Do I need a Crown Lengthening or should I have Permanent Placed today? Please help!! (photo)

My concern for you is that from what the x-ray shows, your temp doesn't fit between it and the tooth behind it and it also looks like there is a big cavity there. If there is indeed decay there, once the decay is fully removed, the tooth will be below the level of the bone that's in between these teeth. How can a crown then fit properly? The only way is to do crown lengthening.

Thanks for sending your question. You should have your dentist check the new crown and place the new crown and take an xray to make sure it is sealed properly. If on the xray it shows it is sealed you may elect to have the crown placed with temporary cement and give it a week or two to see if it settles down. If so then you may elect to have the crown placed permanently. Hope this helps.All the best,

There is another option. Have the doctor place the permanent crown with temporary cement. Leave it alone for a period of time. If all is well it can be permanently cemented in the future. If it's a problem you can have crown lengthening and wear the permanent crown as a temporary during healing. Then have the new crown made.