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Medical Forum / General / Dentistry / March 2006ROOT CANAL/CROWN NOW OR LATER?
I'm 43 y.o. I have a bottom rear molar with an old large amalgam that is occasionally cold sensitive. Should I get it root canalled now or wait until I start experience real difficulty with it? I also ask because my dental insurance will be running out soon and I doubt I'll be getting new dental insurance any time soon. Also, if i get the root canal, should I go with a gold crown (aesthetics don't concern me, strength does) or are the new ceramic crowns good enough? Recommendation of particular brand of ceramic crowns? thanks for any advice > I'm 43 y.o. I have a bottom rear molar with an old large amalgam that > is occasionally cold sensitive. Should I get it root canalled now or [quoted text clipped - 8 lines] > > thanks for any advice You would not have a root canal unless there is a problem with the pulp. Cold sensitivity does not necessarily indicate a problem with the nerve. Your concerns should be shared with your dentist--at the time of your next exam. Steve Root canal ..... means root canal treatment, also known as pulpECtomy (not pulpotomy), or excision of the tooth-borne portion of the mandibular branch of the inferior alveolar nerve. Joel Steven Bornfeld Wrote: > > I'm 43 y.o. I have a bottom rear molar with an old large amalga > that [quoted text clipped - 20 lines] > > Stev -- Joel34 >> I'm 43 y.o. I have a bottom rear molar with an old large amalgam that >> is occasionally cold sensitive. Should I get it root canalled now or [quoted text clipped - 16 lines] > >Steve Agreed but, >" I'm 43 y.o. I have a bottom rear molar with an old large amalgam that > is occasionally cold sensitive." Likely the crown prep will be the final insult to the pulp. It would depend on what the radiograph reveals. Constricted pulp chamber, pulp stones, etc.... May be wiser in the long run to do endo on an *iffy* pulp than wait till the pts ins. runs out... then.... YMMV >>>I'm 43 y.o. I have a bottom rear molar with an old large amalgam that >>>is occasionally cold sensitive. Should I get it root canalled now or [quoted text clipped - 30 lines] > > YMMV Maybe yes, maybe no. Show me an x-ray. Steve >> It would depend on what the radiograph reveals. > Maybe yes, maybe no. Show me an x-ray. > >Steve Hey ! you took my line ;) Why not a new composite restoration? Root canal therapy weakens a tooth a great deal, especially when the inside gets hollowed out. Joel Dustbucket Wrote: > I'm 43 y.o. I have a bottom rear molar with an old large amalgam that > is occasionally cold sensitive. Should I get it root canalled now or [quoted text clipped - 8 lines] > > thanks for any advic -- Joel34 > I'm 43 y.o. I have a bottom rear molar with an old large amalgam that > is occasionally cold sensitive. Should I get it root canalled now or [quoted text clipped - 8 lines] > > thanks for any advice I had a similar problem with two old, large amalgam fillings, in tooth 2 and 15. In my case, like in many (and likely most) cases, it was just deteriorated and simply needed to be replaced. Nothing fancy. So ask your dentist what you need. K
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