A332DTW
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Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 12:20 am

Salutations!

Has anyone gotten crowns and/or root canals done before? One of my fillings on a mauler has a cavity. The filling is too large and my dentist would rather place a crown instead of another large filling. The problem is my insurance only covers crowns if a root canal is done... she says I'm not in need of a root canal, but she'll perform one anyway if I decide to take that route. So in other words, crown alone costs $700... root canal + crown costs nothing.

Besides being absolutely petrified (I get nervous just from fillings and dental cleanings alone), I'm a little unsure of which route to take.
 
Airstud
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 12:34 am

I've had a root canal done. Prior to reading your post I didn't know it was possible to put a crown on a tooth without a root canal being done before.

What really are your questions? In pop culture, the phrase "root canal" has for some reason been equated with worse-than-dental-average pain, but mine wasn't so bad. As with fillings, they anesthetized my mouth heavily and I didn't feel any actual pain. I say actual because I was driven crazy by the sounds, the shrill sounds of the instruments doing their thing, and I guess I fell victim to the power of suggestion. Also I have horrible eyesight so I bet sounds have more suggestive power of me than they have over the good-eyesight crowd.

During the root canal, he drilled way the heck down there, put little wiry things in there like tiny garden stakes or something, and "built up a tooth" which was made of some composite goop including rubber cement, that the dental assistant instantly hardened with some ultraviolet thingy (well there was a blue glow, assumed that was UV. Maybe it was just an indicator light   ).

Then I said I'd have to come in another day to have the "permanent crown" seated. I have very, very, very nice dental insurance and STILL had to pay $500 out of pocket for the permanent crown.

Anyway - to answer what I think are your concerns - root canals are painless, no matter what TV comics try to tell you. If you have confidence in your dentist then you'll be fine. Make sure you're OK with eating only soup and/or smoothies/protein shakes for a day or so after the procedure.
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WarRI1
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 12:53 am

[quote=A332DTW,reply=0]


My Dentist charges 910 dollars for a crown. I have had one root canal. Not much to it.
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A332DTW
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 1:12 am

Quoting Airstud (Reply 1):
've had a root canal done. Prior to reading your post I didn't know it was possible to put a crown on a tooth without a root canal being done before.

What really are your questions? In pop culture, the phrase "root canal" has for some reason been equated with worse-than-dental-average pain, but mine wasn't so bad. As with fillings, they anesthetized my mouth heavily and I didn't feel any actual pain. I say actual because I was driven crazy by the sounds, the shrill sounds of the instruments doing their thing, and I guess I fell victim to the power of suggestion. Also I have horrible eyesight so I bet sounds have more suggestive power of me than they have over the good-eyesight crowd.

During the root canal, he drilled way the heck down there, put little wiry things in there like tiny garden stakes or something, and "built up a tooth" which was made of some composite goop including rubber cement, that the dental assistant instantly hardened with some ultraviolet thingy (well there was a blue glow, assumed that was UV. Maybe it was just an indicator light   ).

Then I said I'd have to come in another day to have the "permanent crown" seated. I have very, very, very nice dental insurance and STILL had to pay $500 out of pocket for the permanent crown.

Anyway - to answer what I think are your concerns - root canals are painless, no matter what TV comics try to tell you. If you have confidence in your dentist then you'll be fine. Make sure you're OK with eating only soup and/or smoothies/protein shakes for a day or so after the procedure.

I guess my question was whether or not anyone has done a crown alone, and then later had to get a root canal. I'm a little apprehensive of getting a root canal if my roots are healthy, but my dentist did say that having a root canal before placing a crown would ensure better health of the tooth. In other words I wouldn't need to go back and have them drill through a permanent crown to do a root canal if that ever became necessary.

Thanks for your insight! I'm generally terrified of dental work and the thought of them drilling deep to the roots got me sweating. One thing she did bring up is the length of the procedure, and that most patients have a very soar jaw afterwards. I'll be happy if that's all the complications I get.
 
