> I wonder whether anyone out there has any comment on this one for me:
>
[quoted text clipped - 26 lines]
> starting to feel a bit tender. Any constructive comments would be
> welcome.
It will not "normalize" in time. I assume the crown was recemented as
a temporary expedient. If you hit this tooth first, there's a good
chance the crown will crack right off again. And if it doesn't it will
make the tooth sore.
The viable options for this tooth depend on the condition of the tooth,
the condition of the adjacent teeth, and your willingness to undergo
dental treatment.
If there is enough sound tooth structure left, it may be possible to
remake the crown. If the tooth has not had a root canal treatment
before, it is possible it may need one now.
If the tooth is not salvageable, it can be replaced by a fixed bridge,
a removable appliance, or an implant. The decision as to which is the
most appropriate is based on the condition of the adjacent teeth, the
amount and quality of the bone remaining when the tooth is removed, and
your tolerance for lengthy treatment. Implants usually take a long time
from beginning to end--the fixture (anchor into the jaw) needs a few
months to heal before it can be restored (in most cases). You may need
a temporary removable appliance in the meantime. OTOH, with an implant
it is not necessary to touch the adjacent teeth. If your adjacent teeth
are heavily filled or already crowned, this isn't a major issue. But if
the adjacent teeth are not restored, the implant will make this unnecessary.
As far as expense, the trend is that a 3-unit fixed bridge is pretty
close in fee to a single implant-retained crown.
Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
DT - 03 Nov 2006 16:41 GMT
It's a crown and in very good condition. The adjacent teeth are in good
condition. It's just the base of the original tooth that is rotten.
It's been a few days now and I have to say that it feels like it has
normalised, but I'm sure it's probably that I've just got used to its
projection. Thankyou for your information on the different options that
might be available to me. Fortunately my future dental treatment will
be free as I am in the armed forces. I have a checkup in a few weeks so
hopefully I will have some idea as to what is likely to be done then.