Can the crown be placed always over the tooth?

Q. Hi, I have just found out that my top right rear molar, is dying as a result of a deep filling, which is now beging to rest on the nerve of the tooth. The dentist has shown me the x-ray and said that as the root is so bent and not easily identifiable, he does not believe a root canal would be sucsessful. I have also had a bad expererience of root canal’s, where within months I had absess, and lost the tooth anyway. My dentist has said that my only option really is therefore too losse the tooth. My concern with this is that due to braces and overcrowding I had already had all my wisdom teeth removed and to loose this back tooth, I run the risk of my jaw bone disolving, there is already evidence of this on the x-ray following the wisdom extraction 3 years ago. I asked if there was any other options and he told me I would need splints and a crown which would cost about £2000. I am only 31 and worry that if I don’t make the right choice now it will be too late, I can’t afford £2000 for a tooth, but as it stands a booked for an extraction the week before xmas??!! Reading some of your other responses to questions indicate the crown can be placed over the tooth, can this not always be done? Any advise would be great. Thanks

A. Hi many thanks for your enquiry, my advice would be to ask to be referred to an endodontist for a second opinion. THere are many teeth which general dentists just do not have the skill to treat. however an endodontist is highly experianced at root canal treatment and can give you an idea of whether they feel it can be treated and level of sucess. once the root canal treatment is done it is then best to crown the tooth.

hope this is helpful.

Dr Kailesh Solanki Kissdental – UK Practice of the Year 2007 157 Woodsend Road, Flixton, Manchester, M41 8GN.2 New Street, Altrincham, Cheshire, WA14 2QS. 13 Stanley Street, Manchester, M8 8SH. Web: www.kissdental.co.uk Tel: 0161 748 5250 View My Profile Dr Solanki

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