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Broken Tooth after Root Canal

User Level:
Patient
Posted by: zasmith002  (7 years ago)
I had a root canal performed on my upper first molar recently due to an infection/abscess around an existing filling. After the root canal, my dentist put in a temporary filling to be left in place for two weeks or so until the infection cleared up. After that, my dentist planned to install either a permanent filling or crown on the tooth. Before the two weeks was up I broke off a portion of the tooth eating a cracker. I can't tell for certain, but it feels like it sheared off maybe 1/4 of my existing tooth on the inside (tongue side) of the tooth. No pain or discomfort.

I have an appointment to get it crowned next week. However, I wanted to ask an expert for a second opinion. I know that this is common practice for this type of situation, but I want to know what would be the consequence of just grinding the jagged edges smooth and not crowning? Please don't yell at me...I'm not being irresponsible and I will have the tooth crowned if that's what it takes. But I don't have insurance and the crown would be an additional $1,100. It would be great if someone could tell me exactly why I need to have it crowned. Thanks in advance!
User Level:
Dentist
I had a root canal performed on my upper first molar recently due to an infection/abscess around an existing filling. After the root canal, my dentist put in a temporary filling to be left in place for two weeks or so until the infection cleared up. After that, my dentist planned to install either a permanent filling or crown on the tooth. Before the two weeks was up I broke off a portion of the tooth eating a cracker. I can't tell for certain, but it feels like it sheared off maybe 1/4 of my existing tooth on the inside (tongue side) of the tooth. No pain or discomfort.

I have an appointment to get it crowned next week. However, I wanted to ask an expert for a second opinion. I know that this is common practice for this type of situation, but I want to know what would be the consequence of just grinding the jagged edges smooth and not crowning? Please don't yell at me...I'm not being irresponsible and I will have the tooth crowned if that's what it takes. But I don't have insurance and the crown would be an additional $1,100. It would be great if someone could tell me exactly why I need to have it crowned. Thanks in advance!


If you don't have cusp support, next time the tooth will crack catastrophically and you will have it extracted.

If you are not insistent that the tooth be white, an ex-military dentist can do an "amalgam crown" on the tooth for about a third of the cost you were quoted. If you insist on white, only a porcelain crown can be done.
Posted 7 years ago
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