Another core build up?

Just because a crown needs replacement from chipping or a fracture does not necessarily mean that a new buildup is required.  If there is decay under the crown or an existing buildup that comes loose during the removal of the existing crown this would most likely necessitate the need for a new buildup.  If the integrity of the tooth and existing buildup is solid and free from decay then a new buildup should not be needed.

Great questions! For most all crown procedures and crown replacement procedures a  core build-up is included on the treatment plan. You can't tell a patient that a tooth won't need a build-up until the crown is removed even if it is just a cracked crown. When the crown is removed, many times decay is detected or the existing build up comes out with the removal of the cracked crown requiring a new build up. If it's not that old, decay is probably not going to be an issue. It's just a matter of the integrity of the existing build-up after removal of the crown. I think your doctor is just trying to make sure you have a figure of the worst case scenario. It feels much better when you leave to owe less and not more. I would give your dentist a call and confirm this is indeed his policy. Best of luck.Hank D. Michael, DMD 

The build up is the foundation for the crown.  If the foundation is intact upon removal of the fractured crown, then your dentist should just remake a new crown.