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Fractured tooth, get a crown or not?

post #1 of 14
10/14/10 at 1:08pm
Thread Starter 
Hello

I came back from the dentist and they told me I had a fractured tooth on my left/top/2nd to the back tooth.

I was wondering if there is any debate on getting a crown for it or not.

there is no pain, its not visible in normal light, only under xray

My debate is issues with the crown(porcelain over gold) like cracks, how well its done, crown replacements...and a fake tooth or not(not sure if they will root canal this)

they also said I grind my teeth which may have been the source of the fracture.

anyone thinks it stupid not to listen to a dentist?
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post #2 of 14
10/14/10 at 1:09pm
Listen to your dentist (if you've been otherwise satisfied with his/her work).

I just had my first crown this summer, also upper left side. You don't know how much you rely on those back teeth until you're missing one.
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post #3 of 14
10/14/10 at 1:23pm
+1. I've had 3 crowns (1 of which is an implant) in the front after an accident, and a good dentist is key. If you trust your dentist and his or her work, then go with it. If not, definitely find someone you trust and get a second opinion and get the work done.
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post #4 of 14
10/14/10 at 1:37pm
I broke a front tooth in a cycling accident and had to get a crown. Turned out well.
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post #5 of 14
10/14/10 at 3:55pm
If you're grinding your teeth, and you trust your dentist, then I'd recommend you do the crown ASAP. The continued grinding will eventually split your tooth, and Murphy's law says this will happen at 5:00 a.m. on a Saturday morning on a Holiday weekend when no dentists will be open until 8 on Wednesday - and then they'll be booked through lunchtime.

Happened to a friend of mine. She was in agony for a while.
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post #6 of 14
10/14/10 at 3:57pm
yeah bro....ask ur dentist for advice...not us!
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post #7 of 14
10/14/10 at 4:07pm
First post and I am talking replying about teeth.

I have four crowns currently and you should listen to your dentist and get one. Porcelain is best for your smile line, or maybe I have just drank the dentist kool-aid. You may not feel pain now, but in a few months you might and it can be unbearable.

But you will need a temp while the porcelain replacement is being made. And you have to be very careful with them as gum and even flossing can dislodge them.

But once you get your cap it will look and feel like another tooth but smoother.
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post #8 of 14
10/14/10 at 9:50pm
Well I guess I'll use my first post to give my insight on this as I am a dentist. If you indeed do have a fracture in the tooth (whether you can feel it or not) there is a good chance that it might break at some point. It also makes a difference if whether the fracture line that is currently there is vertical or horizontal. If it breaks and the nerve is exposed or close to being exposed then you will be in a lot of pain and most likely end up having to get a root canal, post+core and then the crown on top of that which will end up costing you an additional 700-1500. Of course I can't say exactly whether or not you needed because I haven't examined the tooth in question nor have I seen a radiograph (x-ray). But if your dentist tells you it's neccessary then it probably is. Hope this helps!
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post #9 of 14
10/14/10 at 11:03pm
So a fix like that would require future maintenance?

If that's the case, I'd also be skeptical. Is the entire tooth cracked or a chipped portion?
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post #10 of 14
10/14/10 at 11:10pm
you can get a second opinion but dont f around with your teeth
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post #11 of 14
10/15/10 at 3:51am
I fractured one of my back teeth pretty badly. What my dentist ended up doing was basically patch it with some sort of light cure adhesive? I'm not sure what it was, but my tooth was as good as new. The fracture was about 1/4 of my tooth.
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post #12 of 14
10/15/10 at 4:53am
I've had to get several for the same reason and am scheduled to go in this coming week for yet another.

Kids, let me give you some free advice: if you have a choice between "silver" or composite fillings, go with the composite. According to my dentist, the former (which was the only kind available when I was a kid), expand over time which can cause fractures. It's not a fun procedure (more psychologically than phsycally unpleasant for me as I can't stand the sound of the drill), but better than having a full-blown cracked tooth.
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post #13 of 14
10/15/10 at 1:21pm
Thread Starter 
thanks all for your suggestions and advice i will get the crown. I have a vertical crack that is now visible because it was pointed out to me i do not remember if the crack went past the gum line, but the line on the xray showed it went from the top to the gum line clearly. the tooth hasn't cracked open or naything, theres just a line/fracture. i think its going through a pre-approval process through my insurance. next appointment in 2 weeks i was more curious if there would be more views towards a real vs crown/fake tooth when i made this thread, but i guess thats not even an issue.
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post #14 of 14
10/15/10 at 3:49pm
Quote:
Originally Posted by Lone Wolf View Post
I've had to get several for the same reason and am scheduled to go in this coming week for yet another.

Kids, let me give you some free advice: if you have a choice between "silver" or composite fillings, go with the composite. According to my dentist, the former (which was the only kind available when I was a kid), expand over time which can cause fractures. It's not a fun procedure (more psychologically than phsycally unpleasant for me as I can't stand the sound of the drill), but better than having a full-blown cracked tooth.

Also, the silver ones have mercury in them, which may or may not cause a host of health problems later (research is pointing one way, and others say otherwise.). I'm actually in the process of writing sending out a research publication that shows that mercury, in organic forms (including one widely used preservative) results in apoptosis & overall cell death of endothelial cells (the ones lining your blood vessels). Not fun stuff.

Even though there's controversy, there's definitely not any controversy about the ceramic/porcelain ones. Get those. I have 4 of the ceramic fillings & 2 porcelain crowns, btw, and if your dentist tells you you need a crown, do it sooner rather than later.
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