Hi, I have a two-fold issue that you might be able to help me with. 1. One of my front teeth died(one right next to my two upper front teeth) when I had braces a few years back. It is holding up very well and does not seem lose at all but I would like to get it repaired as soon as possible obviously. The tooth has a few horizontal cracks near the bottom which have been there for over 10 years and I was told by my current dentist that I would need a specialist to handle it. He gave me an estimate of about $900 to get a root canal and temporary filling but was not able to advise me on the price for a permanent solution. Can you give me an estimate on the additional work that would need to be done? It would have to involve something like internal bleaching and probably a porcelain cap. Is there any way to keep as much of my original tooth as possible and just cap the hole? I am located in south Florida for your price references. 2. There appears to be some type of debris leftover from when I had my braces embedded in my gums. Whenever flossing in the area(just this specific area) between my two top teeth next to my top molars I get bleeding and I feel like there is something inside that area. It has been this way since I got my braces put on but I was told that it was due to the metal around my teeth trapping food particles. When the braces were removed this problem persisted. I went to a dentist and got a debridement which did not solve the problem, also strangely, no evidence of calcification was found like a typical periodontal disease would cause. Instead, there was a large amount of dental cement found still under the gumline from when I had braces. I believe there is still some left, but within scar tissue embedded in my gums for the above reasons. This will probably require flap surgery to remove, but before I can do so I need some diagnostic tests. What would you recommend? I was considering a CT Scan with contrast which might reveal the problem areas. My main concern is that it might even be food particles or something similar and a CT scan will not pick it up. Thus far x-rays have not been able to spot anything. I also vaguely remember not keeping track of dental spacers I had prior to the application of my braces, and I believe it is possible that they went up into my gums before the procedure. All these things have to be considered when selecting a test and I would like to know my options. On a side note, I developed nasal polyps after getting braces. I certainly have noticed a correlation between flare ups in my nasal polyps and flare ups in my gums. Could infection in my gums be traveling up to my nasal cavities? Thank you very much!

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  • Dr.Ritz

    Dr.Ritz 31 - March - 2011, at 19:58 PM

  • For the dead tooth you have to go for the Root Canal treatment and after that as permanent solution you have to go for the dental crown above that. You can go for PFM crown (Porcelain fused to metal) or all ceramic crown. All ceramic crowns are aesthetic looking but they are expensive than PFM crowns. The estimated cost of RCT for Anterior tooth is aroung $400-$500 and for crown the cost varies depending on your choice, dentist to dentist. However the range could be between $600- $ 1000. You insurance will cover these treatments.

    For your gums problem after braces, clinical examination along with xrays usually diagnose the gum problem. The problem of food impaction in the molar region where bands are adapted for braces treatment is normal but normally the problem is solved once the bands are removed and dental cleaning is done. If the problem is not solved in your case then go for deep cleaning and root planning (SCRP) and if on xrays bone resorption is seen then flap surgery is the solution. For more info on gums surgeries you can read this article.. www.identalhub.com/article_what-is-gum-disease-surgery-339.aspx

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