Dr. Asma Parveen
Dentistry
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Patient's Query
Hello doctor,
When a tooth is cracked inside a crown, is it necessary to remove it? The root canal is from 30 years ago. I got hit two weeks ago which caused trauma to the tooth and I have swollen gums but no bleeding. I took Amoxicillin and Ibuprofen for ten days with a Chloralhexidine Gluconate wash. Kindly give your suggestion.
Hello,
Welcome to icliniq.com.
In case of a fractured tooth, it is always adviseable to get it extracted especially in cases of a tooth with a crown. I would like to know whether you are having pain now and when did you come to know about the fracture?
Patient's Query
Hi doctor,
Thank you for the reply.
I was kicked in the face. So, the pain was immediate. I never felt a pain in the tooth (because of the root canal) but definitely in the gum area. The area was and is inflamed and has gotten better but with a lingering uncomfortable feeling above the teeth. The incident happened last month. I was not able to see my dentist immediately, who suggested an extraction. I went for a follow-up and extraction was suggested again. I saw an endodontist on the same day and he also suggested extraction. I guess I need implants.
Hello,
Welcome back to icliniq.com.
Since you have got your root canal treatment done on the affected teeth, that is why there is no pain as the nerve has been removed from your teeth. But if you leave the tooth as it is now, the discomfort is going to continue because of the fractured portion inside, which is going to irritate the tissues around the tooth. So, I will also advise you to go for an extraction as early as possible. And you can either opt for an implant or a dental bridge for the tooth replacement as these are the best options available these days in dentistry. Hopefully, this should help you. Regards.
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