Tooth Filling or Crown or Implant?

Discussion in 'Dental Archive' started by Andersen, Feb 8, 2005.

  1. Andersen

    Andersen Guest

    Hi

    Please look at this picture: www.quicksale.frandt.com/tooth

    I have broken most of my tooth. It is the last of the small corner
    tooth's just before the big 'flat' side tooth with a filling. My
    normal dentist said that she can not fix it, but that someone more
    specialised may be able to fix it. The tooth is root filled years ago.
    It has a small dental screw fitted in the root canal but the screw is
    to small to use for building a reconstruction around, my dentist said.
    So if she was to try to fix it, she will first have to remove the small
    dental screw and then put in a bigger screw that can be used to build
    around, e.g. for a crown.

    But she has other problems with this as well:
    1. The tooth is broken to a level under the gum / flesh so if she
    drills it will bleed and she think she can not keep it dry enough for
    making good connections, so some sort of special method to keep the
    tooth dry may be necessary.
    2. The small piece of tooth may not be big and strong enough to hold a
    full crown.

    I am aware o the possible solution of puling the tooth out and if
    possible implanting a titanium tooth into the bone. But I would much
    prefer if someone could make some smaller fix to what I have left of
    the tooth to save it for as many years as possible. I don't think I
    necessary need a full tooth at this place. The small pointy peace of
    tooth I have left is fine - it just needs to be made a bit stronger so
    that it does not break so easily and is less prone to cavity.

    Do you have any suggestions? Do you know where I shoud go to get help?

    Kind regards,
    Ulrik Andersen
    Andersen, Feb 8, 2005
    #1
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  2. Andersen

    Dr Steve Guest

    Depending on the condition of the root stump and how many mm it is below the
    gingival crest. It might be possible to bond a porcelain onlay over the
    missing half of the tooth. If there is much decay on the root, then you are
    possibly better off having the tooth removed and replaced with an implant.
    From the photograph it does not look too bad, but a photograph on the
    internet is no good for actual diagnosis.

    --
    ~+--~+--~+--~+--~+--
    Stephen Mancuso, D.D.S.
    Troy, Michigan, USA
    .....................................................

    This posting is intended for informational or conversational purposes only.
    Always seek the opinion of a licensed dental professional before acting on
    the advice or opinion expressed here. Only a dentist who has examined you
    in person can diagnose your problems and make decisions which will affect
    your health.
    .......................
    "Andersen" <> wrote in message
    news:...
    Dr Steve, Feb 9, 2005
    #2
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  3. Andersen

    Andersen Guest

    Thank you for the advice!

    Do anyone know which kind of dentist should I try to approach for this
    kind of work?

    Two normal NHS dentists in UK have already said 'NO thank you' to do
    the job. Must the dentist have any special techniques in place, e.g.
    to keep the tooth dry, which I can ask them about prior to making an
    appointment?

    I like the idea of 'bonding a porcelain onlay over the missing half of
    the tooth'. I don't think there is any decay at the root yet.

    Is it possible also to make the remaining piece of the tooth stronger
    e.g. by bonding some filling material or the porcelain onlay to it?

    very grateful!
    Ulrik
    Andersen, Feb 10, 2005
    #3
  4. Andersen

    Dr Steve Guest

    You will never get good work on a tooth like that in the NHS system. You
    will have to open your own wallet.

    --
    ~+--~+--~+--~+--~+--
    Stephen Mancuso, D.D.S.
    Troy, Michigan, USA
    .....................................................

    This posting is intended for informational or conversational purposes only.
    Always seek the opinion of a licensed dental professional before acting on
    the advice or opinion expressed here. Only a dentist who has examined you
    in person can diagnose your problems and make decisions which will affect
    your health.
    .......................
    "Andersen" <> wrote in message
    news:...
    Dr Steve, Feb 10, 2005
    #4
    1. Advertising

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