Dental Treatments: Crowns, Extractions, and More

Q: Dental Treatments: Crowns, Extractions, and More

Hello, sir： Thank you for your inquiry. <br>I would like to respond to your question and provide the following recommendations： One of your molars has severe decay in the crown, leaving only the surrounding tooth structure intact. <br>Therefore, root canal treatment (commonly ref

Issues with dentures?

I have four teeth that need treatment: three molars and one other tooth whose name I don't know.
Currently, I'm focusing on two of them.
The issue is that the filling I had before fell out, and now there's a cavity in the middle, leaving only the outer part.
I need to have something placed over it for protection.
Is this also a type of crown? The other two dentists said that I need to have them extracted because one tooth is broken and decayed, and it seems like a tiny bit has grown back.
The other tooth is broken to the point that it looks like I’m missing a tooth from the outside, but I can still feel some tooth structure with my tongue, although it is also decayed.
Is this treatment plan correct, or is there something wrong with it?

111, 20~29 year old female. Ask Date: 2009/04/27

Dr. Zeng Guanghui reply Dentistry

Hello, sir: Thank you for your inquiry.
I would like to respond to your question and provide the following recommendations: One of your molars has severe decay in the crown, leaving only the surrounding tooth structure intact.
Therefore, root canal treatment (commonly referred to as "nerve extraction") is necessary, followed by placing a crown to protect the treated tooth.
The other two decayed teeth may have their crowns completely destroyed, leaving only the remaining roots.
I recommend extracting those roots and, after the wounds have healed, proceeding with dentures.
Finally, I wish you peace and happiness!

Reply Date: 2009/04/27

More Info

When it comes to dental treatments, particularly regarding crowns, extractions, and the preservation of teeth, it is essential to understand the implications of each procedure and the rationale behind the recommendations made by your dental professionals. Based on your description, it seems you are facing a situation involving multiple teeth that require attention, including crowns and potential extractions.

Understanding Crowns
A crown, often referred to as a dental cap, is a restoration that encases a tooth to restore its shape, size, strength, and appearance. Crowns are typically used when a tooth has been significantly damaged due to decay, trauma, or after a root canal treatment. In your case, since you mentioned that previous fillings have fallen out and left the tooth vulnerable, a crown is indeed a suitable option to protect the remaining structure of the tooth. This is crucial as it helps prevent further decay and maintains the integrity of your bite.

Extractions
Regarding the recommendation for extractions, it is essential to consider the condition of the teeth in question. If a tooth is severely decayed or fractured, as you described, extraction may be the most appropriate course of action. For the tooth that has broken and appears to have some remaining structure, it is vital to assess whether there is enough healthy tooth structure to support a restoration. If the tooth is primarily decayed and cannot be effectively restored, extraction is often the best option to prevent further complications, such as infection or pain.

Evaluating the Recommendations
1. Crowns: The recommendation to place a crown on the tooth that has lost its filling is appropriate. This will help protect the tooth and restore its function. It is important to ensure that the crown is well-fitted to avoid any gaps that could lead to further decay.

2. Extractions: The decision to extract the two teeth should be based on a thorough examination, including X-rays, to determine the extent of decay and structural integrity. If a tooth is broken but still has some healthy structure, a dentist may consider a crown instead of extraction. However, if the tooth is primarily decayed or if there is a risk of infection, extraction may be warranted.

Seeking a Second Opinion
If you have doubts about the recommendations provided by your dentists, it is always a good idea to seek a second opinion. Different dentists may have varying approaches to treatment based on their experiences and philosophies. A second opinion can provide you with additional insights and help you make a more informed decision regarding your dental health.

Importance of Follow-Up Care
Regardless of the treatment path you choose, follow-up care is crucial. After receiving a crown or undergoing an extraction, maintaining good oral hygiene and attending regular dental check-ups will help ensure the longevity of your dental work and overall oral health.

Conclusion
In summary, the treatment recommendations you received seem to align with standard dental practices for managing decayed and damaged teeth. A crown can effectively protect a tooth that has lost its filling, while extraction may be necessary for teeth that are beyond repair. If you have concerns about the treatment plan, do not hesitate to consult another dental professional for further evaluation. Your dental health is paramount, and understanding your options will empower you to make the best decisions for your care.

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