Crown Lengthening Alternatives?

Discussion in 'Dental Archive' started by BaddKitty, Dec 19, 2003.

  1. BaddKitty

    BaddKitty Guest

    I'm hoping you can give me some advice on this.

    My dentist has recommended crown lengthening for two of my upper teeth (#4 & #14) because of 'bone loss'. Problem is, my insurance doesn't cover this procedure and there's no way I can afford to do this out-of-pocket! I would consider just having them pulled (only because it's cheaper), but they are the last two teeth of the upper half of my mouth (I've already lost a few over the years), so I would be losing my last good 'chewing teeth'. Btw, both of these teeth are already crowned, and I think my dentist's goal is to do root canals on them (one of them is starting to bother me).

    Are there alternatives to crown lengthening in order to save my teeth? I'm hoping my insurance company will cover something else.

    Thanks so much for any help!
    BK




    To email me, remove YOUR INHIBITIONS
    =^..^=
    BaddKitty, Dec 19, 2003
    #1
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  2. BaddKitty wrote:
    It isn't clear to me why you need crown lengthening. Typically it is
    done when there is decay under the gumline. If a tooth is to be
    crowned, the crown must fit over the tooth past the furthest extent of
    decay. Sometimes this cannot be accomplished unless some gum tissue
    (and sometimes bone as well) is trimmed away. If this is the case, it
    may not be possible to restore the tooth properly without the procedure.
    If I'm not right about your situation please elaborate.

    Steve
    Steven Bornfeld, Dec 19, 2003
    #2
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  3. BaddKitty

    BaddKitty Guest

    No, that sounds about right. I have decay 'issues' and the two crowns that are on them now have gaps at the gumline (which is probably why I'm having decay problems now?). Maybe the bone loss is just another problem not necessarily related to the need for crown lengthening?

    I have another appointment with my dentist on the 30th, and I know she's going to push for me to have this procedure. I wish I could because I want to save these teeth, but I really can't afford it (I hear it's around $1000 per tooth?). I was just hoping that there might be alternatives to the crown lengthening that would help save my teeth or at the very least buy me some time so I can save up for this procedure.

    I'm gathering from what you're saying that this may be the only method that can save the teeth (if the decay is that extensive)?

    Thanks for your insight, Steve. Not exactly what I wanted to hear, but I had a feeling this was probably inevitable.

    BK




    "Steven Bornfeld" <> wrote in message news:...
    BaddKitty, Dec 19, 2003
    #3
  4. BaddKitty

    Seto Guest

    Orthodontic extrusion is an alternative to crown lengthening but the
    cost is probably more expensive and the time to do it is also greater.
    In layman's terms, think using braces to pull the tooth out farther
    out of the gum and bone. It would take a few months of wearing braces
    and not just on that one tooth (may have to extend all the way to the
    other side of the mouth for anchorage). The final result is usually
    superior compared with surgical crown lengthening. Depending on the
    amount of bone loss already present (due to periodontal disease), or
    the extent subgingival that the caries extends, doing either the crown
    lengthening or orthodontic extrusion may both not be recommended. The
    best solution could be an extraction instead.

    Seto


    On Fri, 19 Dec 2003 03:55:23 GMT, "BaddKitty"
    <> wrote:
    Seto, Dec 19, 2003
    #4
  5. On Fri, 19 Dec 2003 03:20:26 GMT, "BaddKitty"
    <> wrote:
    Yank them if they are last two teeth. A full upper denture is always
    better than a partial denture using #4 and #14.

    Joel


    --
    Joel M. Eichen, .
    Philadelphia PA

    DISCLAIMER FOLLOWS:

    *********

    Dental health-related material
    is provided for information purposes
    only and does not necessarily
    represent endorsement by or an official
    position of the SciMedDentistry gang
    or any other official agency either
    actual or fictitious or Steve Mancuso.

    Advice on the treatment or care
    of an individual patient should
    be obtained through consultation
    with a dentist who has examined
    that patient or is familiar with
    that patient's dental history.

    STANDARD DISCLAIMER
    Joel M. Eichen D.D.S., Dec 19, 2003
    #5
  6. On Fri, 19 Dec 2003 03:20:26 GMT, "BaddKitty"
    <> wrote:

    REPLY:

    You have lost 14/16ths of the upper teeth ........

