Permanent dental implants or post and core? (Photo)

Question

Hello, First of all thank you everyone for your input. I am 35 yrs old. I have #7 on top broken. My dentist recommends new permanent implant. I asked my friend who is a dentist too and he said post and core. Right now I have a splint in place so the broken teeth doesn't fall. Thank you

Ali John Jazayeri, DDS · Answer

Your tooth can be restored with either a post and crown or a dental implant. For you specific case, I would definetely recommend an implant over crown for several reasons. First off, you’re only 35 years old, so the chances of your crown failing in the future is very high. Second, the tooth broke below the gum-line, leaving very little tooth structure to support a crown. Finally, the tooth you broke is a well known tooth to fail and require dental implant. Lateral incisors are very weak teeth with little tooth structure to support a crown once the tooth breaks below the gum-line. Of course, if you absolutely prefer a crown and post, you can go that route too. However, it will most likely cost you more time and money in the long run in my opinion.

Michael Ayzin, DDS · Answer

Hello and thank you for your great question. First of all I am sorry you broke your tooth. Based on the x-ray provided, your tooth broke very close to the bone level on one side and below bone level on the other. I would say you have two choices. If you want to keep the tooth and do post and core, a crown lengthening  procedure would need to be done as well. That's basically means a doctor will need to shave a little of the bone around the tooth structure in order to get some clearance. Otherwise gums around broken area will be always inflamed and not healthy. The second choice is to remove the root and place an implant.

Ricardo Alvarez, DDS · Answer

Hello!!

Before making a decision of this kind we need to analyze several factors such as  functionality, esthetics and prognostic, according to the x-ray we can see the level of fracture is underneath gum level and just a few millimeters above bone level, in order to make a crown wee need for it to seal in the actual tooth not in the bone or gum otherwise there will be filtration and this will shorten the period of lifetime of your crown, you might be wondering what can we do then ?

well the answer will be a clinical crown lengthening this means to cut soft and hard tissue all around your tooth to get enough structure of your natural teeth that supports a crown, advantages and disadvantages? might be your next questions, well this are the following: by doing this we will solve the problem of functionality the period of lifetime

is approximately 5-7 years but the level of gum might be slightly different than the opposite lateral tooth, if you show your gums when you smile this might not be convenient cosmetically speaking.

What would be the situation if we decide to extracted?

Well the problem of gum level will no longer be a problem and the period of lifetime of an implant is approximately 25 years the condition and level of your bone according to your x-ray is very good to qualify for this procedure and is very functional, in my opinion a crown will only delay the need of an implant in this area.

I hope my answer helpful for you to take a decision.

Best regards

Joseph Goodman, DDS, DMD · Answer

I always like to save teeth as much as possible, thus I would do post and crown. You also need a little gum, surgery to expose more of the root surface for retention.
Best
Joseph Goodman, DDS Beverly Hills

Jyoti Singh, MDS · Answer

Just by looking at the X-ray it seems that some portion of crown is still left with the root. Basic requirement of post and core is at least 1.5 mm of tooth portion (ferrule ) around the root for the treatment to be successful. Implant will be the final definitive permanent solution for sure. But if your natural tooth can be saved after clinical assessment and implant placement can be deferred for few years it will be good because you don't have any residual infection around the root and RCT is perfectly done.

Permanent dental implants or post and core? (Photo)

Answers (6)

Answer: Broken tooth

Answer: Broken tooth

Answer: Save the natural tooth while you can

Answer: Save the natural tooth while you can

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Permanent dental implants or post and core? (Photo)

Answers (6)

Answer: Broken tooth

Answer: Broken tooth

Answer: Save the natural tooth while you can

Answer: Save the natural tooth while you can

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Recommended reading

Everything you need to know about Dental Implants

Our mission is to create a world where every investment in modern beauty is Worth It.