CROWN STRUCTURE BROKEN

My first molar crown came off due to a broken tooth root structure, thus leaving a deep cavity, with very short and small root pieces protruding out of the cavity. Each time I eat, food accumulates in the cavity; thus, I clean well the cavity after each meal, which is causing gum inflammation in the perimeter. Also, I have not had the adjacent piece (premolar) for a long time, which has never bothered me. Pease give me your best advice, considering I would like to cover the cavity permanently in order to avoid food accumulation. Note, I wish to avoid any invasive procedures, such as implant, or the constant discomfort of having a bridge. Thank you

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Answer: Dental Restoration

By Sarah h
Dental Professional

The first step is to have a dental radiograph taken in order to determine if the tooth or teeth are restorable. If they are broken at the gum line as a result of extensive decay, the decay may be on the root surfaces, below the level of the bone. With this type of decay, the long term prognosis is poor and extensive dental treatment would be needed in order to save the teeth. If there isn't root caries present, the teeth may be restorable with full coverage crowns. The longer you wait, the more tooth structure you will loose. This will lead to more necessary dental treatment or unwanted periodontal issues. It is better to go sooner in order to have multiple options for restoring your teeth.

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