    --
    Joel M. Eichen, .
    Philadelphia PA

    DISCLAIMER FOLLOWS:

    *********

    Dental health-related material
    is provided for information purposes
    only and does not necessarily
    represent endorsement by or an official
    position of the SciMedDentistry gang
    or any other official agency either
    actual or fictitious or Steve Mancuso.

    Advice on the treatment or care
    of an individual patient should
    be obtained through consultation
    with a dentist who has examined
    that patient or is familiar with
    that patient's dental history.

    STANDARD DISCLAIMER
    Joel M. Eichen D.D.S., Dec 19, 2003
    #6
  7. On Fri, 19 Dec 2003 08:34:40 GMT, Seto <> wrote:
    I would do the immediate, one day, orthodontic/exodontic (cold steel)
    extrusion, toss them in the trash and put in the immediate full upper
    denture!

    Joel

    --
    Joel M. Eichen, .
    Philadelphia PA

    DISCLAIMER FOLLOWS:

    *********

    Dental health-related material
    is provided for information purposes
    only and does not necessarily
    represent endorsement by or an official
    position of the SciMedDentistry gang
    or any other official agency either
    actual or fictitious or Steve Mancuso.

    Advice on the treatment or care
    of an individual patient should
    be obtained through consultation
    with a dentist who has examined
    that patient or is familiar with
    that patient's dental history.

    STANDARD DISCLAIMER
    Joel M. Eichen D.D.S., Dec 19, 2003
    #7
  8. BaddKitty

    BaddKitty Guest

    Wow. I'll speak to my dentist about all of this when I go in, and if extraction is the only alternative I have, then that's the way I'll have to go. My concern with extraction is losing my ability to chew properly on either side (with nothing but gum back there), besides just becoming too 'white trash' losing more teeth (ha ha). It boggles my mind that insurance companies wouldn't cover something that can SAVE teeth - but I guess that's another newsgroup. ;)

    Thanks for your help, Seto!
    BK



    "Seto" <> wrote in message news:...
    BaddKitty, Dec 19, 2003
    #8
  9. BaddKitty wrote:
    $1,000 total for each tooth, or $1000. just for the crown lengthening?
    $1000/tooth total is reasonable. $1000/tooth for crown lengthening seems
    out of line to me.

    Steve
    Steven Bornfeld, Dec 19, 2003
    #9
  10. On Fri, 19 Dec 2003 14:48:23 GMT, "BaddKitty"
    <> wrote:
    You gettin' your denture then?

    As for PWT, you'd be surprised. In Pennsylvania of the people over 65
    the completely edentulous gang (no teeth) is 32% of the population!

    So PWT or not, dental problems exist.

    Joel
    --
    Joel M. Eichen, .
    Philadelphia PA

    DISCLAIMER FOLLOWS:

    *********

    Dental health-related material
    is provided for information purposes
    only and does not necessarily
    represent endorsement by or an official
    position of the SciMedDentistry gang
    or any other official agency either
    actual or fictitious or Steve Mancuso.

    Advice on the treatment or care
    of an individual patient should
    be obtained through consultation
    with a dentist who has examined
    that patient or is familiar with
    that patient's dental history.

    STANDARD DISCLAIMER
    Joel M. Eichen D.D.S., Dec 19, 2003
    #10
  11. White Trash ..........


    We getting into Jerry Springer talk here?


    Joel

    --
    Joel M. Eichen, .
    Philadelphia PA

    DISCLAIMER FOLLOWS:

    *********

    Dental health-related material
    is provided for information purposes
    only and does not necessarily
    represent endorsement by or an official
    position of the SciMedDentistry gang
    or any other official agency either
    actual or fictitious or Steve Mancuso.

    Advice on the treatment or care
    of an individual patient should
    be obtained through consultation
    with a dentist who has examined
    that patient or is familiar with
    that patient's dental history.

    STANDARD DISCLAIMER
    Joel M. Eichen D.D.S., Dec 19, 2003
    #11
  12. Did you have 14/16ths of the upper teeth removed already?


    Joel


    On Sat, 20 Dec 2003 01:36:05 GMT, "BaddKitty"
    <> wrote:
    --
    Joel M. Eichen, .
    Philadelphia PA

    DISCLAIMER FOLLOWS:

    *********

    Dental health-related material
    is provided for information purposes
    only and does not necessarily
    represent endorsement by or an official
    position of the SciMedDentistry gang
    or any other official agency either
    actual or fictitious or Steve Mancuso.

