Re: Decapitated tooth


"Mark & Steven Bornfeld" <bornfeldmung@xxxxxxxxxxxxxxx> wrote in message
news:qnOCk.1330$Jw.500@xxxxxxxxxxxxxxxxxxxxxxx
Centre Parting wrote:
My RHS upper pre-molar (I think previously crowned) has broken off at the
gum line, leaving the full root in situ.

I think it must have been route-canalled too - as there's no pain, just a
gap.

I'll be going to my dentist just as soon as I've saved the bucksheesh.

In the meantime, I was wondering what options he's likely to offer me.
And wondering how the hell he's gunna get the root out - if that's what
he's likely to do.

The tooth had been filled many times and was now undersized due to loss
of tooth-wall.


Getting it out is generally not a problem. Saving it depends on the
condition and bulk of the remaining root.
Sometimes if the tooth is to be saved it is necessary to do what we call a
"crown lengthening" procedure--removing some gum and occasionally some
bone surrounding the root to expose enough root structure to replace a
crown without burying the edge of the crown too far under the gumline.
OTOH, these days we are more likely to remove questionable teeth if
implant placement is an option.

Thanks for that, Steve.

If it's removed and the hole left empty, does it create problems for the
adjacent (or even opposite) teeth ?

Is leaving a hole even an option ?
And if so, is it filled with anything ?
And if not, does bone and stuff grow into it ?
And if so, is inserting a peg replacement tooth possible at a later (more
affluent) point ?


Steve

--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001


.

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