Can I have a crown/filling done prior to root scaling or shortly thereafter? 
Author Message
 Can I have a crown/filling done prior to root scaling or shortly thereafter?

Hi all,

I went to a new dentist recently to treat a cavity on a molar.  He said that
a root c{*filter*}is necessary and also referred me to a periodontist for root
scaling.  After I did the root c{*filter*}and came back to be prepped for the
crown, my general dentist said that there is also a cavity on the wisdom
tooth next to the molar.  However, he said that he cannot do either a crown
on the tooth with the root c{*filter*}or a filling on the wisdom tooth until I am
done with the root scaling.    He put in a post in the root c{*filter*}and said
that it will be good for 2-6 months and that he will do the crown after the
periodontal treatment is completed.  I am concerned that the periodontal
treatment may take a long time, at least 2 months two months and even more if
the periodontist decides that I require a surgery (my  root scaling is
scheduled for mid-November and mid-December, 2 appointments, and I understand
that there is 4-6 weeks follow-up to see if the pockets improve and if I
require surgical treetment).  During this time the cavity that I have may
progress much further.  It was a big cavity too - I could feel it with my
tongue before the root c{*filter*}procedure was done.  Plus, even though I have a
post, I cannot floss on one side of it and around the cavity, so it feels
uncomfortable. Is it true that neither fillings nor crowns can be done
immediately prior to deep scaling procedure or shortly thereafter (within
these 4-6 weeks that I have to wait for a follow-up with the periodontist)?

Thanks.



Wed, 23 Apr 2008 12:22:21 GMT
 Can I have a crown/filling done prior to root scaling or shortly thereafter?
Plus, even though I have a
post, I cannot floss on one side of it and around the cavity, so it
feels
uncomfortable. Is it true that neither fillings nor crowns can be done
immediately prior to deep scaling procedure or shortly thereafter
(within
these 4-6 weeks that I have to wait for a follow-up with the
periodontist)?

Thanks.
=============

I, for one, would certainly want to try, even if local conditions make
for an imperfect seal. One could inject the area with flowable/packable
material such as Fuji 9. If after surgery or after the adjacent tooth
is cut down for the crown your dentist finds that the filling needs to
be re-done, I would say that at least the Fuji 9 will have arrested the
carious progress and soothed the tooth at the same time.

I can't see leaving a carious lesion to continue if it is possible to
arrest it or at least slow it down. If this cavity is subgengival (goes
under the gum, you may have to have two procedures to get it done: one
to dig out the caries and one a few days later to fill it in. If you
don't mind having a ( HORRORS!!!) Amalgam filling put in, that can be
very satisfactory in these situations.

I think your dentist wants to wait and do it when the gums will behave
themselves better (after scaling/root planing the inflammed gums shrink
back and bleed less) and because after cutting down the adjacent tooth
for a crown, access will be easier. However, if you try rinsing for
three to five minutes per day with a product such as OxyFresh (Chlorine
Dioxide) or Gum Tonic (essential oils) you can get a temporary soothing
of the inflammation and that, along with various hemostatic agents, may
be enough to get that filling done. The ClO2 stuff shouldn't be used
long term, IMO, as it is reactive and so there just may be a slight
augmentation of {*filter*}cancers with long term use. This is controversial,
but worth considering.

One more thing: Ask your dentist to look into Fuji 9 (GC America or GC
WhatEverCountryYouAreIn). It is simple: you shake it up in the same
contraption you use to mix up Amalgam, and then put it in a gun/pliers
thing-y, and then inject it into that hard to reach area using the
spigot. I've done this before on teeth with difficult access. Sometimes
putting the insulating steel band on the adjacent tooth instead of the
one needing the filling, and brush-stroking the stuff till it hardens
gives acceptable results.

I ain't sayin' this is 100pc do-able in your particular case. If you
could post a radiograph, it would be easier to give an opinion.

Hope this helps
SP



Wed, 23 Apr 2008 14:00:54 GMT
 Can I have a crown/filling done prior to root scaling or shortly thereafter?


Quote:
>Hi all,

>I went to a new dentist recently to treat a cavity on a molar.  He said that
>a root c{*filter*}is necessary and also referred me to a periodontist for root
>scaling.

