Which Type of Dentist Should You See for Tooth Issues? - Dentistry

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When faced with tooth issues, particularly after a root canal treatment and subsequent crown placement, it’s essential to understand the appropriate type of dental specialist to consult. In your case, where the crown has fallen off and the tooth has fractured, there are several considerations to take into account.

First, it’s important to determine the condition of the remaining tooth structure. If the tooth has broken significantly below the gum line, or if there is insufficient tooth structure left to support a new crown, a dental implant may be necessary. Dental implants are typically placed by oral surgeons or periodontists, who specialize in the surgical placement of implants and the management of gum health.

If there is still enough tooth structure remaining, a restorative dentist can evaluate whether a new crown can be placed. This dentist specializes in restoring teeth that have been damaged or decayed, and they can assess the viability of the remaining tooth for restoration. They will also consider factors such as the health of the surrounding gums and bone, which are crucial for the success of any restorative procedure.

In your situation, since you mentioned that the crown was intact before it fell off and that a screw was involved, it’s possible that the crown was part of a more complex restoration, such as a post-and-core build-up. If the tooth structure is still viable, a restorative dentist can help you determine if a new crown can be placed. However, if the fracture is severe, they may refer you to an oral surgeon or periodontist for further evaluation regarding extraction and implant placement.

Regarding whether to see a periodontist or an implant specialist, it depends on the condition of your gums and the surrounding bone. If there is gum disease or bone loss, a periodontist would be the right choice to address these issues before considering an implant. They can help manage any periodontal disease and prepare the site for an implant if necessary.

If you are unsure about the next steps, it may be beneficial to start with a general dentist who can assess the situation and refer you to the appropriate specialist based on their findings. They can provide a comprehensive evaluation, including X-rays, to determine the extent of the damage and the best course of action.

In summary, here are the steps you should consider:
1. Visit a General Dentist: Start with a general dentist who can evaluate the condition of your tooth and surrounding structures. They can provide an initial assessment and determine if the tooth can be salvaged with a new crown or if extraction and implant placement are necessary.

2. Consult a Restorative Dentist: If the tooth structure is still intact, a restorative dentist can help you decide on the best restoration option, whether it’s a new crown or another form of restoration.

3. See a Periodontist: If there are concerns about gum health or bone loss, a periodontist should be consulted to address these issues before any restorative work is done.

4. Consider an Oral Surgeon: If extraction is necessary, an oral surgeon can perform the procedure and discuss options for dental implants.

5. Follow-Up Care: Regardless of the path chosen, ensure you have a follow-up plan for maintaining oral health and monitoring the success of any treatments undertaken.

In conclusion, the type of dentist you should see depends on the specific condition of your tooth and surrounding tissues. Starting with a general dentist is a good first step, as they can guide you through the process and refer you to the appropriate specialists as needed. Always ensure that you communicate your concerns clearly and ask questions about your treatment options to make informed decisions about your dental health.