Aggressive Bonding for Half a Premolar Tooth, Recent Fracture and Dead Nerve Due to Decay Under Filling? (photo)

Before any restoration such as bonding or a crown may be done, the dentist must remove any decay to make sure the tooth is free of disease. When decay  is so deep that is enters the root canal as it appears to be doing so on your xray, that means there is bacteria in the canal and must be cleaned out with a root canal. Otherwise, if the bacteria is sealed in with a filling, an infection followed by an abcess can occur, and may even turn into a life-threatening situation. 

Nothing last forever I suggest full crown for best strength and appearance good luck

 

Kevin Coughlin DMD, MBA, MAGD     CEO Baystate Dental PC

You need a RCT  since the decay is in your nerve.  The tooth is necrotic.  You cannot just put a filling in the tooth even though it is not bothering you.  You have to get a RCT and then ideally a crown.  Hope this helps