Temporarily unable to get a dental filling and worried about continued decay of the tooth root?
Several months ago, my upper right incisor's temporary crown fell off.
After reviewing the CT scan, the dentist informed me that the tooth root was decayed to the point that even the temporary crown secured by a dental post could not be held in place, and I would need a dental implant.
Due to financial constraints, I have not proceeded with the implant.
Recently, I have occasionally felt some sensitivity in the tooth root, which made me realize that the decay issue is ongoing (I had root canal treatment when the temporary crown was placed, so I didn't notice the problem sooner).
I would like to ask Dr.
Lin: After I undergo root canal treatment again, can I request the treating dentist to temporarily seal the large cavity on the outside of the tooth root with a filling material or something else to prevent further decay? Would this affect my ability to get an implant in the future? If so, are there any other temporary solutions available? Thank you for your guidance on these questions!
Mr. Chen, 30~39 year old female. Ask Date: 2021/10/29
Dr. Lin Jiayong reply Dentistry
Hello: The method you mentioned in the second paragraph refers to root-end filling surgery combined with periodontal bone regeneration surgery.
However, it is essential to consider the condition of the affected tooth and the surrounding destruction.
After a thorough evaluation of the success rate, the surgery can be performed.
It is advisable to have further discussions with the treating physician.
Additionally, this surgery may include out-of-pocket expenses, so it is necessary to assess your financial situation.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2021/10/29
More Info
When dealing with tooth decay, especially in the context of a tooth that has already undergone root canal treatment and is now experiencing further decay, it is crucial to approach the situation with care and an understanding of the potential implications for future dental procedures, such as dental implants.
Given your situation, where your temporary crown has fallen off and the underlying tooth root is decaying, it is understandable that you are seeking temporary solutions while you await the financial means to pursue a dental implant. The first step in addressing this issue is to consult with your dentist about the possibility of performing a root canal retreatment. This procedure can help to remove any remaining infected tissue and clean out the decay from the tooth root.
Once the root canal retreatment is completed, your dentist may be able to seal the outer cavity of the tooth with a temporary filling material. This can help protect the tooth from further decay and prevent bacteria from entering the tooth structure. However, it is essential to understand that this is a temporary solution. The longevity of such a filling will depend on various factors, including your oral hygiene practices, dietary habits, and the extent of the decay.
Regarding your concern about whether sealing the cavity will affect your ability to receive a dental implant in the future, the answer is generally no. As long as the tooth is properly treated and the surrounding bone structure remains healthy, you should still be a candidate for an implant later on. However, if the decay progresses significantly or if the tooth becomes non-restorable, extraction may become necessary, which could complicate the implant process.
In addition to the temporary filling, there are other measures you can take to manage your dental health until you are ready for an implant. Here are some recommendations:
1. Maintain Excellent Oral Hygiene: Brush your teeth at least twice a day and floss daily to keep the area around the affected tooth clean. This will help minimize the risk of further decay.
2. Avoid Sugary Foods and Drinks: Sugar can exacerbate tooth decay, so try to limit your intake of sugary snacks and beverages.
3. Use Antimicrobial Mouthwash: An antimicrobial mouthwash can help reduce bacteria in your mouth and may assist in preventing further decay.
4. Regular Dental Check-ups: Even if you are not ready for an implant, regular visits to your dentist can help monitor the condition of your tooth and surrounding structures. Your dentist can provide professional cleanings and check for any signs of worsening decay.
5. Consider Temporary Dentures: If the situation with your tooth becomes untenable, you might want to discuss the option of a temporary denture to fill the gap until you can afford an implant.
6. Discuss Financial Options: Many dental offices offer payment plans or financing options for procedures like implants. It may be worth discussing these options with your dentist to find a solution that fits your budget.
In conclusion, while it is possible to temporarily seal the cavity after a root canal retreatment, it is essential to remain vigilant about your oral health and to plan for the eventual replacement of the tooth with an implant. Regular communication with your dentist will be key in navigating this process effectively.
Similar Q&A
Temporary Dentures: Quick Solutions for Your Dental Emergency
Hello, doctor. My upper teeth are almost completely decayed, and you can see that I have no teeth as soon as I open my mouth. When I previously consulted a doctor, he said I need to get a removable partial denture, but I need to first treat the remaining tooth roots before procee...
Dr. Huang Tingfang reply Dentistry
Dear Ms. Coco, Hello! First, we need to check how many teeth you have left to determine whether you can have fixed dentures or removable dentures. You can ask your dentist for assistance in making them, or you can visit a medical center and consult with a prosthodontist for hel...[Read More] Temporary Dentures: Quick Solutions for Your Dental Emergency
Durable and Aesthetic Dental Solutions for Tooth Rehabilitation
Hello! I have had multiple teeth damaged in the past and have undergone treatment with braces and dentures. However, they tend to accumulate plaque and are not long-lasting. With current advancements in medical science, are there any aesthetic and durable dental solutions availab...
Dr. Wu Chunzhen reply Dentistry
Dear Paddy, Regarding your questions, here are the answers: 1. For the three consecutive missing molars, please assess whether there are any remaining roots and evaluate for periodontal disease. The length of the roots will help determine the treatment method. If there are no r...[Read More] Durable and Aesthetic Dental Solutions for Tooth Rehabilitation
Managing Peri-implantitis: Tips for Patients During Quarantine
Hello Dr. Lin, on December 16th, an X-ray taken in Hong Kong revealed severe peri-implantitis. A CT scan on December 21st indicated that only 2mm of the implant remains. Due to various considerations, I decided to return to Taiwan for treatment and am currently in quarantine. My ...
Dr. Lin Jiayong reply Dentistry
Hello: If the implant is within the bone and only 2mm of osseointegration remains, it is likely that this dental implant will need to be extracted. It is advised to maintain oral hygiene and prevent any further infection or inflammation. After the isolation period, you should dis...[Read More] Managing Peri-implantitis: Tips for Patients During Quarantine
Options for Replacing a Missing Front Tooth: Pros and Cons of Dentures and Implants
If a front tooth is loose due to periodontal issues and is extracted, there are several options for replacement: 1. Removable Dentures: - Types: - Conventional Removable Dentures: These are held in place by the surrounding gums and can be made with metal clas...
Dr. Zeng Guanghui reply Dentistry
After the front tooth is extracted, it can be replaced with either removable or fixed dentures. Removable dentures include resin teeth and flexible dentures with a metal framework (or without a metal framework). The cost of flexible dentures is higher than that of resin teeth, wh...[Read More] Options for Replacing a Missing Front Tooth: Pros and Cons of Dentures and Implants
Related FAQ
(Dentistry)
Dental Implant(Dentistry)
Tooth Decay(Dentistry)
Fixed Denture(Dentistry)
Retainer(Dentistry)
Permanent Teeth(Dentistry)
Dental Filling(Dentistry)
Mouthwash(Dentistry)
Alveolar Bone(Dentistry)
Bruxism(Dentistry)