Dental crowns are an essential part of restorative dentistry that helps in restoring damaged or broken teeth. However, sometimes the tooth may be too damaged or decayed to hold the crown in place. This can cause a lot of concern for patients who may wonder if there are any alternative treatments available. In this article, we will explore what happens when there is not enough tooth for a crown and what options are available.
The Problem
When a tooth is decayed or broken, a dental crown is often the best solution to restore it. However, the crown needs to have a stable foundation to hold it in place. If there is not enough tooth structure left to hold the crown, it can become loose or fall off. This can cause discomfort and further damage to the tooth.
The Options
If there is not enough tooth structure left to hold a crown, there are several options available. The first option is to build up the tooth using a filling material. This process is called core buildup and involves adding material to the tooth to create a stable foundation for the crown.
Core Buildup
Core buildup is a process where the dentist adds material to the tooth to create a stable foundation for the crown. This process involves removing any decayed or damaged tooth structure and filling it with a material that is strong enough to support the crown. The material used for core buildup can be composite resin or amalgam.
Post and Core
Another option is to use a post and core system. This involves placing a metal or fiber post into the tooth root and building up the tooth with a filling material. The post provides stability for the crown and helps to distribute the chewing forces evenly.
Implants
If the tooth is too damaged or decayed to support a crown, another option is to replace the tooth with an implant. An implant is a small titanium post that is placed into the jawbone and acts as a replacement tooth root. A crown is then attached to the implant to create a new tooth.
The Procedure
The procedure for restoring a tooth with not enough structure for a crown depends on the option chosen. For core buildup, the dentist will first remove any decayed or damaged tooth structure. They will then fill the tooth with a material that can support the crown. For post and core, the dentist will place the post into the tooth root and build up the tooth with a filling material. For implants, the dentist will first place the implant into the jawbone and allow it to fuse with the bone. Once the implant is stable, a crown is attached to it.
The Benefits
Restoring a tooth with not enough structure for a crown has several benefits. It can prevent further damage to the tooth and improve its function. It can also improve the appearance of the tooth, making it look more natural and aesthetically pleasing.
The Risks
Like any dental procedure, there are risks associated with restoring a tooth with not enough structure for a crown. The most common risk is that the crown may become loose or fall off if the tooth is not strong enough to hold it. Other risks include infection and damage to surrounding teeth.
Conclusion
In conclusion, if there is not enough tooth structure left to hold a crown, there are several options available. These options include core buildup, post and core, and implants. Each option has its own benefits and risks, and the dentist will determine the best option depending on the patient's individual situation. Restoring a tooth with not enough structure for a crown is an important part of restorative dentistry and can help to improve the function and appearance of the tooth.
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