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WarRI1
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 1:39 am

Quoting A332DTW (Reply 3):



My wife had a root canal and then a crown. A problem of a piece of root missed during the root canal caused some pain. She went to a specialist to have it corrected. He treated her by drilling through the crown and then using a temporary filling. After the treatment he advised her to go back for another crown. My wife said no way, put a permanent filling in the crown. He said OK. I have since done the same. You can fill a crown. It saved us a thousand dollars. Our regular Dentist was not happy.

[Edited 2015-02-11 17:41:07]

[Edited 2015-02-11 17:42:32]
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777way
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 1:54 am

Brushing your teeth regulaly can prevent all this LOL! there are even natural solutions to avoid cavities like Peelu http://www.peelu.com/about-us.php and Olive are the best, no chemicals and the flouride issue.
Also recommended in Ilamic prophetic traditions, its been said had it not been a bother cleaning would be be recommended after every meal, with toothbrushes thats easily do able.

If there is no need for a root canal dont get it done, just go for the crown after its been cleaned even if you pay from your own pocket.

Also google root canal risks to just be aware, its not all that good.
 
HOOB747
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 2:07 am

Get the root canal if you need a crown, it's standard for most dentists to preform the root canal in conjunction with fitting a crown. The likely-hood that the root will go bad (and that is a painful experience if the root dies) is much greater once the original tooth is removed. And yes, root canals get a bad wrap, they aren't any worse than filling a cavity, in terms of pain or discomfort. A good dentist will take good care of you, so don't worry.
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A332DTW
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 2:09 am

Quoting WarRI1 (Reply 4):
My wife had a root canal and then a crown. A problem of a piece of root missed during the root canal caused some pain. She went to a specialist to have it corrected. He treated her by drilling through the crown and then using a temporary filling. After the treatment he advised her to go back for another crown. My wife said no way, put a permanent filling in the crown. He said OK. I have since done the same. You can fill a crown. It saved us a thousand dollars. Our regular Dentist was not happy.

That's what I fear. If I shell out 700 bucks and later on end up needing to drill through it and have a root canal done anyway... well that would suck. I was surprised my dental insurance was willing to cover anything, let alone the full cost of a root canal + crown.

Quoting 777way (Reply 5):
Brushing your teeth regulaly can prevent all this LOL! there are even natural solutions to avoid cavities like Peelu http://www.peelu.com/about-us.php and Olive are the best, no chemicals and the flouride issue.
Also recommended in Ilamic prophetic traditions, its been said had it not been a bother cleaning would be be recommended after every meal, with toothbrushes thats easily do able.

If there is no need for a root canal dont get it done, just go for the crown after its been cleaned even if you pay from your own pocket.

Also google root canal risks to just be aware, its not all that good.

I take care of my teeth, brushing twice a day and flossing, but I still get problems time to time. My family has a history of bad teeth so I'm pretty sure it's genetics. My teeth look nice, but are very week and susceptible to acid. I haven't tasted sugary drinks or eaten oranges in I don't know how long... but still get a cavity.

I'm doing as much research as I can, including posting on here before I make a decision. Thanks for the link! I'm not used to major medical work so I want to make sure I make the right decision... even if one route means going broke for a while.

[Edited 2015-02-11 18:14:09]
 
A332DTW
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 2:10 am

Quoting HOOB747 (Reply 6):

Get the root canal if you need a crown, it's standard for most dentists to preform the root canal in conjunction with fitting a crown. The likely-hood that the root will go bad (and that is a painful experience if the root dies) is much greater once the original tooth is removed. And yes, root canals get a bad wrap, they aren't any worse than filling a cavity, in terms of pain or discomfort. A good dentist will take good care of you, so don't worry

Thanks for the insight!
 
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fr8mech
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 2:44 am

Quoting A332DTW (Thread starter):
The problem is my insurance only covers crowns if a root canal is done... she says I'm not in need of a root canal, but she'll perform one anyway if I decide to take that route. So in other words, crown alone costs $700... root canal + crown costs nothing.

Not an insurance type lawyer, but I'm pretty sure this could be considered fraud. Having a non-necessary procedure done in order to have a non-covered procedure paid for...sounds fishy too me.

