Re: Should Old Silver Point RC's Be Redone?



Just returned last night from a few days at the Beach.

The "oxidation" is like a layer of fine "tarnish". It turns the silver black, and is not visible on an x-ray image until some of the bone is broken down (early abscess).

Sometimes, silver points are very tight (as they should be), and attempting to pull them out simply results in the points breaking off. Not a big deal if the tips are not "tarnished". Tough, if the dentist was planning to place a post (seldom really necessary). Some unique ultrasonic devices exist to try to loosen these stubborn points, but nothing is guaranteed.

Crowns are easy to cut holes in and easy to remove, if needed. If the tooth has decay, final results are questionable--depending on the amount of decay. Sometimes it is impossible to know until the crown has been removed. I prefer to slice the side of crowns which need to be removed and peel them off.

Gee whiz, don't worry about one tiny little thing so much. Find a dentist you trust, and advance forward. Sounds like your case is "fence-sitter". Could go either way. If that is the case, either treatment choice would be equally right.


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Amatus

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"Frank L" <frankieinpeace@xxxxxxxxx> wrote in message news:8984-46D4C6F4-1079@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
I have further questions based on what you said, Amatus. Can you see
this oxidation on an x-ray? You said they try to remove the silver
points (and replace with gutta percha)...are there times when they
can't? Then what happens?

I have had several opinions. My oral surgeon says, "If it ain't broken,
don't fix it" but others say yes. You also said it's easy to go through
a crown but what about in this case where there is one long crown
covering 3 teeth? I imagine I'd want that taken off anyway as the
margins are sticking out of all 3 teeth after all these years. I'm upset
that my dentist said everything could be crumbling under there. The
recent x-rays show no abscess. If silver points can last a lifetime,
maybe I should wait for trouble. If you can answer the question about
how they remove the long crown that covers the 3 teeth, I'd appreciate
it. Sorry for these long posts, this is just bugging me!




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