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My daughter broke off half of her front permanent tooth at 8. Is a crown the best option now at almost 16? (Photo)

trollsmomx3Feb 11, 2016
She broke half her front permanent tooth off in the second grade at school. They tried a cap, but the tooth ended up needing a root canal within a few months of the trauma. She has had a resin filling over the tooth since then, but her teeth have grown and the tooth is much shorter than her others. She is nearly 16 and her pediatrician says she is finished growing, so we were thinking it would be a good time to get a crown done. Is this the best route? How long does the resin typically last?

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Dr. Scott Young, DDS
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Answered on Feb 12, 2016
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Scott Young, DDS

You are correct that peroxide should be used to clean this.  Do not do this on your own.  Have your dentist clean this properly for you when bonding on your permanent crown.  Good luck.  

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Paul D. Kantor, DDS

If money is not an issue, replacing the gold crown would be the best idea. A bonded restorative material would be the best way to fill the root canal access opening, not mechanically retained amalgam. I wouldn’t worry about having the old crown removed.

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Paul D. Kantor, DDS

No, it’s not a problem. Your endodontist will clean and disinfect the canals as part of the procedure. You will need the tooth to be built up and a new crown done. Your dentist can determine whether or not a post is needed.

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