Quoting HOOB747 (Reply 6):
Get the root canal if you need a crown, it's standard for most dentists to preform the root canal in conjunction with fitting a crown.

I've got a crown without a root canal. No big deal. It's been in place for about a decade. The dentist keeps telling me that eventually the bond will fail and it will need to be rebonded.

Root canals are no big deal. I've had one...and I've had to have it redone...the crown leaked. Takes about 45 mins. The worst part comes a couple of days later. Very sore as the area begins to "settle down" as my endodontist says.
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vikkyvik
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 3:09 am

Quoting A332DTW (Thread starter):
Has anyone gotten crowns and/or root canals done before?

More than I can count (I spent a few years generally not taking care of myself or my teeth, and that certainly came back to bite me in the.....mouth.....a few years later).

Quoting A332DTW (Thread starter):
Besides being absolutely petrified (I get nervous just from fillings and dental cleanings alone), I'm a little unsure of which route to take.

Well, if insurance will only cover it if you get a root canal, then I'd go that route.

As for your fears, I wouldn't worry too much. I spent a lot of my life hearing about how root canals were the worst and most painful dental operations in existence. When I finally had my first one (a couple years ago now), I came out of there wondering what all the fuss was about. Getting my wisdom teeth out was worse than that, by far.

Now I only get local anesthesia - I'm not even sure if my dentist offers general anesthesia, and I wouldn't choose it anyway. But I am rather famous in her office for falling asleep during dental work - including root canals and crown preparations.

Most important thing for me during a root canal or similar is to speak up right away if I'm feeling pain, even mild pain. I'd rather get another shot or two of Novocaine and be able to relax than be in any pain during the work, or be in constant fear of them hitting a nerve and getting a nice electric shot of pain through my whole body. That's no fun.
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JAGflyer
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 3:38 am

Having never had a root canal, I cannot speak for the experience however I have read up quite a bit on dentistry out of sheer curiosity. The procedure itself is similar to that of a filling except the dentist will go deeper (a few millimetres) and clean out the canals of the tooth (the "legs" if you can imagine an image of the tooth). Inside the canals are nerves which are what cause pain when you have decay or infection. When you are frozen, the nerves in a section of the mouth are anaesthetized so you don't feel any pain during the procedure. Once the canals are clean they are filled with a rubber-type substance. The rest of the tooth is then filled normally and the crown is put on. Since the tooth is no longer vital you won't (should not) experience any more pain or problems other than superficial issues (crown falling out or getting damaged).
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A332DTW
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 7:22 am

Quoting fr8mech (Reply 9):
Not an insurance type lawyer, but I'm pretty sure this could be considered fraud. Having a non-necessary procedure done in order to have a non-covered procedure paid for...sounds fishy too me.

I'm not sure. My dentist has been in the business for almost 20 years and she says she's done this often. The thing with root canals is that it's either a necessary procedure in order to clean out a deep cavity or a preemptive procedure to prevent cavities from forming under a crown... the way I interpret it. I doubt she would have given me those two options if she feared insurance fraud.

I'm not an insurance lawyer either, but I assume they're only willing to cover the crown with a root canal because it has a better success rate than without a root canal. Otherwise they might end up covering a new or repaired crown if a root canal is needed later on.

Thanks for your post.

Quoting vikkyvik (Reply 10):
Most important thing for me during a root canal or similar is to speak up right away if I'm feeling pain, even mild pain. I'd rather get another shot or two of Novocaine and be able to relax than be in any pain during the work, or be in constant fear of them hitting a nerve and getting a nice electric shot of pain through my whole body. That's no fun

That's what I'm worried about. When I got simple fillings I needed a bit more than average dose of anesthetic. She would have to shoot me up with that stuff quite a bit... and maybe then some. Thanks for your post.

Quoting Jagflyer (Reply 11):
Having never had a root canal, I cannot speak for the experience however I have read up quite a bit on dentistry out of sheer curiosity. The procedure itself is similar to that of a filling except the dentist will go deeper (a few millimetres) and clean out the canals of the tooth (the "legs" if you can imagine an image of the tooth). Inside the canals are nerves which are what cause pain when you have decay or infection. When you are frozen, the nerves in a section of the mouth are anaesthetized so you don't feel any pain during the procedure. Once the canals are clean they are filled with a rubber-type substance. The rest of the tooth is then filled normally and the crown is put on. Since the tooth is no longer vital you won't (should not) experience any more pain or problems other than superficial issues (crown falling out or getting damaged).

