Who Knew Dental Work Could Inspire Debate?

Crowns are still state of the art solution whether tooth or implant supported. What they are made of has changed. For ones that show, most dentists use feldspathic porcelain. It doesn’t have a metal substrate like the old porcelain bonded to metal crowns. It is translucent so more aesthetic, also less prone to fracture. For molars I still prefer gold. It is the kindest thing to the tissues. Also for short teeth such as second molars it is great because it needs less tooth reduction then porcelain. Almost no one will go with it however, only do a couple a year now. Upper first molars usually show so seldom recommend gold for them.

I hate dentists.

(but I do like kumquats)

Oh, that - no, absolutely not.

Actually, I had made my decision a couple weeks ago. I was just interested in how other people would deal with the problem.

I’d need a lot more information (and from my trusted dentist, not random people on the internet :wink: ) to choose between my options, but I would probably choose my dentist’s recommendation (I really do trust her) and I would definitely have any dental work done by a professional.

Then I would buy a bag of kumquats.

Don’t pull a permanent tooth yourself. This isn’t a rootless baby tooth.

Someone on another website was kicking herself for spending $300 she really didn’t have to have a tooth fixed instead of simply pulled, and I said, “If you amortize this over the rest of your life, it would be, what, $5 or $10 a year?” She replied, “At $10 a year, that tooth will last me until I’m 84. Thanks for what you said; I now think I made the right decision.”

Do what’s right for you.

My experience also.

Over the years, I’ve had a lot of fillings, several crowns, and a few implants. The implants replaced teeth that were too damaged to crown, and had to be pulled. Implants cost a lot more than crowns, but they’re more durable, and they’ll never decay. The process is also drawn out over many more weeks; the bone has to fill in from the extraction before the implant socket can be screwed in.

By the way, I asked my dentist during my last checkup, how many original, unfilled, uncrowned teeth I have left. Six.

Let us all turn in our hymnals to number 268: “Crown Him With Many Crowns”

Best friend in high school’s dad made the best kumquat marmalade.

Sounds like it would rot your teeth for sure.

I picked “something other” because I may get a crown or implant or bridge or whatever, but on the basis of dentist advice, not picking it myself.

If it’s a wisdom tooth, have the dentist pull it, otherwise, crown that puppy.

I cracked a tooth a couple of years ago. Like yours, the root and the rest of the tooth were still healthy. I got a crown. It’s been fine. I hope to keep it many more years.

Interesting. I had to beg my dentist to give me gold rather than porcelain. I have a handful of crowns. None is especially visible. I wanted gold because my understanding is that it is tougher and less brittle than the other options, so less likely to crack if I abuse it. Yeah, I crack nuts with my teeth, chew on bones, and generally put a lot of wear and tear on my teeth. I am also lucky in the tooth-genetics lottery, and they are mostly in decent shape.

35 years ago, I cracked a molar and a crown was installed. It is still in place and I have experienced no issues with it.

one may wear through a gold crown but they don’t break. I wish more people would get them, they really are the best thing if aesthetics aren’t an issue.

I seriously thought I was the only one with this problem! I was so upset the day the braces came off; I already had staining (fluorosis – my pediatrician prescribed fluoride pills under the mistaken impression that my town’s water supply wasn’t fluoridated), but my teeth had already started to break down under and around the braces. The orthodontist was mad at me for being upset, because clearly it was all my fault for not taking care of my teeth. :rolleyes:

I’ve developed a deep distrust of dentists since learning that the S.O.B. I had been going to for decades pretty much didn’t know what he was doing, and ruined nearly every tooth in my mouth. I have been pleased with the crowns that have been put in place so far to correct his shoddy work…definitely go for a crown over having the tooth pulled.

That being said, if your insurance sucks like mine, make sure you have some sort of account set aside specifically for ongoing/future dental work. :frowning: It doesn’t surprise me anymore when I see an otherwise healthy young person who’s missing a tooth or two; pulling is definitely cheaper (in the short term, anyway).

I think lack of trust in dentists is seriously underreported.

My dentist’s receptionist told me, “If you don’t floss anywhere else, floss around your crowns.” Next time I was there, she’d been let go. Really fed into my already substantial dental paranoia.

I haave cracked two teeth in my lifetime, and each time the (two different) dentists tried to save it, the teeth had to eventually come out. I knew the teeth were agonner immediately after each incident, but I went along with the dentists. Next time, if I I know the tooth is agonner, out she comes, and I don’t care what you say, doc!

Definitely get crowns. Don’t repeat my mistake. I chose extraction because I was cheap. It’s set me up for a lifetime of follow-on effects that are multiple times more expensive.

It’s your body. You get only one. $500 is nothing.

My dentist would get in some serious trouble if he did that: she’s his mother.

Getting one particular wisdom tooth pulled was one of the best medical decisions of my life, but there simply wasn’t enough of it left to do anything else and it wasn’t in a particularly… necessary position. His neighbors shuffled a bit back, I bite just fine with that whole side. Teeth in a more strategic position are likely to be easier to reach and treat, and a worse choice for pulling.