Sunday, October 25, 2009

Tooth removal or filling and cap?

I have a broken tooth. I was chewing gum and heard a "crunch." I was puzzled. When I got home, I spit out part of my molar. YIKES! The dentist asked me what I wanted to do. I want it fixed. I don't want a hole. What's better? What's more economical? Getting the tooth removed and having a partial made? Or having it filled and capped? I have an autoimmune disease process in full swing right now. Causes caries, thrush and a number of other things. I have fractures all through my teeth.Maybe I should have them all removed! Lol.JK.
Answer:
Sorry but in your situatiuon I would have to say that day to your immunodeficient state, the best option would be to get a crown done(cap). Any surgical procedure for you should be a last resort. In your case I think weighing the possible complications against price is a no brainer. During immunosuppressive therapy you have to make sure that non invasive is your priority. Possible complications are osteoradionecroosis, etc. Talk to your GP first if you decide to go with the extraction option. If you do also get a bone graft placed so that you have the option of having an implant placed at a later date.
Good Luck
Feel free to contact me if you have any doubts.
You are much farther ahead having the tooth filled and if need be, a crown put on the tooth for actual strength. Remember a filling doesn't strengthen a tooth, it just replaces what is decayed or missing. But like putting rings around a barrel strengthens the barrel enough that it can be filled up, so does a crown strengthen the tooth enough for you to be able to chew on it.
Removing the tooth is less costly in the short run. But in the long run it is more costly. Factoring in things like implants, bridges and worst of all.dentures.
Once I was eating a dumpling while watching TV and I bit on my fork too hard. A small triangle piece of my tooth fell out. I thought I was going to be disfigured for life! I wanted to die then, I was almost in tears.
The dentist very gently fixed it with a filling and it looks and feel like before. You can't tell at all!
So yeah, you should get a filling.
I'm still visiting this dentist. Am not going elsewhere for the rest of my life!

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