I too have been googling and it's given me some ease. However... I made the huge mistake of looking up a youtube video of root canals.   
Thanks for your post.
 
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fr8mech
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 7:37 am

Quoting A332DTW (Reply 12):
I'm not sure. My dentist has been in the business for almost 20 years and she says she's done this often.

Doesn't mean it's ok. Like I said, it just seems a bit fishy to me.

Let me ask you this. Say your insurance does not cover correcting a deviated septum. You go out and pay someone to punch you in the face and break your nose. Now, the deviated septum is corrected because of the treatment you received on your nose. Ethical?

Quoting A332DTW (Reply 12):
but I assume they're only willing to cover the crown with a root canal because it has a better success rate than without a root canal.

They cover the cost of a crown with a root canal because a root canal can not be done without a crown. I suspect a crown, without underlying work is considered cosmetic.
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Kiwirob
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 7:42 am

Quoting fr8mech (Reply 9):
Takes about 45 mins.

I've had two root canals done by two different dentists, it looks like what is done in the US is different from what is done in Norway and New Zealand.

In both cases the it's taken three visits, the first to drill out the infection, the tooth is then filled with an agent which kills the infection, the sesond visit to actually fill the root, and the third visit to install the crown.

What you don't want to do is fly with a bad tooth the pain that caused me was intense, never again.
 
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fr8mech
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 7:50 am

Quoting Kiwirob (Reply 14):
n both cases the it's taken three visits, the first to drill out the infection, the tooth is then filled with an agent which kills the infection, the sesond visit to actually fill the root, and the third visit to install the crown.

You know, you may be right. I based my time on my last root canal, which was a re-do. The crown leaked and some additional decay set-in...though I suspect the doctor didn't get it all the first time. The tooth never really felt "right". He just drilled through the crown, cleaned it out and re-did his deal. Temp filling for a month and then a permanent.

I really can't recall the original work...it was quite some time ago, but I suspect you're right. The actual time the "root canal" was happening (the second visit) couldn't have been more than 45 minutes or so.
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A332DTW
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 8:00 am

Quoting fr8mech (Reply 13):
Let me ask you this. Say your insurance does not cover correcting a deviated septum. You go out and pay someone to punch you in the face and break your nose. Now, the deviated septum is corrected because of the treatment you received on your nose. Ethical?

No. But I think that's apples to oranges.

In my case I'm looking at more than just cosmetic issues. It's a large filling, I think covers about 2/3 of the tooth. There's a cavity underneath it. She does not want to put on another filling in fear of further damaging the tooth and nerves. The insurance company is aware that a root canal is not required, since the paperwork has been submitted and reviewed. So it's really just up to the patient and dentist, and now just the patient since the dentist gave her opinions.
 
Kiwirob
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 9:07 am

Quoting A332DTW (Reply 16):
So it's really just up to the patient and dentist, and now just the patient since the dentist gave her opinions.

My opinion, do it once and do it properly, it really doesn't hurt, I've had two, not getting it done properly could lead to huge amounts of pain in the future.

I never realised I had a bad tooth until I started a flight from Norway to NZ, at altitude the pain was intence, not something I would ever want to go through again.
 
vikkyvik
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 3:47 pm

Quoting Kiwirob (Reply 14):

In both cases the it's taken three visits, the first to drill out the infection, the tooth is then filled with an agent which kills the infection, the sesond visit to actually fill the root, and the third visit to install the crown.

Same here - 3 or 4 appointments to complete a root canal.

Quoting A332DTW (Reply 12):
That's what I'm worried about. When I got simple fillings I needed a bit more than average dose of anesthetic. She would have to shoot me up with that stuff quite a bit... and maybe then some. Thanks for your post.

