3 Crowns for 2 Implants?

[Brause]

I had my two first mandibular molars extracted (36 and 47) and replaced by implants, which went very smoothly. Now it is time to add crowns.

My dentist submitted a preauthorization to my insurance claiming I also need a crow for tooth 47 (second molar).

Tooth 47 is perfectly healthy, it has a 20-year old filling but there are no problems. I don't see any need to mutilate and de-stabilize it. All my clencher friends have bitten through several crowns so that their affected teeths had to be eventually extracted.

Why create a ticking time bomb?

Possible answer: tooth 47 has been worn down as seen well in the panoramic.

I attach all imaging I can find, pre- and post- implant.

 

[Dr M]

In my opinion, tooth 47 does not need a crown. If bruxism is an issue here, then a night guard could be made, after the implant crowns, in order to prevent further tooth wear. Crowning 47 might be called over-treatment in certain instances.

 

[Brause]

In my opinion, tooth 47 does not need a crown. If bruxism is an issue here, then a night guard could be made, after the implant crowns, in order to prevent further tooth wear. Crowning 47 might be called over-treatment in certain instances.

Thanks. I talked to the dentist. It was an error.