How Long Can I Delay Root Canal or Tooth Removal?
A crown on my upper left first molar broke. My dentist said that the tooth had died, and if he could not remove all the decay, he would refer me to an oral surgeon to remove the tooth. Then, he would place a dental bridge. I asked my dentist to refer me to an endodontist, and I have an appointment in two weeks. I read online that a dental implant is better than a bridge. Is there any reason I should have the tooth removed right away? How long can I wait before this becomes a bigger problem? – Thank you. Selina from Allegheny, PA
Thank you for your question. Dr. Goebel would need to examine your teeth and x-rays. But we can offer some insight.
Removing vs. Saving a Tooth
If a tooth is healthy enough to save and will not negatively affect your oral health, it is best to save it. Although dental implants are a highly effective tooth replacement, healthy natural teeth are better. We recommend that you keep your appointment with the endodontist (root canal specialist) for a second opinion.
How Long Can You Wait Before a Root Canal?
You did not mention if your tooth hurts, but the specialist will need to check for the extent of the infection. Without treatment, infection will continue to spread. So, the condition of your teeth and your oral health will continue to decline without root canal treatment.
Also, if the tooth requires removal, leaving the space without a dental implant will allow other teeth to drift into the area. Tooth misalignment can lead to other issues like jaw pain or the need for orthodontic treatment.
Get a Second Opinion
Your dentist seems uncomfortable replacing your tooth with a dental implant and crown. Even if your dentist would refer you to an oral surgeon for implant placement, we are concerned about his experience with implant crowns and crowns in general. After your appointment with the root canal specialist, we recommend scheduling an appointment with an experienced dentist to discuss your options after root canal treatment or extraction.
Moline, Illinois dentist, Dr. Thomas Goebel, sponsors this post.
Can a Dentist Make My Too Big Veneers Smaller?
My four front teeth have been crooked from an accident 12 years ago. Last year, at age 32, I decided to improve my smile with porcelain veneers. Unfortunately, I did not research dentists well enough or get enough information about what it takes to get quality veneers. Last December, I allowed my dentist to place veneers, but they are too big. The veneers are wider and longer than my teeth in general. I am embarrassed to smile. My crooked teeth looked better! Now I have a better idea of how to find a cosmetic dentist, but what can I expect? Is there a way to make my veneers smaller, or will I need new ones? If I need new veneers, I want to know how to get a refund. Gia T. from Brooklyn
Thank you for contacting our office. It is good to know that you will research cosmetic dentists before choosing a new one to correct your smile.
Look for a dentist with extensive post-graduate training in cosmetic dentistry. And schedule consultations with at least two cosmetic dentists to discuss your options.
Can a Dentist Make Too Large Veneers Smaller?
In some cases, a skilled cosmetic dentist can shorten porcelain veneers. Depending on the extent of the changes required, altering the veneers might damage them or crack the glass. Also, drastic changes make it difficult to adjust the veneers and keep a natural-looking shape.
The best approach is to have an experienced cosmetic dentist examine your veneers. They will explain if and how much they can alter your veneers without damaging them. You mentioned that your veneers are too wide and long, so a cosmetic dentist will most likely recommend replacing them.
Moline, Illinois, cosmetic dentist Dr. Thomas Goebel sponsors this post.