the fusing and RCT on adjacent tooth a typical procedure? I've never run across it in my limited readings. At UCLA dental school, a crown with parapost was suggested. No mention of fusing. >>>no thoughts on this? >>> [quoted text clipped - 10 lines] > >Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting. >I missed these 2 responses somehow. Anything else apart from implants? >The tooth now has a crown with a dowel post. [quoted text clipped - 4 lines] >At UCLA dental school, a crown with parapost was suggested. No mention >of fusing. This would be my personal & biased opinion. If you have zero parafunction at night (while sleeping), then it does not matter that much if the end tooth, has a root canal treatment or not. Posts will not matter much either. You will just need enough tooth structure to anchor the crown to. However, people with missing back teeth and root canal treatments usually either have parafunction now, or in the past. Heavy night - time clenching with isometric grinding will break anything. You need to rule out parafuntion first. Most people who do this while sleeping never are aware of it .. Stephen Mancuso, D.D.S. Troy, Michigan, USA Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting. |
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