Saturday, July 25, 2009

Accident (Front Teeth)?

hi all, well let me tell you my story.





4 years ago i damaged both my my front teeth.





. one i chipped half way down and i had to have some kind of filling


. the other i had a few micro fractures (which that tooth still hurts), i had a root canal on that (which i posted a question below).





but really ever since ive had problems, the tooth that i had filled keep wearing down (had it done 7 times already) :/





the other tooth ive been in pain with for the last 4 years and my denist as only decided to do something with it now (root canel).





really i'm just wanting some advice, me personally id rather have both teeth crowned and just forget about them, but ive done some reading on on the net and denists around the globe say "theres nothing better than your own teeth".





should demand crowns or just keep on doing what i'm doing?





thanks for the advice ;)

Accident (Front Teeth)?
Get the crowns.
Reply:You should grillz
Reply:I think they do implants now where they will actually implant a stub into the bone and attach teeth to it.
Reply:I did the same thing years ago (drunken binge) and the dentist automatically put crowns on them.


I have had them for years with no problems at all!


They even colour match them!


It sounds like you should find an alernative dentist, they may just be after your money and not your best interests!
Reply:First thing to do is find another dentist, this has been going on 4 years if he can't fix the problem in that time he can't be much good!
Reply:Go to a Dentist who specializes in Cosmetic Dentistry. There are allot of new things that can be done to save your teeth, make them beautiful again and eliminate the pain.





Some old fashioned Dentists or ones that don't keep up to date with the NEW products.... are not for you.





You definitely do not want those teeth crowned. If you lived here in Miami I would send you to my Dentist.





Best of Luck to you,
Reply:Seven repairs is pointless - I am wondering why he hasn't suggested a crown. It would be wise to seek a second or third opinion. Ask friends and relatives for recommendations.


If the simple methods aren't working, then a crown is probably indicated.


If the second tooth requires root canal therapy, it may also need some reinforcement before crowning. The process of preparing a tooth for a crown requires the removal of the outer layer of tooth, and this can sometimes leave an unacceptably thin piece of tooth structure in a root-filled tooth. If he suggests a reinforcing post, then ask for a CAST post, not a PREFORMED post. They are more expensive but fit much, much better and give better support in front teeth.


Yes, we all say, "there's nothing better...", but that means "try to keep your teeth undamaged in the first place from decay or trauma". You've got damaged teeth, and your current treatment is failing, so go up to crowns. Good luck!
Reply:I had a crown fitted 30 years ago because the enamel was pitted %26amp; didn't look too good [no pain] about 10 years ago my current dentist changed it because, if I remember correctly the gum was receding a bit, I can honestly say that it looks %26amp; feels exactly like one of my own teeth but having said that there was no root canal %26amp; I still have the nerve. I would find a good dentist, easier said than done these days but worth going private if you are in pain, it probably wouldn't amount to more than a couple of good nights out!!!!
Reply:i would advise crowns!!the only reason dentists say save the tooth is because thats their job(to prolong teeth)but in the long run crowns would be more hard waring and cosmetically pleasing!!x
Reply:It does sound like these teeth need to be crowned, but no way of knowing without seeing the teeth or x-rays. But, if you keep breaking the filling that is placed on your tooth, I would say a crown is the best thing. If you get crowns done on your front teeth, please, please make sure they use an all porcelain crown. I HATE seeing a porcelain fused to metal (PFM) crown on a front tooth. It looks fake and ugly. If your tooth has been hurting since the accident, it may need the root canal (very easy to have done, especially on a front tooth). Yes, natural teeth are better but not if they're broken down like it sounds like yours were. I've listed below a website that showed a smile with PFM crowns on front teeth and then when they had all porcelain crowns. Good luck


http://www.mynewsmile.com/porcelaincrown...
Reply:I don't know the inner working of NHS, but it sounds like you are headed down the wrong path. Your teeth clearly need crowns. If you can't get them in NHS, it may be worthwhile going private just to save these teeth from further damage by patchwork dentistry.
Reply:Root canal treatment should sort out the painfull tooth therefore no need to have it crowned. The other tooth is only half yours and a crown would be a more permanent solution. However you would need to discuss with your dentist if it would be a crown that just fits over your tooth once shaped or a post crown which fits into the root of the tooth. If well done both can last many years. Privately made crowns are superior so choose that option if you can
Reply:well you can keep on getting them fixed i guess and wait to they sre just tiny stubs and then nothing can be done other than extract or you could get crowns now!!





Generally all RCT need crowns for good marginal seal as the bacteria can enter marginal gaps (talking microns) beneath the restorations (Amalgam composite etc).





As for the fracture teeth.. the process would normally be.. endo, crown built up, PFM crown. Or possible cast post and core.





NHS will be fine. just go in with agony and they will probably see you then and there.
Reply:i myself had an accident and damaged my front teeth personnel i wouldnt recommend crowns has i have them and they start to discolour after two years and then need replacing
Reply:Crowns will NOT discolour as they are made of porcelain which does not pick up staining. The natural teeth around the crowns may gradually discolour naturally over time (length of time depends on if you smoke, eat highly coloured food like curry, drink red wine or coffee etc) but this can take years and years, and then perhaps you might want to have the crowns replaced for cosmetic reasons.


The only way a really good crown will start to look less appealing over time is if you have a PBC (which Justine posted about - the porcelain bonded to metal crown) and your gum receeds through age or poor oral hygeine - you will the end up with a black line showing up at the gum margin - not nice on a front tooth so go for the fully porcelain option every time if poss just like Justine says! Good luck!



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