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Potential root canal on molar, but already have new crown

 
Potential root canal on molar, but already have new crown
Added: August 17, 2008 - 10:32 PM
By: Patient Email Withheld, Washington, DC
Need Dentist / Specialist: Yes  
Provide Cost Estimate: Yes  
X-rays Available: Yes  
Case Summary
Root Canal Crown
Teeth: 2 
Last Full Mouth X-Ray: 8 months
Last Cleaning: 1 month
Case Description
I had a deep cavity in the (2nd from back top) tooth that was filled 5 months ago, and then cracked 2 weeks after the filling. Then there was a minor, dull pain in the tooth that subsided somewhat, and my dentist put a crown on the tooth last week. A couple days after the crown was placed, I noticed the dull pain in the tooth again. It hasn't been excruciating at all, but it seems to show up in the afternoon through the evening.

So I'm expecting that I need a root canal, but I'm wondering about the crown - will I need a new crown, or is it correct that a filling can be placed in the crown after the RTC? How much would this cost?




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Reply: Potential root canal on molar, but already have new crown
added: August 17, 2008 - 11:00 PM

Cost Estimate: $ No Estimate at this time. Additional information required.
please call our office early this morning , we open today at 8.00am and talk with Gary the office manager at 202 775 0167 ,to bring you asap .sincerely

Dr Shouhayib

 
Reply: Potential root canal on molar, but already have new crown
added: August 18, 2008 - 3:30 AM

Cost Estimate: $$950-$1400
In most cases, a small access opening can be made in the crown, the root canal treatment finished, and then the small hole can be repaired with a filling. You would have to pay the normal fee for a root canal treatment, but since the crown is so new, you may not have to pay to repair it. Check with your dentist to be sure.
 
Reply: Potential root canal on molar, but already have new crown
added: August 18, 2008 - 5:37 AM

Cost Estimate: $ No Estimate at this time. Additional information required.
Many times, assuming that the existing crown fits well and the root canal treatment allows for conservative access, it''''s fine to simply do a filling in a crown after a root canal. Occasionally, there is a cosmetic concern, but that''''s a case by case decision.

All the best

 
Reply: Potential root canal on molar, but already have new crown
added: August 18, 2008 - 6:57 AM

Cost Estimate: $ No Estimate at this time. Additional information required.
You may need a root canal or you may need something as simple as an adjustmentment to the crown. You should contact your dentist and make him or her aware of these symptoms. Don''''''''t jump the gun just yet. A rct can be done w/ the crown in place or the crown can be removed and recemented depending on the type of cement that was used.
 
Reply: Potential root canal on molar, but already have new crown
added: October 08, 2008 - 7:42 PM

Cost Estimate: $ No Estimate at this time. Additional information required.
Typically it is wise to only place the premanent crown on the tooth after all the symptoms have subsided or if need be a root canal is completed. If a tooth goes south after the permanent crown is placed, you can do one of 2 things:

1) remove the crown if the dentist placed the crown with a temporary cement

2) drill a small hole in the new crown and do the root canal through the crown assuming a permanent cement was used.

If #2 is done, naturally a filling will need to be placed in the small access made through the new crown. Keep in mind it may become necessary to re-do the crown depending on the damage to the crown and the underlying tooth removed.

Hope this helps.

   

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