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Re: Root canal on 8-year old
| m27@yahoo.com | 27 Feb 2007 12:33 |
Many thanks to all who responded. I feel much better about the situation.
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| Alexander Vasserman DDS | 27 Feb 2007 07:47 |
> >Hello all, > [quoted text clipped - 30 lines] > > Chromatec is the best looking IMO. She may not need a crown. Front teeth if they are intact even if you do a root canal do not need crowns/caps. Only teeth further back in the mouth after the eye teeth require crowns after root canal procedures. Be very careful as there are some unethical dentists who automatically place crowns even on front teeth because they can get paid more from the insurance companies. If the tooth appears in good shape without the filling from cosmetic point of view then most likely you do not need a cap. If you find this is the case you might want to get a second opinion. Furthermore keep in mind that even if a cap is needed, many times a veneer can be placed which is much more conservative. Finally keep in mind that doing a single crown or veneer to match a natural tooth is very difficult and if your daughter decided to bleach her teeth to make them whiter there will be a shade discrepancy. That is the reason why more than one tooth is capped. Doing 2 teeth can lead to the buggs bunny look minimum 4 can be made to blend i, ideally if you are doing veneers/or cosmetic crowns you would want to cap or veneer all the teeth that show when your daughter smiles. This could add up to on average 10 upper teeth which is very expensive. So in my opinion if you can go without a cap/veneer the better. Bonding if done well could last a long time too and is much easier to match up to natural teeth as far as shade. However even with bonding you have the problem of bleaching the teeth and the bonding standing out as a sore thumb. I agree that right now your daughter is to young for a cap maybe even a veneer because the teeth have not matured around the jaw bone and if you try to do the veneer or cap now the tooth will grow out of the bone more and be more exposed, this creates a problem because the edge of the veneer or crown where it meets the tooth will become visible. So be very careful.
Alexander Vasserman DDS www.smilesbyalex.com
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| Newbie | 26 Feb 2007 20:22 |
>Hello all, > [quoted text clipped - 16 lines] >We would appreciate any insight from a dental professional or anyone >with a similar experience. Thanks. This sounds like apexification or apexogenesis. If the apex (tip of the root) is not yet closed it can be stimulated to close with Calcium Hydroxide. Generally this can take up to a year or longer.
CaOH also can prevent or treat external or internal resorption which is rather common in traumatized teeth.
8 y.o. is rather young for a crown IMO. To get maximum esthetics when a crown is ultimately indicated I recommend an all ceramic crown.
Chromatec is the best looking IMO.
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| m27@yahoo.com | 26 Feb 2007 16:43 |
Hello all,
Our then 8 year old daughter, on a trip to a friends house last winter, took a tumble on a trampoline and traumatized one of her upper front teeth. The dentist performed a root canal. At the time, she did not cap the tooth. She informed us that at our daughter's age, the canal was not ready for capping and we would have to wait while the canal "closed" on its own. She inserted some initial filler after the root canal and on subsequent visits over the past year has occassionally added more filler or just checked the status of the canal with an x-ray. According to the dentist, this is becoming standard treatment for children's root canal therapy.
We are close to our one year anniversary of the event and are getting a bit anxious about this treatment. We've been told that the tooth is more vulnerable until the crown is in place. Our daughter is very active in sports and we would like this to be resolved.
We would appreciate any insight from a dental professional or anyone with a similar experience. Thanks.
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