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Can crowned tooth be filled after decay removal?

Question:

I have spent a fortune (unemployed now and no dental insurance) trying to keep these teeth and now more trouble...

Problem: #31 was crowned many years ago. Last February, I sheared off 2/3 of the crown and needed a new crown. Now, I think that there may be decay under the new crown. The tooth is not sensitive to heat or cold, but it hurts when I bite or when I use my finger to put pressure on the tooth.



It may require root canal therapy ......

Related issue: #30 was crowned years ago when #31 was originally crowned. #30 was root canaled a month ago and, since then, my bite on #31 has felt off. I went for a permanent filling of #30 last Thursday. Because there was decay underneath, the dentist said he had to remove the old crown, clean up the decay and do a prep for a new crown. #30 has a temp crown now. Two days later, the pain with #31 started.

Questions: Does this sound like decay or is a root canal needed on #31?

Can the dentist drill through last year's crown, remove the decay, then put in a permanent filling without my having to buy YET ANOTHER new crown?


Answer: Dental health-related material is provided for information purposes only and does not necessarily represent endorsement by or an official position of the SciMedDentistry gang or any other official agency either actual or fictitious or Steve Mancuso.

Advice on the treatment or care of an individual patient should be obtained through consultation with a dentist who has examined that patient or is familiar with that patient's dental history.

If there is absolutely no sensation, that is often a bad sign. In fact, we dentists often place a thin tube of ice on the tooth or use an aerosol ice thinggie to see if it responds.

At this point x-ray is important.

With discount plans one must beware of bait-and-switch so go slowly. I will check this plan a little later for better advice.








 
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