Which is the Best Option: Post Crown or Maryland Bridge?

Q.
I have fractured one of my lateral incisors along the gum line, which I had root treatment for approximately 10 years ago. I visited my regular dentist who has advised me to wait until the tooth breaks off and then he will probably be able to fit a post crown providing the root is OK. I visited a private dentist for a second opinion, who has advised that I have the tooth extracted and consider having a Maryland bridge or an implant fitted. I am totally confused and don’t know what to do. I can’t afford an implant so what would be the best option, a post crown or a Maryland bridge? Your advice would be greatly appreciated, many thanks.
A.
Hello, thank you for contacting me. Without seeing the situation and the condition of your root I cannot advise you correctly. If the root canal is good and healthy and if it’s possible to save the root and place a post crown then this would be the preferred choice. It really depends on how much ‘residual dentine’ is available to support a crown.

My advice is to see a true expert such as a specialist prosthodontist or restorative dental specialist or a very respected and experienced cosmetic dentist and see what they say. They may want an endodontist to assess the root canal too. Kind regards, Mark.

dr mark hughes

Dr Mark Hughes

Harley Street Dental Studio
52 Harley Street, London W1G 9PY
Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981

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