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Medical Forum / General / Dentistry / July 2005

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DECAY

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BrianInNY - 08 Jul 2005 17:28 GMT
Question: Would a tooth that has experienced some degree of decay
continue to decay after a crown has been allpied? If so, wouldn't the
crown be in jeopardy of being lost in time, since the "anchor"
(original tooth) weakens? Also, if the crown shifts, as would be far
more likely with a "multi-piece" crown (covering several teeth)as
opposed to a single crown, wouldn't decay continue and ultimately
compromise the "anchor" (filed down) tooth?
W_B - 08 Jul 2005 17:48 GMT
>Question: Would a tooth that has experienced some degree of decay
>continue to decay after a crown has been allpied?

If the crown is well made, usually not.

>If so, wouldn't the
>crown be in jeopardy of being lost in time, since the "anchor"
>(original tooth) weakens? Also, if the crown shifts, as would be far
>more likely with a "multi-piece" crown (covering several teeth)as
>opposed to a single crown, wouldn't decay continue and ultimately
>compromise the "anchor" (filed down) tooth?

Well made fixed prosthetics don't 'shift'.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
InVinoVeritas - 08 Jul 2005 19:02 GMT
I'm pretty sure they remove the decay from the tooth before applying
the crown. In this case, the tooth would be "sealed" and if the decay
removed, there would be nothing in there that would decay (unless a new
cavity was created).

I'm guessing that's why sometimes dentists don't know if you need a
filling or a root canal - because once they start removing the decay it
may then expose the pulp.

Keep in mind, I'm not a dentist.
Jacob - 09 Jul 2005 14:52 GMT
There is always a slight chance for decay under a crown.  No matter how
sealed the margins are, it is possible for  bacteria to get under the crown.
However, if the crown fits properly, the likelihood of this becoming a
clinical problem is VERY rare.  If the bite of the crown/bridge is balanced
for your occlusion, and you don't have any changes in your opposing teeth,
the likelihood of anything shifting also is very rare.  I would not worry
about this as long as your dentist does a "proper job" on your dental
treatment.  Nothing lasts forever -- no one gets out of this world alive.

> Question: Would a tooth that has experienced some degree of decay
> continue to decay after a crown has been allpied? If so, wouldn't the
[quoted text clipped - 3 lines]
> opposed to a single crown, wouldn't decay continue and ultimately
> compromise the "anchor" (filed down) tooth?
DrSteve - 09 Jul 2005 17:14 GMT
IF the patient has un-controlled decay rates due to oral hygiene, sugar/acid
dietary habits, health problems and/or genetics, then the tooth can still
decay at the margin where the crown ends and the tooth material begins.

> Question: Would a tooth that has experienced some degree of decay
> continue to decay after a crown has been allpied? If so, wouldn't the
[quoted text clipped - 3 lines]
> opposed to a single crown, wouldn't decay continue and ultimately
> compromise the "anchor" (filed down) tooth?
 
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