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Medical Forum / General / Dentistry / June 2005Can a crown be filled after being drilled?
My wife had recently a root canal done. It required a crown to be drilled and it was mentioned filling the crown was possible, unless it was damaged. The root canal was done by the specialist. Our dentist wants to put a new crown on; without having seen the result of the root canal. We discussed it but filling was not seen as an option to our surprise. Can a crown be filled? Should we switch to another dentist, or is he right? We felled a little pushed by the dentist, but maybe he's right, so don't want to rush into judgement here. Thanks! >My wife had recently a root canal done. It required a crown to be >drilled and it was mentioned filling the crown was possible, unless it [quoted text clipped - 8 lines] > >Thanks! If nothing else is wrong with the crown, it can be filled. .. Stephen Mancuso, D.D.S. Troy, Michigan, USA I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting. >>Can a crown be filled? Should we switch to another dentist, or is he >>right? We felled a little pushed by the dentist, but maybe he's right, [quoted text clipped - 5 lines] >.. >Stephen Mancuso, D.D.S. IMO as a temporary measure only. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > My wife had recently a root canal done. It required a crown to be > drilled and it was mentioned filling the crown was possible, unless it [quoted text clipped - 8 lines] > > Thanks! It us _usually_ true that re-filling a crown is the lesser option in terms of longevity. I'd definately want to put at least one fiber post into one of the canals for added stability. I know this is controversial, but that's me. Next, you have to realize that this is somewhat like drilling a hole in a pop bottle cap- and then trying to reseal the hole. It can be done, but it is not nearly as solid. You have invested in a root canal treatment. If you want to take the chance that the crown-filling may fail, and irreparably damaging the tooth, fine. If the tooth is a molar, I would really hesitate to do this, as those teeth take a lot of force. The thing is; every case should be looked at individually. There is no way to know how big the access cavity was made into the crown, and therefore no way to evaluate the stability of the remaining structure. There are some dentists who will try to do this and some who will not. It is important to realize, however, that such a treatment would never be warrantied; if I did it, at the request of my patient, and it fell out or the tooth cracked or broke, I would not re-do it for free. To underline this attitude, I would have the patient sign the dossier to that effect. This keeps the both sides honest. The important thing to realize is that it is a patch up job, and that is inherently less stable and strong than the replacement crown. So, to sum up: can it be done? Definitly perhaps maybe. I wish I could be more categoric, but I cannot. The best would be to get a second opinion. Cheers SP  SignatureFinally: take out the TRASHH If the access opening is normal in size and position, if the margins are intact, if the underlying tooth is solid, if there is no caries present, if there is minimal core material under the crown, then, the endo-access hole being sealed with filling will not effect the longevity of the crown at all (IMHO). At worst, it would extend the life of the crown into the next benefit year. AC <><><><><><><><><><><><><><><><> Information provided in this forum is NOT a diagnosis, nor is it a specific recommendation for treatment. It is intended for conversational or instructional purposes only. Treatment decisions must ALWAYS be based on a full examination IRL (In Real Life) ><><><><><><><><><><><><><><><>< > [quoted text clipped - 41 lines] > Cheers > SP As a consumer, if I had a root canal done on a tooth, I would invest in a new crown for maximum longevity, and trade the old crown in to a place that buys gold and take the $l0.00 or $15.00 they offer. One of the lesser aggravations of life. If you shop around, you may get $25.00 for the gold. And better to hope for a good serviceable tooth and crown that knowledge may have failed us in past years. Gail Michael > As a consumer, if I had a root canal done on a tooth, I would invest in a > new crown for maximum longevity, and trade the old crown in to a place that [quoted text clipped - 4 lines] > > Gail Michael I thot that was not legal. SP SignatureFinally: take out the TRASHH You thought what is not legal. To hope for a good serviceable tooth and crown or selling the gold. Gail > > As a consumer, if I had a root canal done on a tooth, I would invest in a > > new crown for maximum longevity, and trade the old crown in to a place that [quoted text clipped - 9 lines] > -- > Finally: take out the TRASHH >Can a crown be filled? Rarely >Should we switch to another dentist, or is he >right? Think that your dentist is most likely correct. >We felled a little pushed by the dentist, but maybe he's right, >so don't want to rush into judgement here. Talk to the dentist in person. >Thanks! -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com Surely an interesting range of responses. I had a root canal through an existing gold crown 10 years ago. Maybe longer. It was filled without comment or discussion. No problems yet. YMMV SignatureRemove -NOSPAM- to contact me. >Surely an interesting range of responses. > >I had a root canal through an existing gold crown 10 years ago. Maybe >longer. It was filled without comment or discussion. No problems yet. > >YMMV During the past 20 years, I have never seen a crown fail only from RCT opening with filling in it. Not one. .. Stephen Mancuso, D.D.S. Troy, Michigan, USA I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting. |
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