Can I Avoid Crowns After Grinding Healthy Teeth for Wisdom Tooth? - Dentistry

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Healthy teeth are reduced in size and covered with dental crowns?


Doctor, I have a cavity with a small crack in my wisdom tooth that I had treated about a year ago with a crown.
The dentist suggested that I grind down the two adjacent teeth and place crowns on all three teeth.
Recently, I've been considering just having the wisdom tooth extracted.
If I do that, will the two healthy teeth still be able to be treated for cavities using regular fillings instead of crowns?

Xiao Hao, 20~29 year old female. Ask Date: 2023/12/11

Dr. Lin Jiayong reply Dentistry


Hello: If the two teeth in front of the wisdom tooth are both intact, it is strongly advised not to sacrifice the healthy teeth in order to preserve the wisdom tooth.
Especially since the wisdom tooth may ultimately need to be extracted, it is recommended to treat it with a standard filling method for now.
If the dental pulp nerve has already been affected, extraction is the appropriate course of action.

Reply Date: 2023/12/11

More Info


When it comes to dental health, particularly regarding wisdom teeth and the potential need for crowns, there are several factors to consider. Your question about whether you can avoid crowns after grinding down healthy teeth for a wisdom tooth is a common concern among patients.
Firstly, it’s important to understand the purpose of dental crowns. Crowns are often recommended to protect a tooth that has been significantly damaged or weakened, such as after a root canal treatment or when there is extensive decay. In your case, if your dentist suggested grinding down the front teeth to accommodate a crown for the wisdom tooth, it may be due to the structural integrity of those teeth being compromised.
If you are considering extracting the wisdom tooth instead of placing crowns on the adjacent teeth, this could be a viable option. Removing the wisdom tooth may alleviate the need to modify the healthy teeth, thus preserving their structure. However, it is crucial to consult with your dentist or an oral surgeon to evaluate the condition of your wisdom tooth and the surrounding teeth. They can provide a thorough examination and recommend the best course of action based on your specific situation.

Regarding your question about whether the front teeth can be treated with fillings instead of crowns, it largely depends on the extent of damage to those teeth. If the grinding has not significantly weakened them and there is no extensive decay, fillings could be a suitable option. Fillings can restore the function and appearance of a tooth without the need for a crown, provided that the tooth structure is still intact and healthy enough to support a filling.

However, if the grinding has compromised the structural integrity of the teeth, crowns may still be necessary to prevent future fractures or damage. This is particularly important if you have habits such as teeth grinding (bruxism) or if you engage in activities that put stress on your teeth, such as heavy lifting or sports.
In summary, while it is possible to avoid crowns by extracting the wisdom tooth and treating the adjacent teeth with fillings, this decision should be made in consultation with your dentist. They will assess the condition of your teeth and provide personalized recommendations. Additionally, maintaining good oral hygiene practices, such as regular brushing and flossing, can help prevent further decay and the need for more invasive treatments in the future.

Ultimately, the goal is to preserve your natural teeth as much as possible while ensuring that your dental health is maintained. Regular check-ups with your dentist will help monitor the condition of your teeth and allow for timely interventions if necessary.

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