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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Food Lodgement Problem After RCT

I had one of the upper-jaw tooths root canal'ed.
Post treatment, I used to've food lodgment problem surrounding the cavities adjoining the gums of treated tooth i.e: small slices of food teer into the gums and cavities. When I went to see a Dr, she removed the cap along with which the tooth part came out.

Dr. has suggested me 2 options :
1) Have an implant of metal by removing the root.
2) Have a bridge by cutting the left-adjacent natural tooth and removing the cap of right-adjacent root-canal'ed tooth.

Which one would be better option to prevent food lodgment? 1 or 2?

Would you suggest 3) a replacement of cap? or 4) leave the root-canal'ed tooth without a cap
Fri, 5 Sep 2014
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Dentist, Implantology 's  Response
Hello, I went through your query. If more than 75% of tooth structure is lost then placing a crown (cap) on the broken tooth is not recommended. Otherwise there is a possibilty of placing a Post and Core on the tooth. That has to be decided by your dentist based on the condition of the tooth. Also I would not recommend leave the broken tooth without a crown. And between dental implants and bridge, I would recommend a Dental implant, if the condition of the bone is sound, because it does not involve preparation (cutting) of the adjacent teeth.
Hope you are benefited by the answer.
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Dentist, Prosthodontics Dr. Fahad Aziz's  Response
Cap over a rct crown is a must to preserve the tooth. Since a portion of tooth has already come out with the crown, recapping of the same would require build up of the tooth structure using post and core. Followed by a new 'properly' contoured crown that fits the gap between the adjacent tooth.
If that still doesn't solve food lodgment then go for bridging with the adjacent teeth.
Just to prevent food lodgment -Implants should not be an option according to me.
Hope this answers your questions.
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Dentist, Oral and Maxillofacial Surgery Dr. Mahesh Kumar T S's  Response
Thanks for your query, I have gone through your query.
It is better to save the natural tooth, if sufficient tooth structure is there, then you can get the tooth treated with post and core(fibre post) and repeat the crown.
If the tooth structure is not sufficient(If I am your treating doctor, I would have suggest you to go for option 1 if the tooth structure is not sufficient to repeat the crown.
If sufficient tooth structure is left, then go for option 3.
I hope my answer will help you, take care.
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Suggest Treatment For Food Lodgement Problem After RCT

Hello, I went through your query. If more than 75% of tooth structure is lost then placing a crown (cap) on the broken tooth is not recommended. Otherwise there is a possibilty of placing a Post and Core on the tooth. That has to be decided by your dentist based on the condition of the tooth. Also I would not recommend leave the broken tooth without a crown. And between dental implants and bridge, I would recommend a Dental implant, if the condition of the bone is sound, because it does not involve preparation (cutting) of the adjacent teeth. Hope you are benefited by the answer.