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This question is more than six months old, so the information in the answer may no longer be accurate.
Visitor asks:
Dear Sir/Madam,
after biting down hard I developed a strange sensation in the upper left first premolar, on which I have had a porcelain crown for about 25 years; it was replaced once in the meantime (post and crown).
Since that unfortunate bite I have felt that the tooth is mobile and there is an unpleasant sensation. The dentist noticed the mobility and ground the tooth slightly because it seemed too high. There was a slight improvement in the mobility, but it still persists. I am very worried because my dentist mentioned a root fracture as a possible cause of the mobility, but could not confirm it on the basis of the X-ray. What worries me most is what I can expect. I would not like the condition to worsen because nothing is being done, and I am afraid of a more serious inflammation, bone loss, or whatever else might be possible.
I kindly ask you to tell me what to do.
Thank you and kind regards.
Polona
Dentist Tomaž Rotar answers:
Dear Sir/Madam!
Based on what you have written, I think a root fracture could be the cause of the mobility of the crown. Vertical fractures are most often an unsolvable problem and the tooth is usually lost. On an X-ray, a fracture is difficult or impossible to show, at least in its initial stage. Horizontal fractures in the area of the tooth neck can be managed by making a new root post and crown. Fractures in the area of the root tip can be treated with an apicoectomy. The middle part of the root is usually the most problematic because the two solutions mentioned above are not applicable there. If a fracture has indeed occurred, inflammation will appear on the gum at that site, tooth mobility will increase, and pain will also develop.
Have a nice day!
Based on what you have written, I think a root fracture could be the cause of the mobility of the crown. Vertical fractures are most often an unsolvable problem and the tooth is usually lost. On an X-ray, a fracture is difficult or impossible to show, at least in its initial stage. Horizontal fractures in the area of the tooth neck can be managed by making a new root post and crown. Fractures in the area of the root tip can be treated with an apicoectomy. The middle part of the root is usually the most problematic because the two solutions mentioned above are not applicable there. If a fracture has indeed occurred, inflammation will appear on the gum at that site, tooth mobility will increase, and pain will also develop.
Have a nice day!
✦ This content was translated from the original with the assistance of an AI translation system.
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