Oh I would love a second opinion ......

Quote:
> After I did the root c{*filter*}and came back to be prepped for the
>crown, my general dentist said that there is also a cavity on the wisdom
>tooth next to the molar.  However, he said that he cannot do either a crown
>on the tooth with the root c{*filter*}or a filling on the wisdom tooth until I am
>done with the root scaling.  

K......

Quote:
>  He put in a post in the root c{*filter*}and said
>that it will be good for 2-6 months and that he will do the crown after the
>periodontal treatment is completed.  I am concerned that the periodontal
>treatment may take a long time, at least 2 months two months and even more if
>the periodontist decides that I require a surgery (my  root scaling is
>scheduled for mid-November and mid-December, 2 appointments, and I understand
>that there is 4-6 weeks follow-up to see if the pockets improve and if I

Ahemmmmmmmmm. Why?

Quote:
>require surgical treetment).  During this time the cavity that I have may
>progress much further.  It was a big cavity too - I could feel it with my

I agree with you .......

Quote:
>tongue before the root c{*filter*}procedure was done.  Plus, even though I have a
>post, I cannot floss on one side of it and around the cavity, so it feels
>uncomfortable. Is it true that neither fillings nor crowns can be done
>immediately prior to deep scaling procedure or shortly thereafter (within
>these 4-6 weeks that I have to wait for a follow-up with the periodontist)?

Something else is going on here ...... sorry.

Joel

Joel M. Eichen DDS

1. How does dental insurance impact or influence all this advice?

Quote:

>Thanks.



Wed, 23 Apr 2008 16:54:55 GMT
 Can I have a crown/filling done prior to root scaling or shortly thereafter?


Quote:
>Plus, even though I have a
>post, I cannot floss on one side of it and around the cavity, so it
>feels
>uncomfortable. Is it true that neither fillings nor crowns can be done
>immediately prior to deep scaling procedure or shortly thereafter
>(within
>these 4-6 weeks that I have to wait for a follow-up with the
>periodontist)?

>Thanks.
>=============

>I, for one, would certainly want to try, even if local conditions make
>for an imperfect seal. One could inject the area with flowable/packable
>material such as Fuji 9. If after surgery or after the adjacent tooth
>is cut down for the crown your dentist finds that the filling needs to
>be re-done, I would say that at least the Fuji 9 will have arrested the
>carious progress and soothed the tooth at the same time.

Or amalgam ... wait a minute ... never mind ... amalgam has been
outlawed.

Joel

- Show quoted text -

Quote:

>I can't see leaving a carious lesion to continue if it is possible to
>arrest it or at least slow it down. If this cavity is subgengival (goes
>under the gum, you may have to have two procedures to get it done: one
>to dig out the caries and one a few days later to fill it in. If you
>don't mind having a ( HORRORS!!!) Amalgam filling put in, that can be
>very satisfactory in these situations.

>I think your dentist wants to wait and do it when the gums will behave
>themselves better (after scaling/root planing the inflammed gums shrink
>back and bleed less) and because after cutting down the adjacent tooth
>for a crown, access will be easier. However, if you try rinsing for
>three to five minutes per day with a product such as OxyFresh (Chlorine
>Dioxide) or Gum Tonic (essential oils) you can get a temporary soothing
>of the inflammation and that, along with various hemostatic agents, may
>be enough to get that filling done. The ClO2 stuff shouldn't be used
>long term, IMO, as it is reactive and so there just may be a slight
>augmentation of {*filter*}cancers with long term use. This is controversial,
>but worth considering.

>One more thing: Ask your dentist to look into Fuji 9 (GC America or GC
>WhatEverCountryYouAreIn). It is simple: you shake it up in the same
>contraption you use to mix up Amalgam, and then put it in a gun/pliers
>thing-y, and then inject it into that hard to reach area using the
>spigot. I've done this before on teeth with difficult access. Sometimes
>putting the insulating steel band on the adjacent tooth instead of the
>one needing the filling, and brush-stroking the stuff till it hardens
>gives acceptable results.

