Would DDS consider removing old crown, doing root canal, and NOT inserting new crown?

Would DDS consider removing old crown, doing root canal, and NOT inserting new crown?





I have an "old" crown, done by a different DDS 4 months ago. New DDS did xray %26amp; shows it is too short and not properly fit (hence all the fun sensitivity and sometimes lingering pain).





Since it was done 4months ago, insurance won't cover %26amp; I wouldn't go back to old DDS even if he retreated for free. So, would a DDS consider removing crown, doing root canal, and leaving tooth as is for a while? New DDS doesn't think he can do the root canal thru it (or doesn't want to).





I am scheduled to have lots of other fun $$$ work, and want to avoid adding more to the tab at least for a while.

Would DDS consider removing old crown, doing root canal, and NOT inserting new crown?
Its been known to happen.. but I suggest to get the new crown done as soon as possible because the temp crown they put in will probably break and cause worse tooth damage.
Reply:you could ask the dds if they would want to alter the work.
Reply:Have a temporary post to hold the tooth together after the root canal. That's what mine did...I was modeling and didn't want the gold crown on yet.
Reply:I would ask your new DDS to be honest with you about that tooth.





I had 3 root canals done in 72 hours on one tooth...it wasn't packed all the way, and then it was sealed off...the result, 5 years later, was the tooth died and broke, and now is in my gums in 2 pieces...but it's not causing any pain is why I don't have it pulled...it's my only tooth that has any sort of serious problem like that, and I don't want it pulled for fear of it shifting my other teeth around.





Anyway, though, ask him/her for a prognosis of the tooth after repairs...it may be best to just get it pulled and have a bridge put in, and that may cost less...I just don't know.
Reply:They could make a temporary acrylic crown. It's only good for a few months.





You'll have to take it easy; it won't have the strength of a real tooth or crown.
Reply:if the old crown wasn't property fit, could the new dentist at least rework it so it fits better? this might work on a short-term basis. however, the insurance carrier is responsible for your getting good care from the providers THEY have approved. do battle with them over this until you get the right treatment and not on your dime.
Reply:you can't do a root canal THROUGH a crown. (if it's metal it will make a hole and you can't fill it...if it's ceramic (tooth colored) it will crack the whole thing into pieces.


If the first dentist didn't do a good job and you didn't get a root canal the first time, well he wasn't doing his job properly. Crowns are seldom put in place without a root canal, due to the pain thing...so if you can, get some Sensodyne tooth paste and wait it out, till you can get it fixed. Otherwise I'd go back to dentist #1, ask for my money back or make him do his job, correctly this time.
Reply:Well, first I would tell old DDS that he didn't do it properly, and therefore you have lost faith in him and would like to be reimbursed for the money you put out. Then get a new DDS and explain the problem to him and see what he suggests. Then contact your insurance co. and see what they suggest. If you had a root canal you need to have a cap or crown to make it work ok and without pain. Good luck, dental work is a painful bit##.
Reply:You CAN do a root canal through a crown. Just fill the hole back with amalgam or composite.





If I were you, I would go to the old DDS and make him re-do it. For free. He should stand by his work. Take him the x-ray that was just taken and be prepared for him to argue.





Part of the purpose of the crown is to hold a space. It keeps other teeth from drifting. If you just had a RC and no crown on it, you'll just be stuck with a "nub". Your teeth will shift to compensate for it because teeth naturally want to occlude with something.





Bottom line: you paid a lot of money for a product and it's defective. The one who "sold" you the defective product should be held responsible for it.
Reply:I would recommend going back to the old dentist, talk it over with him, show him the xrays and what the other DDS said and have him fix it. If the old DDS is worth anything he'll redo it at no charge.





It's not uncommon for there to be sensitivity in teeth after having a crown put on. It depends on the degree of sensitivity that the patient can put up with that usually determines how far the doctor is going to go to treat. If it's very mild sensitivity a lot of dentists will just wait it out and see. If it's screaming sensitivity that's going on nonstop then yes, he would probably consider something drastic like a root canal, although simply refitting the crown and laying down some desensitizer would be a more likely 1st step.





If you did manage to get to the point where root canal is recommended (this should be near last resort) you might want to consider an Endodontist. Personally, if it were me, I would go this route. From the dentists I've spoken with, endodontists tend to do a better job because that's all they do. The hole they drill through the crown will be smaller than the hole the dentist will make because endodontists have a better feel for their way down the canal whereas dentists have to drill a bigger hole because they need to see more.