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Tooth rotted under crown

User Level:
Patient
Posted by: lovekyle  (10 years ago)
In 2006, my dentist filled a cavity and put a gold crown on my lower left molar. Two weeks ago, I started to feel horrific pain on the site. I noticed that the gum seems to be receding; the tooth is almost gone; the crown is intact. A different dentist informed me that the tooth under the crown started to rot and suggested that the tooth has to be pulled out. Can it be pulled out or will it require a surgery? Can pulling the tooth out or other required procedure wait or has to be done right away? What happens if I leave the area open after tooth is gone? What happens to the gold crown? Is there a numbing solution or pain reliever I can take in the meantime? Thanks for any advice you can give me.
User Level:
Dentist
In 2006, my dentist filled a cavity and put a gold crown on my lower left molar. Two weeks ago, I started to feel horrific pain on the site. I noticed that the gum seems to be receding; the tooth is almost gone; the crown is intact. A different dentist informed me that the tooth under the crown started to rot and suggested that the tooth has to be pulled out. Can it be pulled out or will it require a surgery? Can pulling the tooth out or other required procedure wait or has to be done right away? What happens if I leave the area open after tooth is gone? What happens to the gold crown? Is there a numbing solution or pain reliever I can take in the meantime? Thanks for any advice you can give me.

It is extremely unusual to have decay under a gold crown, as the seal very well. I would ask to be shown the decay on x-ray, and/or seek a second opinion.

If it cannot be saved, be sure to have a bone graft after the extraction. If the tooth cannot be saved, have the extraction as soon as possible. No one can tell if it will be a simple or surgical extraction without an x-ray.

Topical anesthetics do little to relieve the pain. You must have treatment.
Posted 10 years ago
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