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Medical Forum / General / Dentistry / April 2008

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Crowned teeth need root canals?

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Robert - 28 Apr 2008 06:40 GMT
Over time (say 20-30 years) do most crowned molars eventually end up needing
root canals? Thanks.
Amatus Cremona - 28 Apr 2008 11:08 GMT
About 4%

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Amatus

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> Over time (say 20-30 years) do most crowned molars eventually end up
> needing root canals? Thanks.
George - 28 Apr 2008 18:54 GMT
Depends on the condition of the tooth when it received the crown.

Regards,
George
Robert - 28 Apr 2008 19:59 GMT
> Depends on the condition of the tooth when it received the crown.

Decay close to the pulp chamber but not quite.
George - 28 Apr 2008 22:41 GMT
> > Depends on the condition of the tooth when it received the crown.
>
> Decay close to the pulp chamber but not quite.

A crown placed on such a tooth will generally lead to RCT more often
than a crown made to replace a fractured cusp. This is of course valid
for any type of restoration; the deeper you have to drill the more
likely to stir things up. The 4% statistic quoted by Amatus should be
accurate, but it probably represents an average over all crowns made
for any clinical indication.

Regards,
George
Amatus Cremona - 28 Apr 2008 23:06 GMT
yup

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Amatus

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On Apr 28, 7:59 pm, "Robert" <guyinc...@NOSPAMyahoo.com> wrote:
> "George" wrote in message
>
[quoted text clipped - 3 lines]
>
> Decay close to the pulp chamber but not quite.

A crown placed on such a tooth will generally lead to RCT more often
than a crown made to replace a fractured cusp. This is of course valid
for any type of restoration; the deeper you have to drill the more
likely to stir things up. The 4% statistic quoted by Amatus should be
accurate, but it probably represents an average over all crowns made
for any clinical indication.

Regards,
George
Robert - 28 Apr 2008 19:59 GMT
> About 4%

Thanks - is that from your observation from your practice, or are they
industry statistics?
Amatus Cremona - 28 Apr 2008 22:25 GMT
Statistics I read in a paper a few years back.  My percentages have always
been less than that figure.  Especially since switching to machine milled
porcelain.

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Amatus

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>> About 4%
>
> Thanks - is that from your observation from your practice, or are they
> industry statistics?

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