Trust me, when I get dental work done, I get a ridiculous number of injections. It takes a seriously large amount of Novocaine to numb the areas that need to be numb. That can actually be the worst part of the whole thing - getting tons of shots.
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rfields5421
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 4:27 pm

I've had 13 crowns put on - and two root canals.

My understanding is if they get to it soon enough, they don't need a root canal. I needed crows because while I was in the US Navy for 20 years - the dentists would pack in larger and larger metal fillings. My teeth needed crowns when I was 25, but I didn't get my first until after I retired and was 45.

Over the next 15 years, I spent close to $30,000 correcting dental work which the US Navy did. Crowns are 'cosmetic' and the Navy was only concerned with keeping my teeth 'healthy' when I was on active duty - not in doing work intended to last the rest of my life.

As far as pain or bleeding or such - the root canals weren't really painful. As you can obviously tell - I've spend a lot of time in the dental chair, and expect a certain amount of discomfort.

The sad thing is now many of the crowns are having to be taken out and the teeth pulled because there was almost no tooth left when I got the crown. So they could not really seal it well from farther decay under the crown. I really should have had them pulled originally and gone with full plate dentures held in place by implants.


Having said that - at age 74 - my father had 26 crowns put in his mouth with no root canals. The dentist put him under and did the work in one long session. He has great teeth and 16 years later no problems.
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desertjets
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 4:32 pm

I had one done about 4 years ago. I went a VERY long time without seeing a dentist and had let some cavities go too far, to the point that the outside of the tooth broke open. I got lucky that only one needed a root canal/crown, the other just needed a fairly large filling. I was in the chair for about 3ish hours, since the dentist had other patients to see that morning.

After getting numbed up I didn't feel a thing. It was more an odd sensation as he was cleaning out my roots. Having to be in the chair for so long, waiting between steps while he saw other patients and having your mouth wedged open for a few hours were the biggest annoyances. The worst part was having the molds made for the crown. The epoxy is truly vile and you have to hold that in your mouth for several minutes. I ended up having to get it redone since the first crown did not fit as well as the dentist would like.

My girlfriend had one done about a year and a half after mine, but her tooth was infected so she was on some stronger antibiotics for a few days before the actual procedure. That was definitely unpleasant and she was fairly miserable for that weekend.

IIRC the total cost of the procedure was around $1800 which my dental insurance covered around 60% of.


I think in the OPs case it may well be a good preventative measure to do the full root canal. Since you have a large cavity to begin with you don't have a lot of room to drill. One of the benefits is that with the root canal, and whatever posts/structure the dentist can put in will help make the tooth stronger in conjunction with the crown.
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Kiwirob
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 6:32 pm

Quoting vikkyvik (Reply 18):
That can actually be the worst part of the whole thing - getting tons of shots.

I don't know how my mum does it but she refuses pain medication and will have a root canal without any injections to numb the area.
 
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 7:13 pm

Quoting Kiwirob (Reply 21):
Quoting vikkyvik (Reply 18):That can actually be the worst part of the whole thing - getting tons of shots.
I don't know how my mum does it but she refuses pain medication and will have a root canal without any injections to numb the area.

That is insane. Dental work causes some of the most uncomfortable pain/sensations ever.
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rabenschlag
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 8:26 pm

Had more than one root canal procedure, as well as a crown without root canal procedure, and also an implant.

In my view, the root canal procedures were not that bad, actually NOT the worst experience I had at the dentist. It's relatively ok if the anesthesia is properly done.

Keep in mind though that you can do root canal cleanings with different levels of precision. If not done with the utmost precision (which often involves several treatments), there is a risk of later accesses that may require a resection of the root tips. So choose your endodontist wisely.

My back-then vital tooth with the crown is still alive (I think for more than a decade) and causes no issues whatsoever.

Every root canal procedure has a certain risk of infections, and a-vital teeth may be prone to fractures after several years. From this perspective, keeping the tooth alive and adding a crown may be an option to consider.
 
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Dano1977
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 9:04 pm

Worst dental pain ever, was having all my wisdom teeth surgically removed, as they were growing out of my gums sideways, also I had a benign growth under the wisdom teeth.

