Hi I am in desperate need of good advice i had a root canal done three months ago and A temp crown after 3 months the temp crown was pulsing and throbbing at gum line . 2 other dentists suggested crown lengthening. after one week the pulsing went away. Now i dont know what to do my dentist who put the temp on said it is because I need the real crown and not a lengthening. Please see photos and I would greatly appreciate your response if i should go and place crown today. or do the lengthgeing
September 7, 2016
Answer: Crown lengthening Hi there, based on the X-ray , it looks you have dark area which stand for open margin/broken tooth structure/decay and it's very deep from the back of your tooth # 19 dismally. We always want to place the margin of the crown deep to close area like this, in your case is deep under the gum almost close to tag jaw bone, this case is most probably need a crown lengthening where they reduce some of your bone + gum, to be able to cover that area deeply. Otherwise without that if they try to place just a crown deeply most probably it would always irritate throbbed your gums causing inflammation bleeding around the gum and discomfort like that , there is a termin in dentistry called biological width which we can't violate , which means we can't placed under the gum close to the bone, I'll recommend you consult periodontist gum specialist for possible crown lengthening . Good luck!!! George Saakyan DDS
Helpful
September 7, 2016
Answer: Crown lengthening Hi there, based on the X-ray , it looks you have dark area which stand for open margin/broken tooth structure/decay and it's very deep from the back of your tooth # 19 dismally. We always want to place the margin of the crown deep to close area like this, in your case is deep under the gum almost close to tag jaw bone, this case is most probably need a crown lengthening where they reduce some of your bone + gum, to be able to cover that area deeply. Otherwise without that if they try to place just a crown deeply most probably it would always irritate throbbed your gums causing inflammation bleeding around the gum and discomfort like that , there is a termin in dentistry called biological width which we can't violate , which means we can't placed under the gum close to the bone, I'll recommend you consult periodontist gum specialist for possible crown lengthening . Good luck!!! George Saakyan DDS
Helpful
