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Medical Forum / General / Dentistry / November 2006

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remove crown, repair cavity or implant

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Jamey - 06 Nov 2006 16:08 GMT
First post to this group.

I have an old gold crown (can't remember when it was installed) in
position 19. I have had almost constant sensitivity, especially to
sweets, for about 8 months. 6 months ago, my dentist sent me to an
endodontist for evaluation. He didn't think there was any root
problem.

During my 6-mo cleaning/checkup last week, the dentist said he thinks
there is some decay at the gum line in front (it's sensitive to his
probe). He suggests removing the old cap, repairing the decay, then
installing a new crown. The choice of material will be mine.

I asked what the options were if this didn't remedy the problem. He
mentioned an implant. I'm wondering if I shouldn't just go with the
implant first. Obviously, I would save the cost of the first
procedure. The tooth in position 20 is also a cap, but porcelain.

I would appreciate any educated opinions. Thank you.

Ken

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Mark & Steven Bornfeld - 06 Nov 2006 19:11 GMT
> First post to this group.
>
[quoted text clipped - 17 lines]
>
> Ken

    If the tooth is periodontally healthy and an endodontist has already
stated there are no pulpal problems, IMO there is no justification for
considering an implant.  If the tooth is periodontally lousy, it's a
different story.  It's getting to the point now that many dentists who
see a tooth that needs a root canal and a new crown consider implants
instead.  I am not one of those dentists, however.
    Implants are a wonderful innovation, but they are often being sold as
foolproof, which they manifestly are not.

Steve

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

 
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