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Dentistry/tooth extraction with gold crown

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Question
I have high anxiety about this procedure.  After the crown is removed, will the tooth fall into pieces and if so, will it be difficult to remove?  I dislike the feeling I get from novacaine when I cannot feel as if I can swallow and I become panicky.
Would it be easier if he pulled the tooth right along with the crown?   Thank you,

Answer
Angel -  That is a little difficult for me to answer without seeing an xray of the area.  Usually, the crown is only removed if there is mobility to the crown and then it is removed before the extraction.  If, however, if the crown is still stable, even though there might be decay, the crown should not be removed before the extraction.  

So if you use a board certified oral and maxillofacial surgeon, the procedure will be done correctly.  If you have additional questions, feel free to contact me again.

Dentistry

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Joel S. Teig, DMD, Diplomate ABOMS, retired

Expertise

I am a board certified oral and maxillofacial surgeon and I am available to answer questions related to tooth extractions, implant insertion, facial recontruction, facial and oral tumor removal, TMJ dysfunction and various successful treatments, including surgery if all else fails, and occlusal discrepancy requiring orthognathic or jaw surgery.

Experience

Board Certified Oral and Maxillofacial Surgeon practicine for over 20 years. Assistant Clincal Professor and State University School of Dentistry.

Organizations
American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons

Education/Credentials
BA -University of Connecticut DMD - University of Pennsylvania School of Dental Medicine

Awards and Honors
National Honor Society (OKU), Philadelphia County Dental Society, Mosby Book Award, Oral Surgery Honors, Summa Cum Laude

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