Despite being given some pretty powerful painkillers after the op, they hardly took the edge off, and I couldn't touch solid food for about 10 days.

It was only a day procedure (I.E. no overnight stay in hospital), but the hospital wouldn't let me leave until I had eaten something.


Most relaxing dental work, was a root canal. I fell asleep during the procedure and was only awoken when my dentist tapped my shoulder saying it was all done.
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Kiwirob
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 9:12 pm

Quoting vikkyvik (Reply 22):

That is insane. Dental work causes some of the most uncomfortable pain/sensations ever.

I know and I have no idea how she can do it.
 
AM744
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 9:25 pm

Quoting A332DTW (Thread starter):
The problem is my insurance only covers crowns if a root canal is done... she says I'm not in need of a root canal, but she'll perform one anyway if I decide to take that route.

I have to second rabenshclag. I had a couple of root canals as a last resort after a couple of molars lived happily with a crown on for 10+ years.

Bear in mind that by having a root canal done the living core of the tooth is removed, no more blood, nutrients or nerves; it becomes some sort of zombie, more brittle and a step closer to full extraction.

If my dentist claimed he could crown the tooth without the root canal I'd do it, as long as I could afford it, of course. I can only speak for myself, I'd rather pay for a crown than getting a freaking new cell phone even if I had to have the root canal done later. I'd gamble and try to keep my teeth as long as I could.
 
bookishaviator
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RE: Dental Work, Crowns And Root Canals

Thu Feb 12, 2015 10:05 pm

Quoting vikkyvik (Reply 18):
Trust me, when I get dental work done, I get a ridiculous number of injections. It takes a seriously large amount of Novocaine to numb the areas that need to be numb. That can actually be the worst part of the whole thing - getting tons of shots.

Indeed.

I had my top two wisdom teeth extracted yesterday and the 4 injections I had to sit through before the procedure was by far the most uncomfortable part.

Although the post-anaesthesia pain I'm currently going through isn't all that much fun either.
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A332DTW
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RE: Dental Work, Crowns And Root Canals

Fri Feb 13, 2015 4:51 am

Quoting rfields5421 (Reply 19):
I've had 13 crowns put on - and two root canals.

I'm pretty close with 9 fillings, had them for about 11 years. Had to replace two of them last year and now this.
Thanks for your post. If anything, I hope I end up as lucky as your father.

Quoting desertjets (Reply 20):

Thanks for your insight! I've been getting an even response of root canals and crowns, and crowns alone. It really does depend on how well the procedure is done, and how much trauma the tooth faces during the crown procedure.

Quoting rabenschlag (Reply 23):

I think in the OPs case it may well be a good preventative measure to do the full root canal. Since you have a large cavity to begin with you don't have a lot of room to drill. One of the benefits is that with the root canal, and whatever posts/structure the dentist can put in will help make the tooth stronger in conjunction with the crown.

Thanks for your insight. I'm scheduling a follow up appointment since a filling she replaced has been a little sensitive lately. I'll remember to ask her how far the cavity goes and how much she would have to drill. That may make the decision a little easier. If I remember correctly the cavity wasn't too large, which is why she's OK with me taking the time to make a decision.
 
SaschaYHZ
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RE: Dental Work, Crowns And Root Canals

Fri Feb 13, 2015 2:16 pm

I had a root canal done about a month ago (no crown needed) and it was pretty well painless....some VERY mild discomfort after the freezing wore off, but it was nothing a tab of Ibuprofen couldn't handle and I went on with my day. I was completely fine the next day.
 
vikkyvik
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RE: Dental Work, Crowns And Root Canals

Fri Feb 13, 2015 3:33 pm

I noticed that I said that the actual root canal isn't very bad. What I didn't say was that probably the worst pain of my life was tooth pain leading up to one of my root canals. It was a weekend, and the pain was so bad that I actually went to Urgent Care (or ER, can't remember which) to get some pain medication. No dentists open on the weekend, unfortunately.

Quoting SaschaYHZ (Reply 29):
I had a root canal done about a month ago (no crown needed)

How did you get a root canal without a crown? I mean, do you just have a missing tooth now?

