I am aged 61 years with BP(on Telma CT-40). I underwent RCT for front tooth on 18th January, 2023. The tooth is lost/broken on 19th May while I was in Usa. On consultation in Hyderabad on July 11th, the dentist suggested for a 3 unit bridge by doing first RCT for adjacent teeth. As my jaw bone is week, he told implant cannot be done. Another dentist suggested that she initially will place Fiber post followed by crown/cap ( metal crown or zirconia one based on my budget). She also told that during Fiber post procedure, if it is not possible, the Option of bridge is to be opted as implant can be done due to much bone loss. Kindly Advise whether I can go for Fiber post or bridge or implant and also suggest which type n brand of crown I can opt. X-ray as well as photos of broken or missing front tooth attached.
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In my humble opinion poor bone quality should not be a hindrance in placing dental implants there are adequate materials,types of implants to manage such situation. Hypertension is not a contraindication for dental implant as long as the patient is under medication Implant surgery can be safely done. Kindly consider visiting an implantologist who is well versed to do such replacement.
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Get a Xray done of the broken teeth and get it removed followed by implant placement
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I would suggest conserve the teeth and get a post crown on the broken teeth. But since the clinical portion of the fractured crown left over is very less I would prefer adjunctive orthodontics. Extrude 21 a bit with the help of braces which would take around 3-4 months and thn go fr a fibre post and zirconia crown or metal ceramic crown as per patients choice.
ased on your description, it seems you have a broken central incisor that underwent root canal treatment (RCT) with a post and core. Now, you have a few treatment options to consider: a bridge, a crown with a post and core, or an implant.
1. Bridge: This involves placing crowns on the adjacent teeth to support a false tooth (pontic) in between. If the adjacent teeth are healthy and strong enough to support the bridge, this could be a viable option. However, it’s important to note that the adjacent teeth will need to be prepared by removing some enamel to accommodate the crowns.
2. Crown with a post and core: In this option, a post is inserted into the root canal-treated tooth for added stability. A core material is built around the post to provide a foundation for the crown. The crown can be made of various materials, such as zirconia, which is known for its strength, durability, and natural appearance. Zirconia crowns are often recommended for front teeth due to their aesthetic qualities.
3. Implant: An implant involves surgically placing a titanium post into the jawbone, acting as an artificial tooth root. Once the implant integrates with the bone (a process called osseointegration), a crown is attached to the post. Implants are considered a long-term solution and can provide excellent functionality and aesthetics. However, they require a healthy jawbone and involve a longer treatment process.
The best treatment option for you will depend on various factors, including the condition of the adjacent teeth, the strength of the tooth root, and your overall oral health. It’s essential to consult with a dentist who can thoroughly examine your situation, review X-rays and scans, and discuss the advantages and disadvantages of each option. They will consider your specific needs and provide a recommendation based on their professional expertise.
Getting a fibre post and a crown for this tooth is NOT recommended. If you are keen on saving this tooth then the indicated type of post is a customized post! You would also require gingivectomy in proximal areas of your tooth. With my experience I can tell you that the overall prognosis will be questionable and there will be chances of breakage at the cervical level. Also, you will have to get Re-RCT for the tooth in question as the tooth is lying open in the oral cavity since 19 May.
If you have financial concerns go in for a bridge else Implants are always a preferred modality to replace a missing tooth! Do get CBCT done for evaluation of the bone status before an implant placement. Prefer a metal-free crown from a good lab for anterior tooth replacement.
You can safely go in for a vital tooth preparation irt 11. However, 21 may pose some sensitivity while tooth preparation. But, you definitely can go in for a bridge without getting RCT done for 11 & 21. If at all you face an issue at a later stage you can get RCT done through crown as well!
Get a cbct done.
As per cbct, treatment can be decided.
If implant is possible, then go for implant.
If not possible, then fiber post with zirconia.
Or even if it is not possible, then go for bridge.
(This is my opinion, it may vary with treating doctor. Follow the advice of treating doctor).
Do visit a local dentist for physical evaluation and treatment (as required).
Hi.
I would suggest you to go for Extraction followed by the zirconia bridge.
Even if you go for implants it ll not be aesthetically pleasing because the space between ur teeth is wide,the crown ll look bulkier
Hi,
You can try the treatment plan suggested by your second dentist, Fiber post followed by crown. Best crown for front tooth would be a metal free crown (Zirconia crown or All Ceramic crown).
As of implants, you need to get a CBCT done to evaluate the bone.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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