i have a cracked tooth after a filling do I need an implant?

Q. I had a filling replaced on the advice of my dentist. When the filling was drilled out she told me my tooth had cracked in the median plane (lower molar I think number 2- it’s the one that my brace was attached to) the tooth is now causing me real pain – the dentist says it has now partly cracked from the gum side and is infected – the only option is extraction and tooth implant. Is there any other option available – £2000 for something that stemmed from a filling replacement is a bit hard to swallow? How would I seek a second opinion? Many thanks for your time – it is much appreciated, A

A. Dear A,

1. Sadly if the fracture runs vertically through the whole tooth it is not repairable.

2. A filling might bring this to your attention but would not be a direct/immediate cause.

3. The expression “partly cracked “ is critical, an oblique fracture that runs out of the tooth in the top ( crown end) 1/3rd of the root may be saved with varying degrees of success by root treatment and crowning:it depends on subtle details regarding the quality of the remaining tooth . An incomplete vertical fracture can sometimes be stabilised by root treatment and crowning again the future predictability is lower than a tooth without a known fracture.

4. £2000 is average for an implant when you have paid assessment, +/- additional graft fees etc. some surgeries offer an all inclusive single fee, some have additional fees always check with the reception first.

5. We can offer a free second opinion if you can access Birmingham City Centre/ New Street / Colmore Row, call the surgery on 0121 643 0610

6. Alternatively find a local dentist by recommendation and check on their Yellow pages / Internet advert that they offer dental implants if this is the route that you would follow if the tooth is hopeless

7. Have you considered a bridge as an alternative to an implant

8. Have you had any other teeth crack? you may need to protect other heavily filled teeth if your biting force has been able to fracture one of your molars. Prevention is cheaper than repair.

Dr Rob Tennet St Johns Dental Practice 18 Bennett’s Hill, Birmingham, B2 5QJ Web: www.e-dentalpractice.co.uk

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