Is the tooth crowing treatment irreversible?

Q. Hello. I am a 31 years old male pharmacist who needs 4 upper front dental crowns. I consulted with three reputable dentists, and they all say I do not qualify for veneers because I have large fillings, and not enough bone structure for veneers. I did a research on the internet, and it seems to be that multiple dental crowns are rare in people of my age, 31 years old. I feel somewhat embarrassed, and it makes me feel old and falling apart. It is a psychological issue and my dentist does not completely understand it, I think. Is it rare for a patient of my age, 31, to require 4 front crowns? Throughout my life, my teeth were always more vulnerable to decay. As a result, dentists did a lot of drilling. Unfortunately, I have large front fillings some with recurrent decay around the them. I understand that I need this procedure to save my teeth in the long run. But I feel so much uneasy about having this procedure done. Because almost all of the bone will be filed away during preparation, it seems to me that this procedure is really a tooth loss. The tooth that is receiving a crown will not longer be functional. Technically there is no tooth loss because the root is saved, but the crowned tooth can’t exist without the cap anymore. What scares me is that this procedure is irreversible. I am seeing a reputable cosmetic dentist and I do not question his quality of work. But still, just like others, he will have to take away most of the bone during crown preparation. Thank you for your answer

A. He will not take your bone away – to prepare a crown enamel and dentine are removed and if you have large fillings already in place this is probably the only option for you.  If done well they should last for many years.

Dr Julian Caplan – Director on the board of the BACD View My Profile Dr Caplan
January 16th, 2010 at 08:47 PM
Daniel Wong Says :

One of my tooth was crowned to enable a bridging be done. Recently I had some pain in this tooth . Would appreciate if you can advise me if a root canal de done through the porcelain crown?

Thank you.

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