root canal or crown?
Author
Discussion

veetwin

Original Poster:

1,579 posts

286 months

Thursday 11th December 2008
quotequote all
Just got back from the dentist. I have a cracked no.7 bottom right. The crack was caused 6 years ago after a bottle of jägermeister whilst wearing socks on a wood floor. I hit my head on the corner of the hearth.
I've never had any dentist work done so need opinions on the best treatment.

Option 1 - root canal (apparently this leaves the tooth brittle) the cheaper at £180

Option 2 - crown at £350

Option 3 - pull the bugger out at £90

I am not squeemish and after plenty of motorcycle accidents I'm not too fussed about the pain.

NDA

25,615 posts

254 months

Thursday 11th December 2008
quotequote all

I'd go for the crown. I had a few done many years ago and have never had any problems with them.

Christiaan

153 posts

258 months

Thursday 11th December 2008
quotequote all
It is seen as good practice that following a molar root canal treatment the tooth is crowned (due in part to the brittleness you speak of and the ammount of tooth material lost),

So therefore your choices are...

1) Root canal and crown.... £530

2) extraction... £90

Rach*

8,824 posts

245 months

Thursday 11th December 2008
quotequote all
If it needs root filling, then it needs doing before a crown is fitted. IMO it shouldn't be either crown or RCT. Its RCT & crown or extraction.


Personally I'd keep the tooth and have RCT & crown rather than have a big space at the back smile

mik.ross

254 posts

224 months

Thursday 11th December 2008
quotequote all
No.7 bottom right? get it pulled (IMO)as you probably will not be able to see it when you smile anyway.

anonymous-user

83 months

Thursday 11th December 2008
quotequote all
I had Root Canal Treatment last Monday.

I don't like dentists and vomit on the way home. I knew I shouldn't have had the two slices of toast 45 minutes before going in.
The Root Canal Treatment did not hurt at all. It was just like a bit of filing away in the tooth. Like you would sand down rust on a car smile
Took about 30 minutes I suppose.


When it came around it was a little tender but now is far better than before. I have a temporary filling in it now and am going to get a permanent one in just over a week's time.


veetwin

Original Poster:

1,579 posts

286 months

Thursday 11th December 2008
quotequote all
Not looking forward to either with Xmas costs looming. Maybe extraction is best. I have wisdom tooth sat behind it which feels like it's pushing the damn thing anyway.

It causes some pretty nasty headaches.

veetwin

Original Poster:

1,579 posts

286 months

Thursday 11th December 2008
quotequote all
anonymous said:
[redacted]
Are you having a crown also?

veetwin

Original Poster:

1,579 posts

286 months

Thursday 11th December 2008
quotequote all
anonymous said:
[redacted]
Are you having a crown also?

anonymous-user

83 months

Thursday 11th December 2008
quotequote all
Nope, just a filling.

Driller

8,310 posts

307 months

Thursday 11th December 2008
quotequote all
Don't bin your tooth, you only have the one set to last you a lifetime. smile

FlossyThePig

4,143 posts

272 months

Thursday 11th December 2008
quotequote all
mik.ross said:
No.7 bottom right? get it pulled (IMO)as you probably will not be able to see it when you smile anyway.
If you have wisdom teeth (not everybody have them) you'll have a gap which makes chewing difficult. I lost my lower right 7 a few years ago. Keep your teeth for as long as you can, no matter what the cost.

The Trig

426 posts

218 months

Thursday 11th December 2008
quotequote all
After years of accidents and injurys and of course being a pussy when it comes to the dentist many of my broken teeth have gone in the bin for a simple jab and pull option, ie once it has gone it can't cause pain, deal with the denture when i need it.

New dentist changed my mind. He messed up a filling and caused an infection to the root so gave me a full crown and root canal for a really good price. No more pain, solid tooth and gold to boot, so i look kind of gangster !! best choice i have made at dentist for years. Took a while to get used to, but a crown and no nerves in tooth is the next best thing to having full ceramic implants, which was one of my options in later years. 3 hours in chair was not nice but i had an ipod and near enough fell asleep. +1 to the list of body modifications, no wonder the bloody airport machine goes mad when I pass!!

Go for the crown, they have to build on a good base of tooth. No expert, just experience.

-Z-

8,306 posts

235 months

Thursday 11th December 2008
quotequote all
Rach* said:
If it needs root filling, then it needs doing before a crown is fitted. IMO it shouldn't be either crown or RCT. Its RCT & crown or extraction.


Personally I'd keep the tooth and have RCT & crown rather than have a big space at the back smile
Cracked tooth syndrome can sometimes be fixed by one or the other, doesn't necessarily need both.

Edited by -Z- on Thursday 11th December 20:59

Ferg

15,242 posts

286 months

Thursday 11th December 2008
quotequote all
FlossyThePig said:
mik.ross said:
No.7 bottom right? get it pulled (IMO)as you probably will not be able to see it when you smile anyway.
If you have wisdom teeth (not everybody have them) you'll have a gap which makes chewing difficult. I lost my lower right 7 a few years ago. Keep your teeth for as long as you can, no matter what the cost.
I had one pulled that you can't see with the idea that I didn't much care. I now find that the three teeth that touched on it are moving about and I've decided to 'bite' the bullet (LOL) and have an implant.

That makes those prices look like a drop in the ocean...... frown

MentalSarcasm

6,083 posts

240 months

Thursday 11th December 2008
quotequote all
FlossyThePig said:
mik.ross said:
No.7 bottom right? get it pulled (IMO)as you probably will not be able to see it when you smile anyway.
If you have wisdom teeth (not everybody have them) you'll have a gap which makes chewing difficult. I lost my lower right 7 a few years ago. Keep your teeth for as long as you can, no matter what the cost.
Actually I had my lower left 7 taken out a few years ago (had fallen apart, nothing left to save) and since it was removed my wisdom tooth has come out on that side and moved down in to the space left by the molar. My biggest problem is that my wisdom tooth has been coming in for 4 years now and still hasn't quite finished.

Rach*

8,824 posts

245 months

Thursday 11th December 2008
quotequote all
-Z- said:
Rach* said:
If it needs root filling, then it needs doing before a crown is fitted. IMO it shouldn't be either crown or RCT. Its RCT & crown or extraction.


Personally I'd keep the tooth and have RCT & crown rather than have a big space at the back smile
Cracked tooth syndrome can sometimes be fixed by one or the other, not necessarily both.
Everyday's a school day smile

Mr Fenix

863 posts

234 months

Thursday 11th December 2008
quotequote all
+1 for the crown option. For sensible reasons already posted.

veetwin

Original Poster:

1,579 posts

286 months

Thursday 11th December 2008
quotequote all
The dentist suggested that the wisdom tooth would move down if no.7 was removed as the bone is now fixed? I have only just had the wisdom tooth come through in the last 5 years

-Z-

8,306 posts

235 months

Thursday 11th December 2008
quotequote all
It is true that an RCT'd molar would be better off crowned. If, however, you are looking at it from a budget point of view, the crown can be deferred until later.

The tooth will be weakened but as long as you mindful of this and go easy on it, the crown can wait.

Ps, there is a small chance that the RCT on its own will not fix the pain.

Deep cracks can cause pain in two ways, inside the tooth (fixable via RCT) and/or outside the tooth (the cracked piece flexes with pressure on biting and moves, impacting on the surrounding structures and also causing pain). The latter is only fixable via crowns/onlays.

smile