Dentistry - Tooth Filling or Crown or Implant?

Author

Tooth Filling or Crown or Implant?

Andersen

2005-02-09, 3:08 pm

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

Dr Steve

2005-02-09, 3:09 pm

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" <ulriksvoice@yahoo.com> wrote in message
news:1107895665.589893.255900@o13g2000cwo.googlegroups.com...
> 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

2005-02-12, 1:31 pm

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

Dr Steve

2005-02-12, 1:31 pm

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" <ulriksvoice@yahoo.com> wrote in message
news:1108039916.854604.158330@g14g2000cwa.googlegroups.com...
> 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
>