Please Help Crown Vs Extraction/Bridge


Joined
Jul 2, 2021
Messages
3
Hi Everyone,
I recently chipped my tooth and visited different dental offices that gave me different recommendations. I've had the chipped part of the tooth removed already.
The first dentist recommended to get the whole tooth extracted and replace with a Bridge.
The second dentist recommended to put filling over the gap and crown over the tooth.
The tooth that was chipped is the only tooth I have that had a Root Canal. No other medical issues (I do smoke occasionally) . No pain in the tooth and still functions pretty normally. I have my xrays posted below.
I am mostly worried about what is better for the long term for my teeth and gums (price isn't a big factor since I have insurance).

Thank you for your help!
 
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Joined
Jul 2, 2021
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Dr M

Verified Dentist
Joined
May 31, 2019
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Good day

The most important factor to keep in mind is if you will get adequate seal with a conventional crown and/or crown and post?
If the fractured part is below the gum line, crown lengthening would have to be considered. If this is not an option, any crown without a proper seal, might lead to leakage and eventual tooth loss.
In such a case, extraction might be a better option, but I would not immediately recommend a bridge. In my opinion, the adjacent teeth are completely healthy. By prepping those teeth to accommodate a bridge, you will be damaging completely healthy teeth. Since cost is not really an issue, I would perhaps consider a dental implant. This will be a better long term solution in my opinion, and you won't damage the adjacent healthy teeth.
 
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Joined
Jul 2, 2021
Messages
3
Good day

The most important factor to keep in mind is if you will get adequate seal with a conventional crown and/or crown and post?
If the fractured part is below the gum line, crown lengthening would have to be considered. If this is not an option, any crown without a proper seal, might lead to leakage and eventual tooth loss.
In such a case, extraction might be a better option, but I would not immediately recommend a bridge. In my opinion, the adjacent teeth are completely healthy. By prepping those teeth to accommodate a bridge, you will be damaging completely healthy teeth. Since cost is not really an issue, I would perhaps consider a dental implant. This will be a better long term solution in my opinion, and you won't damage the adjacent healthy teeth.
Thank you so much for your input! Appreciate it :)
 

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