Quoting desertjets (Reply 20):
Having to be in the chair for so long, waiting between steps while he saw other patients and having your mouth wedged open for a few hours were the biggest annoyances.

   That's one reason why falling asleep is so handy.
I'm watching Jeopardy. The category is worst Madonna songs. "This one from 1987 is terrible".
 
desertjets
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RE: Dental Work, Crowns And Root Canals

Fri Feb 13, 2015 4:07 pm

Quoting A332DTW (Reply 28):
Thanks for your insight! I've been getting an even response of root canals and crowns, and crowns alone. It really does depend on how well the procedure is done, and how much trauma the tooth faces during the crown procedure.

Honestly I think it depends on what the dentist sees once they get in there. The x-rays and other tests can only show so much. In my case my neglected mandibular molars (farthest back on both sides -- my wisdom teeth never came in) both had fairly large cavities, except that one was quite deep and the other was rather shallow. So one got the root canal plus the gold crown the other got a fairly large composite filling.

Quoting vikkyvik (Reply 30):
I noticed that I said that the actual root canal isn't very bad. What I didn't say was that probably the worst pain of my life was tooth pain leading up to one of my root canals. It was a weekend, and the pain was so bad that I actually went to Urgent Care (or ER, can't remember which) to get some pain medication. No dentists open on the weekend, unfortunately.

I think that is why people get so freaked out about root canals. For those who do have an infected tooth prior the pain is bad. Unless novocaine doesn't really work well on you there is nothing about the procedure that is painful. I always described the sensation of the dentist cleaning and filing out the roots as odd. The worst pain was after the novocaine wore off, but nothing a standard dose of ibuprofen couldn't deal with.
Stop drop and roll will not save you in hell. --- seen on a church marque in rural Virginia
 
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WildcatYXU
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RE: Dental Work, Crowns And Root Canals

Fri Feb 13, 2015 4:35 pm

Quoting vikkyvik (Reply 30):
How did you get a root canal without a crown? I mean, do you just have a missing tooth now?

It can be very often done just with a filling, without a crown. I have a couple of teeth like this.

Quoting rabenschlag (Reply 23):
Every root canal procedure has a certain risk of infections, and a-vital teeth may be prone to fractures after several years. From this perspective, keeping the tooth alive and adding a crown may be an option to consider.
Quoting AM744 (Reply 26):
Bear in mind that by having a root canal done the living core of the tooth is removed, no more blood, nutrients or nerves; it becomes some sort of zombie, more brittle and a step closer to full extraction.

  

I just lost a tooth that had a root canal done around 1998. It broke twice since and the last breakage meant the end of it. So an implant is coming. Now if I think about it, if it would be extracted and replaced with an implant immediately, it would be probably cheaper overall.

Rabenschlag, how bad is the pain after the implant is inserted and the freezing wears out?
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vikkyvik
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RE: Dental Work, Crowns And Root Canals

Fri Feb 13, 2015 4:49 pm

Quoting WildcatYXU (Reply 32):
It can be very often done just with a filling, without a crown. I have a couple of teeth like this.

Ohhhh, OK. I didn't think about that.
I'm watching Jeopardy. The category is worst Madonna songs. "This one from 1987 is terrible".
 
rfields5421
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RE: Dental Work, Crowns And Root Canals

Fri Feb 13, 2015 4:50 pm

Quoting vikkyvik (Reply 30):
How did you get a root canal without a crown? I mean, do you just have a missing tooth now?

The purpose of a root canal - or rather Endodontic Therapy - is to prevent future occurrence of an abscess in the root area of the tooth. Root canal procedures are not about crowns.

It is not necessary for doing a crown, nor is a crown always necessary after a root canal.

There are two reasons that crowns and root canals are often done at the same time.

Many teeth that need crowns are also decayed to the point that infection can enter the root area from the top of the tooth. A root canal is highly recommended as the only way to ensure nothing is left behind to create problems under the crown in the future. Once a dentist removes enough tooth material to expose the root area - a root canal is the only way to be sure the tooth will not abcess in the future.

