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Medical Forum / General / Dentistry / March 2006

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Tooth Replacement Option

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Joe - 08 Mar 2006 22:07 GMT
Greetings...

I am looking for some advise/understanding before I go see a
professional about the situation I am in.

Background:
Front Left tooth (#9) had a root canal done after falling on ice (1981
- age 16) then in 1984 I fell and broke the tooth below the gum line
(don't know exactly how far below) and had a post and crown put on
while serving in the Army.

Just an FYI #8 tooth has a crown (tooth chipped badly) no root canal
done in 2002. All other teeth are in good shape although I am a grinder
and I am getting fitted for a bite guard in a couple of weeks. Once
insurance is approved.

Yesterday I was having a checkup with a new dentist and I had a
sensitive tooth (#7) x-rayed and by chance the dentist saw that the
tooth (#9) and the crown on that tooth have a gap between them. So
today I went to my old dentists to get x-rays and neither of them had
an x-ray of my front teeth. We were looking to see how the gap has
progressed over the years. Unfortunately we don't have any x-rays to
compare the gap over time.

So my questions are.

1) Does this sound like I am going to be looking at a tooth implant?
Until yesterday I thought my front tooth (#9) was my best tooth. No
pain, still solid, etc.

2) Is it common to not x-ray the front teeth unless there is a problem,
my other dentist didn't do it and this new dentist wouldn't have done
it unless I had the sensitive tooth near by.

3) I'm not opposed to getting the tooth implant (I have a couple of
things going on in my life right now but within 6 months to a year I
could get this done) but I can't help but think that if my tooth (#9)
isn't hurting, isn't loose and hasn't fallen out I should be good to
go? Am I doing damage waiting to get this fixed?

Any information would be appreciated.

Thanks,

-Joe
Atlanta, GA
Mark & Steven Bornfeld - 08 Mar 2006 22:19 GMT
> Greetings...
>
[quoted text clipped - 42 lines]
> -Joe
> Atlanta, GA

    Has anyone suggested that #9 will be lost?  Why?  I'd like to hear more
about this "gap" between the crown and the tooth.  Since the crown is
over 20 years old, it is pretty normal for the gumline to have receded.
 This is frequently more of a cosmetic problem than anything else.  You
haven't said there is decay here, and if there is no decay after over 20
years the crown likely was very well made.
    Most dentists will take a full set of x-rays including all teeth when
they first treat a patient.  Full sets of x-rays may be repeated
periodically, but many dentists will rarely take another full set if
there isn't a lot of decay and no periodontal disease.  They may take
bitewing films to evaluate decay and bone level between back teeth, and
x-ray the front teeth only as needed.
    If the new dentist cannot satisfy you with the reason to re-crown this
tooth, consider getting a second opinion.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Joel344 - 09 Mar 2006 02:19 GMT
I vote for two new crowns, if the supporting roots are
sound ...... forget the implant unless completely necessary .....

Joe

--
Joel34
 
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