Q.
I have an old “crown-on-gold-post” upper left incisor which is, over time, slowly dropping down (it has also moved over to the left, increasing the gap between the front teeth, and partiall covering the next tooth along). It is not currently loose, but my local dentist says it is the bone rejecting the dead tooth root, so it will fall our eventually….? The bottom half of the tooth was originally broken off in 1984: the nerve was removed (VERY painful!), a gold pillar with the matched false tooth attached was then screwed / glued into the old root canal after it had been drilled into (prepared?). I have to say that until recently, this tooth has been completely trouble-free, looked good, etc…but in the last 5 years or so, I have noticed it has gradually dropped significantly: It is now approximately 2mm+ lower than the adjacent tooth. I appreciate this is going to require attention eventually whatever happens, but having spent the last few months researching my options, I have come up with something that I think MAY be the best solution overall (I have been out of work and cannot really afford the Ti implant-route at this stage!) Is it possible to do the following: 1) Extract the offending tooth. 2) Remove the top part of the root. 3) Refit the tooth (which should now be able to be inserted further in / squared up?), using PeriAcryl (or similar) to secure it to the bone. 4) Over time the gum will bond back with the tooth, thereby holding it back in place securely……. If you have a “real” email address, I can send you pix of the tooth and a diagram of what I’m suggesting? As an engineer (but NOT a dentist!), I think this sounds plausible, and should take a very short time to actually do (if possible), avoiding the implant fitting / settling time / multiple visits, etc….. Please advise: if ti is possible, how much would it cost to have done..?
I have an old “crown-on-gold-post” upper left incisor which is, over time, slowly dropping down (it has also moved over to the left, increasing the gap between the front teeth, and partiall covering the next tooth along). It is not currently loose, but my local dentist says it is the bone rejecting the dead tooth root, so it will fall our eventually….? The bottom half of the tooth was originally broken off in 1984: the nerve was removed (VERY painful!), a gold pillar with the matched false tooth attached was then screwed / glued into the old root canal after it had been drilled into (prepared?). I have to say that until recently, this tooth has been completely trouble-free, looked good, etc…but in the last 5 years or so, I have noticed it has gradually dropped significantly: It is now approximately 2mm+ lower than the adjacent tooth. I appreciate this is going to require attention eventually whatever happens, but having spent the last few months researching my options, I have come up with something that I think MAY be the best solution overall (I have been out of work and cannot really afford the Ti implant-route at this stage!) Is it possible to do the following: 1) Extract the offending tooth. 2) Remove the top part of the root. 3) Refit the tooth (which should now be able to be inserted further in / squared up?), using PeriAcryl (or similar) to secure it to the bone. 4) Over time the gum will bond back with the tooth, thereby holding it back in place securely……. If you have a “real” email address, I can send you pix of the tooth and a diagram of what I’m suggesting? As an engineer (but NOT a dentist!), I think this sounds plausible, and should take a very short time to actually do (if possible), avoiding the implant fitting / settling time / multiple visits, etc….. Please advise: if ti is possible, how much would it cost to have done..?
A.
Unfortunately, it is not as simple as you think. I would be more concerned about the underlying disease process that must be going on if this tooth is moving. A second opinion might be the most sensible option for you I suspect, if your local dentist is unable to give you a list of comprehensive treatment options.
Unfortunately, it is not as simple as you think. I would be more concerned about the underlying disease process that must be going on if this tooth is moving. A second opinion might be the most sensible option for you I suspect, if your local dentist is unable to give you a list of comprehensive treatment options.
Dr Nick Fahey
Woodborough House Dental Practice
21 Reading Road, Pangbourne, Reading RG8 7LR
Web: www.woodboroughhouse.com Tel: Tel: 0118 984 3108
Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.comTel: 020 7636 5981
