Q. I have recently smashed my front tooth out and saw an NHS dentist as an emergency patient. The tooth has been cut back to just below the gum, and treated. I have been advised the tooth is now dead but what is left is still firmly in. The dentist advised getting a crown put on this for the next few years, during which the tooth will fall out naturally. I was told I will then need an implant and new crown. I was advised it is better to leave the tooth as is, without taking it out at this stage, and let it come out naturally over time. Then get the implant with new crown as and when this happens. Is this good advice, or would you recommend getting all the work done now? Its worth mentioning the tooth to the side of this has also been chipped, but not broken, so work will be done on this now. Many thanks for your help.
A.
Just to clarify, the tooth won’t naturally come out by itself. If you have a post crown on the tooth, then this may last a few years and then you might look at having an implant retained crown. The implant acts like your own tooth. It is your decision wether to have the implant now or later. You will at some point need further treatment- as post crowns don’t last forever. At least if you have the implant placed now, you know that you have the bone levels to place it. If the bone levels shrink back, then implant placement may not be possible- but as the root of your own tooth is still in situe, then this will not be an issue. You could always pay to try the post crown and that will give you some time to save for the implant in a few years.
Hope all goes well.

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007
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Tags: crown, crowns, dental crown, dental crowns, dental implant, dental implants, dental implants costs, dental inplant, implant, implant dentist, implantologist, implants, NHS, nhs crowns, nhs dentist, nhs dentistry

