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Posted by D on August 15, 2000 at 09:29:28:

In Reply to: Re: Cavity, Extraction, Broken Tooth and Bridge posted by David on August 14, 2000 at 21:26:54:

: : I am 32. I had a cavity on my right lower molar tooth( guess it is number 28). The other tooth ( Number 29 ) is not in line with my other teeth ( It is inside of my U-line of teeth ). For the molar tooth which had a cavity, the doctor suggested that either I can go for Root Canal or the tooth can be removed and I can go for Bridge. He said he would advice bridge since the tooth is not straight. Since I didn't want the tooth to be extracted, I said I would go for root canal. So the doctor said before he could go for root canal, he
: : wanted the tooth (number 29 ) be removed since it is not in the regular line of other teeth and it is coming in the way of X-ray. Also he told me that the tooth is preventing me from clean brushing. So I went to a specialist to have my tooth (number 29 ) removed. The specialist doctor removed the tooth. While removing the tooth he broke my right lower molar tooth which had cavity. It is broken vertically now. About 40% of the tooth is broken. I called my doctor and told him about this. He said he would have a look at this but he said he still prefers bridge. The whole thing is very depressing. Could anybody tell me whether bridging is the only option left for me now or the broken tooth can be repaired with crown? Are there any other options? Any help and advice is greatly appreciated.

: Hey D
: Your description is somewhat confusing, but it sounds like two teeth
: need work. #28 is a premolar, and #30 is a molar. Tooth #29 was
: extracted due to poor alignment. Any or all of those teeth should
: be candidates for simple crowns or root canals and crowns. A bridge
: is used to replace a missing tooth (supposedly #29), but why did you
: have that tooth removed? Poor alignment in itself is no reason to
: remove a tooth, and poor oral hygiene can be improved.

: Of course the dentist wants to make a bridge, he makes more
: money. You may want to seek a second opinion, and ask about
: 1. A partial denture (removable teeth)
: 2. Simple crowns
: 3. If the space is small, one oversized crown to close the space.
: 4. Or, possibly, what will happen if you do nothing.
: 5. Maybe an implant is an option.
: 6. Maybe you can have some simple orthodontic work to close
: the gap.
: 7. Maybe you can have a Nesbit partial denture (replaces one
: tooth, and is removable).

: Seems to me that you have loads of options. Some make the dentist
: more money than others, so naturally those are the ones he will suggest.
: Try to get all of the facts.
: Good Luck-
: David

Hi David,

THANKS A LOT for the quick response.

It is heartening to hear that I have many options.

I want to go in for root canal and a crown for the tooth #28 ( premolar ). As I had written before, now it is broken vertically. It is broken
from top uptil the gum. With this state can I still go for crown? Could you please tell me whatever tooth that is remaining is good for holding the crown? PLEASE advice me. If you want anymore details I will provide you.

Thanks again.

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