The other reason is insurance. Crowns are considered 'cosmetic' by many insurance companies. There must be a 'medical' reason for the crown - thus when the dentist says a root canal is necessary - the insurance will approve the crown as necessary.

The majority of the pain in a root canal procedure comes from any infection that has inflamed the root pulp tissue. A 'healthy' root does not cause pain during the procedure if properly anesthetized. The grating of the filing the inside of the root canal can be a disturbing sensation - because the dentist is literally removing the inside of the tooth with a file. Because the nerve of the tooth is removed during a root canal - there may be some 'lost nerve' pain for a couple days. Also a root canal often requires that a paste be left in the root area for about a week to disinfect the area and reduce inflammation. Then the permanent fill is added to the tooth.
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sbworcs
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RE: Dental Work, Crowns And Root Canals

Fri Feb 13, 2015 9:55 pm

I went ages without seeing a dentist through fear.

One day got really bad tooth ache so went to a local dental access centre at a local hospital and had to have a wisdom tooth out there and then - no problems at all.

Registered with a normal dentist and then had a total of 3 fillings, one more wisdom tooth and one normal tooth removed and a root canal (no crown added yet).

The real pain was caused by the toothache and not the dentist.

The excellent thing about the NHS is that because it was all under one treatment plan the whole lot cost me £50.00 or thereabouts.
The best way forwards is upwards!
 
SaschaYHZ
Posts: 270
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RE: Dental Work, Crowns And Root Canals

Sat Feb 14, 2015 7:30 pm

Quoting desertjets (Reply 31):
How did you get a root canal without a crown? I mean, do you just have a missing tooth now?

Essentially this:

Quoting WildcatYXU (Reply 32):
It can be very often done just with a filling, without a crown. I have a couple of teeth like this.

The root canal was done because there was blood and infection inside the tooth due to having been mugged and forcefully punched in the mouth. The Endodontist had to go in and remove what was inside, and that was it. Otherwise the tooth was fine, so he just had to go in and remove everything that was there and seal it with a filling.
 
bluejuice
Posts: 382
Joined: Sun Jun 20, 2010 5:55 am

RE: Dental Work, Crowns And Root Canals

Sat Feb 14, 2015 8:17 pm

Had a crown put in last year. It was a two step process. On the first visit, measurements were done for the permanent crown to be made at a lab, putting in a post, and fitting a temporary crown. Second visit was the fitting of the permanent crown. I actually had the temporary in for 4 months due to scheduling conflicts. The whole process was no sweat at all. All I had to do was lie there and stare at the ceiling. Joked with folks that the visits were the least painful part of my day. No discomfort at all from either procedure during or after. Only part I had to be careful of was when the temporary crown was in. Had to avoid sticky and very hard foods.

My only advice is go to a good dentist with a reputation for good work. My sister in law's boyfriend needed some work done recently and I referred him to my dentist. Told me my office was too expensive and went to a cut rate, Earl Scheib "I'll do two crowns for the price of one and throw in a free root canal" hack that did a rush job. Ended up at my dentist anyway. He then told me the experience was night and day. Not saying expensive = better but make sure the office does quality work, doesn't rush, and is patient focused. As Airstud said, the whole root canal joke is pretty stale. No need to sweat it.
Not biased against vacuum flush.
 
rabenschlag
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Joined: Fri Oct 20, 2000 10:28 pm

RE: Dental Work, Crowns And Root Canals

Mon Feb 16, 2015 12:40 am

Quoting WildcatYXU (Reply 32):
Rabenschlag, how bad is the pain after the implant is inserted and the freezing wears out?

Not bad at all. I must say that getting the implant was one of the easier experiences at the dentists studio. It's weird to feel the drill and screw, but not painful. neither during, nor after the procedure. The most painful part was related to stretching the gums after the healing of the implant. But this was mostly because I did it without getting local anesthesia (the stretching, not getting the implant itself). And after some time, the implant became just a part of my body. I use the new molar with great confidence.

I will not hesitate to get another implant if needed.

Cheers,

Rabenschlag

[Edited 2015-02-15 16:45:35]

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