Good point. Still, I work with a good periodontist that in selected
teeth. I've had some of these restorations survive many years. Still,
OP's dentist.
> relocate the fracture point to the apical end of the post. Fibre posts at
> least allow some retrievability after post fracture as only the post tends
> to break. Ferrules force the fracture to the base of the ferrule
> preparation.
> I don't restore with ferrules anymore. I only use posts for hero-dontitics
> where we only expect to get 1-3 years from the restoration. Give me the
> ability to get BOTH a 3 mm bump above the gingiva on 1/3 or more of the root
> stump and room to prepare a 4 mm circular recess on the low part of the root
> stump, and I will usually restore the tooth with bonded porcelain. These
> work very well if you equilibrate the final restoration carefully, and
> insist on the use of a NTI. They don't rotate, have good resistance form
> and end up with enough surface area to get a strong bond.
> Most root stumps that are level with the gingiva or below it, get worked up
> for an implant or added to an existing RPD. Obviously, other choices arise
> from time to time.
> AC
> "Steven Bornfeld" <dentaltwinm...@earthlink.net> wrote in message
> news:mMudnZu6V7XKrkfXnZ2dnUVZ_iydnZ2d@earthlink.com...
>> DS wrote:
>>> Hello,
>>> I have an eye tooth where most of the area above the gum is broken. The
>>> dentist says below the gum line is OK.
>>> I cannot have a crown because he says there is not enough room for a post
>>> as the root is not deep enough..My dentist has recommended that I have an
>>> extraction.
>>> I am not very good with extraction's and I am wondering what problems I
>>> would have if I just let my gum grow over the hole ? Assuming of course
>>> that under the gum is 100% healthy.
>>> Thanks
>>> D S
>> If the tooth has not had a root canal treatment you almost certainly have
>> an infected pulp and can develop an acute abscess at any time.
>> It's a little unusual to have a canine tooth with a root so short that it
>> can't be saved (perhaps with crown lengthening). Still, your dentist has
>> seen the tooth and I have not. If you wish to save the tooth you may wish
>> to get a second opinion. But just to avoid the extraction is no reason to
>> do nothing.
>> Steve