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Gap Between Teeth and Crowns

9 crowns done 2 years ago. new dentist says to replace all of them The rootcanals are also were done poorly and need to be redone And there is a chance that some teeth will break at the gum line when he removes old crowns. And the I will be needing an implants The rest of the teeth will be needing posts another dentist opinion – crowns are needed to be replaced but no need for implants or core posts. Please advice x-ray:

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7 Doctor Answers | Asked by MilaTX in Denton

Doctor Answers (7)
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Fix defective crowns or replace with implants?

The choice between fixing existing teeth or replacing them with implants should be based on proper diagnosis, likelihood of predictable treatments, and their long term prognosis. Fist, the existing root canal teeth should be evaluated by an endodontist and see what they think. Next your restorative dentist must determine how easy it is to repair defective teeth, even if endodontic retreatment is possible. Do they need heroic measures, or relatively simple and predictable treatments... more

H. Ryan Kazemi, DMD

1 review

Bethesda Oral & Maxillofacial Surgeon

www.facialart.com

Porcelain Crowns, Implants versus Crowns

This is a challenging question as implants when properly placed can last a long time and be very esthetic. It appears from the xrays that the teeth can be saved. I agree with the others , the first step may be to get an endodontic assessment of these teeth. If they can be treated or retreated predictably then it may be worth saving your natural teeth. Another thought is to have a dentist gently remove the existing crowns on questionable teeth to assess their... more

Replacing existing dental work

The Root canals don’t look to me like they were done “poorly.” I don’t see any pathology, the fill seems to be adequate. Are you having any pain or discomfort? If not, then I wouldn’t touch the root canals. Most of the crowns look decent. Are you happy with how they look? If you are happy with the esthetics, I would recommend not to replace all 9 crowns. There may be an open margin on a crown or two, but I wouldn’t feel... more

Peter Mann, DDS

3 reviews

Manhattan Cosmetic Dentist

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Replacing crowns

I recommend in consulting with not only your dentist but an endodontist & Periodontist specialist before starting any treatment the endodontist can evaluate the root canal teeth & determine if they can be saved & the Periodontist can also evaluate your teeth & check for any bone loss & also determine if your gum tissue is healthy. Keep in mind without a healthy foundation any restorations you decide to do will fail, it's like building a... more

Crowns with open margins

Most of the crowns have open margins.They will need to be reoplaced. However as far as I see onthe xrays, maybe not all of your rcts need to be redione unless the teeth are symptomatic. Dr Barba

Second opinions are good

While some teeth show issues that would benefit from remaking, the root canals may not be needing replacement. I would suggest an evaluation from an endodontist (a specialist with nerves of teeth) and see what they say. It appears some crowns were splinted, which usually is done for support. Are we dealing with gum disease issues? An evaluation from a periodontist would be a good idea as well. It may not be as bad as you fear, but SOME remaking of crowns may... more

Remake of recent crowns

It certainly sounds as though you have significant problems with the tooth structure supporting the first set of crowns. You are wise to seek multiple opinions. The important thing is to find a dentist you trust and feel rapport with and then take his or her advice. It is not uncommon to need multiple posts and remakes. There is an entire industry around remaking botched cosmetic dentistry.

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