Re: Suddenly I need 6 Crowns?


"Dr Steve" <nospam@xxxxxxxx> wrote in message
news:QV87e.999$HK6.614@xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
> No one can tell you anything about your teeth from the internet. We can
> tell you generalities and explain terms to you. In general, if you just
> broke one tooth, you *could* quite likely have 2-3 others ready to break
as
> well. My experience is that this usually occurs in patients who clench
with
> great force while sleeping.

I call this parafunction.

Joel


Very few of these patients are aware they are
> doing this until we show them all the signs of it. If the margins on the
> other fillings are beginning to chip, it may be wise to replace the others
> as well.
>
> I can make some guesses here: As far as crown vs. filling. If you had
the
> crown done on that tooth in 1968, it would (in most cases) still be fine.
> You would have avoided the three (counting now) subsequent re-treatments
of
> this tooth. You now have 30 years of inflation to pay for, you have
already
> paid two other times to re-fill it, you will need to pay for it to be
> re-filled prior to getting a crown now (unless you choose to get an
onlay),
> and you still have to pay for the crown. Each time the tooth was
retreated,
> more tooth was removed. It would have been much cheaper to get the crown
> back in 1968. Possibly the filling was not big enough in 1968 to need a
> crown, but I bet it was large enough in 1970 or 1975.
>
> Who knows specifically about your teeth? Get another opinion if you like.
> Ten different dentists will come up with ten different treatment plans, so
> be prepared for differing opinions. When do we say a tooth should have a
> crown or an onlay done to protect it? That is a judgment call which is
> based on years of training and experience. Depends on lots of different
> factors.
>
> I assume we are NOT talking about a PPO or HMO/DMO type insurance scheme
> which forces dental offices to upgrade treatment offerings to cover their
> cost of doing business.
>
> --
> ~+--~+--~+--~+--~+--
> Stephen Mancuso, D.D.S.
> Troy, Michigan, USA
> ....................................................
>
> This posting is intended for informational or conversational purposes
only.
> Always seek the opinion of a licensed dental professional before acting on
> the advice or opinion expressed here. Only a dentist who has examined you
> in person can diagnose your problems and make decisions which will affect
> your health.
> ......................
> "Rich" <rgsrx@xxxxxxx> wrote in message
> news:XTZ6e.45995$lz2.29843@xxxxxxxxxxxxx
> > Recently I relocated from NJ to Arizona. I had been going to my dentist
in
> > NJ for 10 years & he never tried to "sell" me anything. A very large
> > filling(25 years old) fell out of one of my molars & took half the tooth
> > with it. So off I go to a new dentist in Arizona. I assumed this broken
> > tooth would need a crown but she proceeded to tell me that 5 other teeth
> > needed crown. Three of the teeth needed crowns because of excessive
> > fillings & two of the teeth had root canals. All these fillings & root
> > canals go back at least 20 years. According to this new dentist, these 5
> > teeth need crowns to protect them from breaking. I understand that root
> > canaled & heavily-filled teeth do not last forever but would it be
> > imprudent to crown these teeth as they fail? The tooth that just broke
was
> > originally filled in 1968. That filling was subsequently replaced in
1970
> > & 1975 due to decay beneath the filling and an additional filling was
> > placed on the lingual surface at a later date. Based on this life
> > expectancy I am not inclined to suddenly $3000 to "rescue" these 5
teeth.
> > Your opinions are greatly appreciated.
> > Thanks,
> > Rich
>
>


.

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