Crown and post removal
Added: November 15, 2007 - 7:55 PM
By: Patient Email Withheld, Washington, DC
Need Dentist / Specialist:
No
Provide Cost Estimate:
No
X-rays Available:
No
Case Summary
Crown
Teeth: 6,11
Case Description
i have some very old (about 20+ years old) posts with composite crowns, and would like to replace for aesthetic reasons. i'm afraid that the teeth will break while removal. is it possible to remove only the composite crowns? what are my options? is there a safe way to remove both post and crown? thanks
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Reply: Crown and post removal
added: November 16, 2007 - 4:43 AM
It would all depend on how much tooth structure is under the crown, if there is sufficent tooth structure remaining there should be no need to remove the post unless there is decay around the posts. If there is decay around the posts, you would have to remove the posts and decay, then redo the post and crowns. You would need to have an x-ray taken on the teeth to be able to tell for sure. We would love to do a free consultation for you at your convenience. We have very flexable hours and are also open on saturdays. Please feel free to give us a call anytime to set up your free consultation. Aramesh Darvishian DDS12040 South Lakes Dr. Ste 200Reston, VA 20191(703) 955-4440
Reply: Crown and post removal
added: November 16, 2007 - 5:43 AM
Hi,Usually there is no need to remove the posts, especially if there is the risk of breaking teeth. However, if your main concern is cosmetics, it may be better to remove them and replace them with tooth-colored posts or build-ups. You really should seek several opinions from dentists who have had post-graduate training in cosmetic dentistry. American Academy of Cosmetic Dentistry, Las Vegas Institute, and Pacific Aesthetic Continuum are three of the best organizations you might contact for more information.Good Luck,Dr. Michael Rogers
Reply: Crown and post removal
added: November 16, 2007 - 6:16 AM
This case will need to be evaluated clinically to provide a good opinion, however generally crowns can be re-done without removing the posts provided the root canal is not infected.
Reply: Crown and post removal
added: November 16, 2007 - 7:22 AM
Dear Sir or Madam,You pose a wonderful question and a very real concern. There is often great difficulty removing old posts, and yes, there is indeed a risk of root fracture during crown/post removal.Most likely, your dentist will only try to remove the crown, not the post. Removing only the crown reduces the risk of root fracture.Please email or call if you have any questions.Neal KravitzKravitz Orthodontics, South Riding VA
Reply: Crown and post removal
added: November 18, 2007 - 6:07 PM
a clinical exam would be nice, with some films, but in general I do not remove posts to re-do old crowns. Even with films you can''''''''t be sure until your''''e in there. call me if I can be of any assistance.
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