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Medical Forum / General / Dentistry / September 2007Tooth broken after root canal
Hi, I have had a root canal treatment on my second molar around 3-4 months back. Due to lack of time and negligence on my part, I haven't gotten around to getting a dental crown on it. Today, I happened to chew on someting hard with that tooth and a part of the tooth seems to have cracked. So far I have experienced no pain. But I am afraid that 1. Anything hot or cold that I drink / eat can seep into the root of the tooth and cause severe pain 2. Food materials can get caught in the crevices and result in infection I am not sure if the tooth can still be salvaged. Please let me know if I should go to a dentist or pursue any preventive dental procedures. Please also let me know if there are other risks that I am unaware of. Thank you very much in advance. -Raghuveer > Hi, > [quoted text clipped - 27 lines] > > -Raghuveer No way to know without checking. If there is any chance of saving the tooth, it may well be slipping away, so get it looked at promptly. Steve Sorry, but from your description, it doesn't sound too promising. Have it looked at first thing Monday AM to see if it is OK. > Sorry, but from your description, it doesn't sound too promising. Have > it looked at first thing Monday AM to see if it is OK. Thanks Steve and DrZahnMed, for the info. To help me prepare mentally for it, can you let me know what the alternatives could be? tooth extraction? another filling and a crown? anything else? (I will also need to check if my insurance covers it) Thanks. >> Sorry, but from your description, it doesn't sound too promising. Have >> it looked at first thing Monday AM to see if it is OK. > >Thanks Steve and DrZahnMed, for the info. Dr. Steve is worth thanking, the other is not. >To help me prepare mentally for it, can you let me know what the >alternatives could be? > >tooth extraction? another filling and a crown? anything else? Depends on the extent of the fracture. It's either a crown, onlay, with or with/out a fibre post restoration if restorable. Extraction if non-restorable. Then it goes into fixed or removable partial dentures or implants. >(I will also need to check if my insurance covers it) Good god man, do you want to save your tooth or not ? They don't grow back. You can make more money. >Thanks. You R still an a.s**** Newbie. Is NYU lookin' 4 U, u dickheasd. Sorry, but NEWBIE is a Know-it-all and is never wrong. Take what he says with a grain of $ salt as his motivation is $ and not patient care. Oh, just my opinion after 27 years of dealing with dickheads like him/her. BTW, I don't try to track down the fools like Newbie who disagree with me. If U R in his area of operations, be careful as Newbie is first in line for patient care and U cum next. Proove me wrongh, Newbie , U Dick. > Sorry, but NEWBIE is a Know-it-all and is never wrong. Take what he says > with a grain of $ salt as his motivation is $ and not patient care. [quoted text clipped - 6 lines] > > Proove me wrongh, Newbie , U Dick. I am an NYUCD grad (1976 vintage) Steve I'm sorry. Maybe PENN is your alma mater, w/ Jeff Ingber and the Salama Bros. as your idols. Get some ETHICS about patient care and U won't sound like such a disingenuous TURD. > I'm sorry. Maybe PENN is your alma mater, w/ Jeff Ingber and the Salama > Bros. as your idols. Get some ETHICS about patient care and U won't > sound like such a disingenuous TURD. Nice to see such a gentleman. ;-( Steve >> I'm sorry. Maybe PENN is your alma mater, w/ Jeff Ingber and the Salama >> Bros. as your idols. Get some ETHICS about patient care and U won't [quoted text clipped - 4 lines] >;-( >Steve Really easy to punch his buttons. One post prompted 3 replies. Curious that. Clean it up, or least act your age.  Signature/ Amatus / > I'm sorry. Maybe PENN is your alma mater, w/ Jeff Ingber and the Salama > Bros. as your idols. Get some ETHICS about patient care and U won't sound > like such a disingenuous TURD. Coming from you, HairDuk, that don't mean a fukkin' thang. Have you taught your referring GPs how to do a simple one tooth crown lengthening procedure yet ? Or are you still propagating sub-standard treatment, ineptly trying to make your pitiful, measly, self-loathing, existence worth the waste of protoplasm that you are ? Just getting the personal attacks, that you are so fond of, out of the way so that, perhaps, on the unlikely chance that some true communication and exchange of information may actually take place. Don't have much hope but then again, I am an optomist. >Sorry, but from your description, it doesn't sound too promising. Have >it looked at first thing Monday AM to see if it is OK. Henry, Ignore the guy/gal. He is obviously just trying to lure you into a war. Signature/ Amatus / > > Coming from you, HairDuk, that don't mean a fukkin' thang. [quoted text clipped - 15 lines] >>Sorry, but from your description, it doesn't sound too promising. Have >>it looked at first thing Monday AM to see if it is OK. Yeah, that's why the bait was presented. Hook. Line. Sinker. >Henry, > >Ignore the guy/gal. He is obviously just trying to lure you into a war. This is a common problem with teeth that have received RCT <root canal therapy> and have not been properly restored with a crown or other restoration. Answers to your questions are interleaved below. >Hi, > [quoted text clipped - 8 lines] > >So far I have experienced no pain. A relatively good sign, you haven't likely fractured the root(s) yet. >But I am afraid that > >1. Anything hot or cold that I drink / eat can seep into the root of >the tooth and cause severe pain Cause pain ? Not likely unless the root is fractured and it won't have anything to do with thermal sensitivity Seep into the RC fill/seal ? That's probably already happened after 3 - 4 months. Current endodontic theory indicates that the RCT should be redone before a crown is placed. >2. Food materials can get caught in the crevices and result in >infection If a fracture is present, maybe. The extent of the fracture <if any> will dictate future treatment. BTW *bacteria* cause infections >I am not sure if the tooth can still be salvaged. Only a dentist or endodontist who has examined your tooth *in person* can discern the prognosis. >Please let me know if I should go to a dentist or pursue any >preventive dental procedures. You should see a dentist ASAP ! For prevention you are a little late for that. Keep it clean and get an appointment Monday if not sooner to have your tooth evaluated. >Please also let me know if there are other risks that I am unaware of. Keep putting off treatment, and your outcome will almost always be worse. This applies not only to teeth. >Thank you very much in advance. > >-Raghuveer OK, best wishes, -- > Please let me know if I should go to a dentist You need to ask? |
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