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Old 04-13-2018, 09:35 AM
 
551 posts, read 738,592 times
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So I finally went to a dentist a few weeks ago, having pain in the #30 molar. Turns out I had a huge cavity in that tooth, with an infection, & an abcess. The dentist wasn't sure the tooth could be saved, but said the endodontist could tell me. However, after an x-ray and exam, the endodontist kind of gave me the same spiel as the dentist: I could get a root canal & a crown, or have the tooth pulled & get an implant, or bridge. (I think the problem there is such a big hole in the center of the tooth from the cavity.)

I had no idea what to do. But before I left the office, I decided on the root canal, & they started it that morning. Then back in 2 weeks, where he finished it, in a very lengthy procedure. He seemed very very through. I was also on antibiotics for 15 days. Also, the pain stopped, really after the 1st root canal treatment.

However he said there is still some decay inside the tooth (?!), but that the dentist would take care of that. I have an app't. for next week, & the secretary told me I might need a post and core in addition to the crown. ($410 for the post and core, $1370 for the crown). Had anyone had a post and core done? Does it seem like it might make sense given what I've described?

Also what kind of material for the crown? The last 2 crowns I got were gold.

TIA for any advice--I'm getting nervous as He*ll about all this.
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Old 04-14-2018, 12:15 AM
 
2,951 posts, read 4,888,868 times
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I had a post with a root canal almost 40 years ago, and never had any problem with it since.


This site explains the reasons that a post / core may be needed:
https://www.animated-teeth.com/root_...anal_crown.htm


"If more than half of a tooth's original crown portion (the part of the tooth normally visible above the gum line) has been lost, a post is needed to assist with anchoring the core to the tooth."
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Old 04-15-2018, 12:16 AM
 
Location: Living rent free in your head
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I've had a few post and core procedures, they do them when there isn't adequate tooth structure left to support the crown. It doesn't take long to do. The crowns I've had in the past few years on my back teeth have been zirconia they match my other teeth.
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Old 04-15-2018, 12:28 AM
 
Location: stuck in the woods with bears and moose
23,129 posts, read 22,192,826 times
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The gold crowns are supposed to last forever but they are more expensive. I mostly have porcelain crowns but they do tend to crack after several years. Porcelain crowns look nice though because they match the color of your other teeth.
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Old 04-15-2018, 12:38 AM
 
750 posts, read 1,612,392 times
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Zirconia crowns can last a lifetime. They do have plusses and minuses, but are worth looking into.
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Old 04-15-2018, 08:37 AM
 
551 posts, read 738,592 times
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Yes, I had found this site. Tons of info. there on root canals, post and core procedures, etc:

https://www.animated-teeth.com/root_...anal_crown.htm

I'll look into Zirconia crowns. My previous 2 crowns are gold, but one of them keeps falling off--it's just a little gold piece that fits on the top of the tooth, so the only thing holding it on is whatever glue (or whatever) they use to re-attach it. The dentist I'm currently seeing said to just leave it off (?). Better than paying $180 each time to have it re-glued & then fall off in 2 months.

FWIW, both the dentist, & endodontist, are in Portsmouth NH.

Thanks to all for the tips.
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Old 04-15-2018, 02:59 PM
 
Location: East Texas
506 posts, read 530,797 times
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Quote:
Originally Posted by in_newengland View Post
The gold crowns are supposed to last forever but they are more expensive. I mostly have porcelain crowns but they do tend to crack after several years. Porcelain crowns look nice though because they match the color of your other teeth.
My gold crowns are forty some odd years old but this year I've begun to have fractured roots under them. I think from grinding my teeth at night due to a lot of stress. If a dentist told me a crown was over a grand I'd get another dentist.
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Old 04-16-2018, 08:44 AM
 
Location: OHIO
2,562 posts, read 1,436,463 times
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I had two post and cores done about a year ago at the same time. The cast posts are gold alloy, the crowns themselves are porcelain or zirconia. There just wasn't enough tooth. I could tell by looking at them.




The process itself was on the longer side, but I also had 2 done. That day he also had issues with his CO2 tanks (Whatever they need to run their tools). He had to keep going to different rooms to adjust the crowns, which added to the time. He closed his office to all patients but me.


It was 3k for everything. I didn't pay that, but that is roughly what they cost.
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Old 04-18-2018, 10:31 AM
 
551 posts, read 738,592 times
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Quote:
Originally Posted by SusanG_O View Post
My gold crowns are forty some odd years old but this year I've begun to have fractured roots under them. I think from grinding my teeth at night due to a lot of stress. If a dentist told me a crown was over a grand I'd get another dentist.
Well, yeah, 40 years ago almost everything was way less expensive. I seem to remember cleanings & "checkups" back in the 1970's costing $40-$50. And there's no way I'm gonna go on a search for the absolute cheapest dentist, like at one of those chain dental places. This guy I've started going to is supposed to be one of the best, & so far I think he is (& I've been to a lot of dentists!).

But you're in TX? Things may be cheaper there than in the North East. And good luck with your fractured roots, it sounds awful.

So I went back to the dentist, 2 weeks after the root canal. He did the "core buildup", with no post. Said the tooth was much stronger now, but recommended having the crown made, & said that'd make the tooth even stronger. However, he said he has patients who can't afford the crown & have gone for a year with "just" the root canal & "core buildup".

I'm in this for maybe $2200 so far. I think I should also go for the crown at $1370. I think??? The dentist did keep cautioning me that there are no guarantees, & the tooth could last forever, but maybe not, it could possibly break again. I think he's more thorough in discussing things than most dentists.

But how much stronger will the tooth be with the crown, than the way it is now? And why? He also said the visit to grind the tooth down (2 mm?) to prepare for the crown would take an hour, so I'd have to prepare for that.......I think I'm just feeling nervous & unsure what to do (again)......
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Old 04-18-2018, 10:44 AM
 
Location: Living rent free in your head
38,073 posts, read 17,929,320 times
Reputation: 27973
Quote:
Originally Posted by WoodyWW View Post
Well, yeah, 40 years ago almost everything was way less expensive. I seem to remember cleanings & "checkups" back in the 1970's costing $40-$50. And there's no way I'm gonna go on a search for the absolute cheapest dentist, like at one of those chain dental places. This guy I've started going to is supposed to be one of the best, & so far I think he is (& I've been to a lot of dentists!).

But you're in TX? Things may be cheaper there than in the North East. And good luck with your fractured roots, it sounds awful.

So I went back to the dentist, 2 weeks after the root canal. He did the "core buildup", with no post. Said the tooth was much stronger now, but recommended having the crown made, & said that'd make the tooth even stronger. However, he said he has patients who can't afford the crown & have gone for a year with "just" the root canal & "core buildup".

I'm in this for maybe $2200 so far. I think I should also go for the crown at $1370. I think??? The dentist did keep cautioning me that there are no guarantees, & the tooth could last forever, but maybe not, it could possibly break again. I think he's more thorough in discussing things than most dentists.

But how much stronger will the tooth be with the crown, than the way it is now? And why? He also said the visit to grind the tooth down (2 mm?) to prepare for the crown would take an hour, so I'd have to prepare for that.......I think I'm just feeling nervous & unsure what to do (again)......
Yes it will definitely be stronger with the crown, every dentist I've been to has recommended a crown after a tooth has a root canal
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