    Advice on the treatment or care
    of an individual patient should
    be obtained through consultation
    with a dentist who has examined
    that patient or is familiar with
    that patient's dental history.

    STANDARD DISCLAIMER
    Joel M. Eichen D.D.S., Dec 20, 2003
    #12
  13. On Sat, 20 Dec 2003 01:36:05 GMT, "BaddKitty"
    <> wrote:
    REPLY:

    Okay as long as you did not mention trailer courts ,,,,,,, my only
    question is how tornados are attracted to aluminum ~ it does not
    compute.

    Joely

    --
    Joel M. Eichen, .
    Philadelphia PA

    DISCLAIMER FOLLOWS:

    *********

    Dental health-related material
    is provided for information purposes
    only and does not necessarily
    represent endorsement by or an official
    position of the SciMedDentistry gang
    or any other official agency either
    actual or fictitious or Steve Mancuso.

    Advice on the treatment or care
    of an individual patient should
    be obtained through consultation
    with a dentist who has examined
    that patient or is familiar with
    that patient's dental history.

    STANDARD DISCLAIMER
    Joel M. Eichen D.D.S., Dec 20, 2003
    #13
  14. Too bad, it is quite educational and can be used fot writing PhD
    dissertations ........

    --
    Joel M. Eichen, .
    Philadelphia PA

    DISCLAIMER FOLLOWS:

    *********

    Dental health-related material
    is provided for information purposes
    only and does not necessarily
    represent endorsement by or an official
    position of the SciMedDentistry gang
    or any other official agency either
    actual or fictitious or Steve Mancuso.

    Advice on the treatment or care
    of an individual patient should
    be obtained through consultation
    with a dentist who has examined
    that patient or is familiar with
    that patient's dental history.

    STANDARD DISCLAIMER
    Joel M. Eichen D.D.S., Dec 20, 2003
    #14
  15. BaddKitty

    BaddKitty Guest

    It's tempting. I've had problems with my teeth all my life and it's getting tiresome. Early dentures seem run in my family (I'm only 42), but watching what my mom went through when she got hers (in her 40's) kinda scares me. It wasn't a pleasant experience for her the first year or so. So, of course, she says "don't do it!"

    I didn't mean any disrespect to PWT - at least one quarter of my family is pretty close.
    ;)

    Thank you for your advice, Joel!

    BK


    "Joel M. Eichen D.D.S." <> wrote in message news:...
    BaddKitty, Dec 20, 2003
    #15
  16. BaddKitty

    BaddKitty Guest

    heh .... I have never watched that show, even once! I swear!

    "Joel M. Eichen D.D.S." <> wrote in message news:...
    BaddKitty, Dec 20, 2003
    #16
  17. BaddKitty

    BaddKitty Guest

    I agree - $1000 for the 'set' would be more reasonable (although still steep for my humble means), or at least possibly do-able. In that case, maybe I could do them one at a time over a period (and reimburse myself somewhat with my flex spending account - which is currently empty until July). $1000 per tooth would just kill me. My dentist hasn't talked money to me yet, so before I go any further with this I need to get the cold hard facts.

    Thanks so much for your responses!
    BK


    "Steven Bornfeld" <> wrote in message news:...
    BaddKitty, Dec 20, 2003
    #17
  18. BaddKitty

    BaddKitty Guest

    That sounds like math, Joel. ;)

    But I do have 10 teeth left between #4 and #14 (the front batch - no molars). I just recently lost one that literally crumbled after my crown fell off! My bottom teeth have fared much better over the years. I have a good xray of my full mouth and I swear I only have 4 teeth in the bottom front that haven't been filled or crowned!!

    BK


    "Joel M. Eichen D.D.S." <> wrote in message news:...
    BaddKitty, Dec 20, 2003
    #18
  19. BaddKitty

    BaddKitty Guest

    HA! Actually I think it's the Slim Whitman records they're playing inside ......
    Wouldn't YOU??!!
    ;)


    "Joel M. Eichen D.D.S." <> wrote in message news:...
    BaddKitty, Dec 20, 2003
    #19
  20. BaddKitty

    BaddKitty Guest

    Then maybe I should check it out sometime. I'm always up for expanding my mind (although I'm not sure I want it to go in that direction??).



    "Joel M. Eichen D.D.S." <> wrote in message news:...
    BaddKitty, Dec 20, 2003
    #20
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