>I ain't sayin' this is 100pc do-able in your particular case. If you
>could post a radiograph, it would be easier to give an opinion.

>Hope this helps
>SP



Wed, 23 Apr 2008 16:55:49 GMT
 Can I have a crown/filling done prior to root scaling or shortly thereafter?

Quote:

> Hi all,

> I went to a new dentist recently to treat a cavity on a molar.  He said that
> a root c{*filter*}is necessary and also referred me to a periodontist for root
> scaling.  After I did the root c{*filter*}and came back to be prepped for the
> crown, my general dentist said that there is also a cavity on the wisdom
> tooth next to the molar.  However, he said that he cannot do either a crown
> on the tooth with the root c{*filter*}or a filling on the wisdom tooth until I am
> done with the root scaling.    He put in a post in the root c{*filter*}and said
> that it will be good for 2-6 months and that he will do the crown after the
> periodontal treatment is completed.  I am concerned that the periodontal
> treatment may take a long time, at least 2 months two months and even more if
> the periodontist decides that I require a surgery (my  root scaling is
> scheduled for mid-November and mid-December, 2 appointments, and I understand
> that there is 4-6 weeks follow-up to see if the pockets improve and if I
> require surgical treetment).  During this time the cavity that I have may
> progress much further.  It was a big cavity too - I could feel it with my
> tongue before the root c{*filter*}procedure was done.  Plus, even though I have a
> post, I cannot floss on one side of it and around the cavity, so it feels
> uncomfortable. Is it true that neither fillings nor crowns can be done
> immediately prior to deep scaling procedure or shortly thereafter (within
> these 4-6 weeks that I have to wait for a follow-up with the periodontist)?

> Thanks.

        Just answered over at sci.med.

Steve

--
Mark & Steven Bornfeld DDS
http://www.***.com/
Brooklyn, NY
718-258-5001



Wed, 23 Apr 2008 23:15:33 GMT
 Can I have a crown/filling done prior to root scaling or shortly thereafter?

Quote:

>Is it true that neither fillings nor crowns can be done
>immediately prior to deep scaling procedure or shortly thereafter (within
>these 4-6 weeks that I have to wait for a follow-up with the periodontist)?

Nope it is just the preference of your dentist.

 Amatus



Quote:
>Hi all,

>I went to a new dentist recently to treat a cavity on a molar.  He said that
>a root c{*filter*}is necessary and also referred me to a periodontist for root
>scaling.  After I did the root c{*filter*}and came back to be prepped for the
>crown, my general dentist said that there is also a cavity on the wisdom
>tooth next to the molar.  However, he said that he cannot do either a crown
>on the tooth with the root c{*filter*}or a filling on the wisdom tooth until I am
>done with the root scaling.    He put in a post in the root c{*filter*}and said
>that it will be good for 2-6 months and that he will do the crown after the
>periodontal treatment is completed.  I am concerned that the periodontal
>treatment may take a long time, at least 2 months two months and even more if
>the periodontist decides that I require a surgery (my  root scaling is
>scheduled for mid-November and mid-December, 2 appointments, and I understand
>that there is 4-6 weeks follow-up to see if the pockets improve and if I
>require surgical treetment).  During this time the cavity that I have may
>progress much further.  It was a big cavity too - I could feel it with my
>tongue before the root c{*filter*}procedure was done.  Plus, even though I have a
>post, I cannot floss on one side of it and around the cavity, so it feels
>uncomfortable. Is it true that neither fillings nor crowns can be done
>immediately prior to deep scaling procedure or shortly thereafter (within
>these 4-6 weeks that I have to wait for a follow-up with the periodontist)?

>Thanks.

..

Amatus

 .



Thu, 24 Apr 2008 03:56:54 GMT
 Can I have a crown/filling done prior to root scaling or shortly thereafter?

Quote:


>>Hi all,

>>I went to a new dentist recently to treat a cavity on a molar.  He said that
>>a root c{*filter*}is necessary and also referred me to a periodontist for root
>>scaling.

>Oh I would love a second opinion ......

Yo momma dresses you funny.
--

W_B
Take out the G'RBAGE



Sat, 26 Apr 2008 01:13:00 GMT
 
 [ 7 post ] 

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