Friday, July 31, 2009

I am getting two crowns made due to having a root canal but I have a small gap between the canine and?

bicuspid. the first premolar and the 2nd one are the ones that need crowns. do you think that they will make the teeth bigger to where it closes the gap between the canine and 1st premolar? thank you

I am getting two crowns made due to having a root canal but I have a small gap between the canine and?
Yes they can do this but you need to ask your dentist to do this when they do the impressions
Reply:Normally these can be taken care of with crowns depending on the size of the gap; some are too large to just "enlarge" a crown. Although in most cases it can be done without any problems, especially if the gap is causing food to pack or become trapped, presenting a potential decay or a tissue problem.





Occasionally, the canine will also need to be enlarged with a composite filling being placed distally to "take up" some of the "gap" or space so the bi won't look too large by its self making it look fake. But in any case, the gap can definitely be closed giving these teeth a more normal appearance or natural size.





Be sure to tell your dentist before he prepares the tooth so adjustments can be made to accommodate the widening of the crown, he may wish to prep the tooth differently to accommodate the increased mesial size. He may already be planning to close the gap, if it was the cause of the present root canal. Any "gaps" that cause a potential food packing area or tissue irritant due to food being caught need extra care with brushing, using a proxy brush and flossing. In most cases these teeth should be considered for a crown early to close the area before they cause a problem.





Some patients are partial to their "gaps" and want to keep them; they are usually the front centrals though. I’m sure you aren’t one of them. Hope I've been of some help and good luck with your pending procedure.





Additional information: No, the lab won't close the gap unless your dentist wrote the script requesting it to be done. You need to call your dentist so he can check with the lab. It will depend on "where" they are with making the crowns now. It's possible they can add more porcelain; it depends on the “size” of the gap. Call your dentist today and let him get the lab on it before they have the crowns finished and have to start all over making them.





Also, the impressions you had made may only be for your temporaries to be made from, they may not be the final impression for the crowns to be fabricated from unless both of these teeth have been prepped and ready for the crowns to be placed once the root canal is finished, and you are in temporaries now.
Reply:if you ask for it they will do it but if you dont then they will leave it alone



Philosophy

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