With dental cavities below gum line, is it better to pull back the gum and fill the cavity or put a crown? (Photo)

Question

I have 2 cavities below gum line in one tooth; and one in the adjacent tooth that has a crown. One dentist advises to have a surgeon pull back the gum in that area and to fill all 3 cavities. A second dentists says I need to have 2 crowns and might need a root canal, but won't know until he gets into the tooth. (I have already had the needed deep cleaning and my gums are now is very good shape.) Which treatment plan makes more sense to you and why? What are risks with each treatment plan?

Anthony Mobasser, DDS, DMD · Answer

Root cavities under the gum, needs to be treated on priority level. If the dentist feels that he can retract the gum and remove all the cavities, by all means, restore them by using bonding procedure! Crown may be necessary depending on how much sound tooth structure is remaining! If the dentist can not easily get to the cavity under the gum, then seek periodontist consult for possible gum surgery.

Kourosh Maddahi, DDS · Answer

Hi;If the cavities are not too large, the  filling option is best, however if the cavites are large and near the near its best to do crowns.Best,Dr. Maddahi

With dental cavities below gum line, is it better to pull back the gum and fill the cavity or put a crown? (Photo)

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