Dental implants, damaged healthy teeth?
Hello, I have a dental implant that is too long and needs to be reduced, but the dentist filed it down too much, causing pain when I bite.
Can this tooth still be treated? Will it recover? The dentist said I need a root canal treatment.
Is that correct? However, my tooth is otherwise healthy; if I have the nerve removed, does that mean the tooth will be lifeless? Will it become brittle over time?
Jian Meili, 50~59 year old female. Ask Date: 2023/01/30
Dr. Zeng Guanghui reply Dentistry
If a tooth is experiencing sensitivity and requires a root canal, it is recommended to place a crown after the procedure to protect the tooth and prevent it from becoming brittle.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2023/01/30
More Info
Dental implants are a popular solution for replacing missing teeth, but they can indeed have implications for surrounding healthy teeth. Understanding these effects and the treatment options available is crucial for making informed decisions about dental care.
Impact of Dental Implants on Healthy Teeth
1. Adjacent Teeth Pressure: When a dental implant is placed, it can sometimes alter the bite or occlusion, which may place additional pressure on adjacent healthy teeth. If the implant is not aligned properly or if the surrounding teeth are not adjusted accordingly, this can lead to discomfort or pain in those teeth.
2. Bone Health: Dental implants require a certain amount of bone density for successful placement. If the surrounding teeth have been compromised (due to decay or periodontal disease), this can affect the overall health of the jawbone. Conversely, if an implant is placed in an area where there is insufficient bone, it may lead to bone loss around adjacent teeth.
3. Gum Health: The placement of an implant can also affect the health of the gums surrounding adjacent teeth. If the gum tissue is not properly managed during the implant procedure, it can lead to gum recession or inflammation, which can compromise the health of neighboring teeth.
Treatment Options for Compromised Teeth
In your case, it seems that the adjacent tooth was excessively reduced in height, leading to pain and discomfort. Here are some treatment options to consider:
1. Root Canal Treatment: If the tooth has been ground down excessively and is causing pain, a root canal treatment may be necessary. This procedure involves removing the pulp from the tooth, which can alleviate pain and prevent further infection. While it is true that a tooth that has undergone root canal treatment is no longer "alive," it can still function effectively for many years if properly cared for.
2. Crown Placement: After a root canal, the tooth will often require a crown to restore its strength and function. This can help protect the tooth from further damage and improve its appearance.
3. Monitoring and Maintenance: After treatment, it is essential to maintain regular dental check-ups to monitor the health of the treated tooth and surrounding teeth. This will help catch any potential issues early on.
4. Consideration of Alternatives: If the tooth is severely compromised and root canal treatment is not viable, extraction may be considered. In such cases, options for replacement, such as another implant or a bridge, can be discussed.
Concerns About Tooth Longevity
You raised a valid concern about the longevity of a tooth that has undergone root canal treatment. While it is true that a root canal-treated tooth can become more brittle over time, proper restoration with a crown can significantly enhance its durability. Additionally, maintaining good oral hygiene and regular dental visits can help prolong the life of the tooth.
Conclusion
In summary, dental implants can affect the health of adjacent teeth, and it is crucial to address any discomfort or pain promptly. Root canal treatment can be a viable option for preserving a compromised tooth, and with proper care, it can continue to function effectively. Always consult with your dentist about your specific situation and treatment options to ensure the best outcome for your dental health.
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