You are here:

Dentistry/Wisdom toothe with large cavity - pull or cap

Advertisement


Question
About 2 years ago I had a wisdom tooth filled with a large filling. My current dentist would like to Cap this tooth,  and is surprised that I have no pain with the tooth. He made this suggestion a year ago, and on my at my last visit reminded me about the tooth. The tooth has no pain, but the filling is large. For a $140 dollar co-pay, I can have the tooth capped. My question for you, is should I have the tooth capped, or just stay with the large filling? I already have some capped teeth, and am not too crazy about them. It is hard to know what to do, as I am not sure if the dentist is just looking for work.

Answer
Hi Will and thanks for your question.

I am sure you can understand the danger and difficulty of me giving you a definitive answer and diagnosis without having all the appropriate X-rays and notes at my disposal.  I therefore cannot say whether or not a crown is not indicated in your specific circumstance but can say this..

Your dentist should explain to you why exactly a crown is indicated on this tooth and transparently explain to you why the benefits of doing the crown outweigh the risks of not doing it.  I would advise that you have an open and honest chat with your clinician and and ask all the questions you need to in order to make an informed choice of what is right for you - clinically and financially - the consider the situation before making a final decision. You are, of course, always entitled to get a second opinion on the matter in order to get the peace of mind that you deserve before any treatment is started.  You must have full belief that your clinician has your  best interests at heart and fully trust and respect their advice.  If you don't, then I suggest you start shopping around for a new dentist with whom you can develop a better professional relationship.  

I therefore hesitate to say whether or not any wisdom tooth should be crowned, purely because the oral circumstances and indications, and contra-indications, vary greatly between patients and there are so many intra-patient factors which have to be taken into account in advising any treatment. I hope this helps and wish you all the very best further and trust you will make a decision which best suits you in all respects, take care.

Kind regards
Dr Craig Peck

Dentistry

All Answers


Answers by Expert:


Ask Experts

Volunteer


Dr Craig W Peck ( B.Med.Sc., B.Ch.D., Clin. Botox, Cosmet. Derm.)

Expertise

I am a General Dental Practitioner, with special interests in Cosmetic Dentistry & facial aesthetics and Periodontology, placing a strong emphasis on the establishment and maintenance of a healthy periodontium (the support structure of the tooth) before cosmetic options are considered. I uphold all principles of prevention above interventional treatment and try as far as possible, to remain conservative in my approach. I believe in detailed, open and honest patient discussion, establishing what the patients expectations are and what the reality is of achieving this and involving the patient at every level of the treatment. I have strong principles on ethical treatment and appropriate patient management. I have chosen to treat and rehabilitate many nervous and phobic patients, who, for whatever reason, find it impossible to take part in the very important task of even a routine check-up. I will accept questions relating to general and cosmetic dentistry (in conjunction with the use of facial cosmetic procedures) and dental fears/phobias. I will be more than willing to answer any academic questions in dentistry, biology, physiology, psychology and health sciences in general. As most dentists will tell you, there is often not only one way of dealing with a dental issue - so very often, there is no precise right and wrong way of approaching the problem. All clinicians vary when it comes to treatments and what works best in their hands is often the treatment that is advised. Be understanding of this and bear in mind that nothing lasts forever! Patients are happy to accept only a one-years warrantee when buying a new car, but seem to expect that dental work is going to last them their lifetime.

Experience

I have worked for many years in the UK and RSA as a general dental practitioner - within the NHS, private practice and the government dental health services. I am certificated for the administration of Botox and Dermal Fillers for facial lines and wrinkles as I have attended further courses in minimally invasive facial cosmetic procedures. I started seeing an increasing number of patients who presented with severe to moderate dental fears, even with full-blown phobias, so I started with the slow and patient task of tackling this problem and have successfully rehabilitated many patients. The key is good, effective, concise and understandable communication, shifting control from the dentist to the patient in order to slowly, but confidently, regain their trust back in dentistry, thereby giving them the feeling of achievement and this self-empowerment which drives them to the next level of treatment.

Organizations
Academy of General Dentistry. American Dental Education Association. IAPAM (International Association for Physicians in Aesthetic Medicine). Professional Speakers, Writers and Managements Consultants in Dentistry. The British Dental Association. UK Aesthetics Group. ARC - Aesthetic Professionals. Botox. Aesthetics & Beauty. American Association for Dental Research. FDI - World Dental Federation. SOURCE1uk. World Dental Hygiene Forum. ProDentalCPD. Public Health Dentistry. Dentist Network. LinkedIn. Who's Who of South Africa.

Education/Credentials
B.Med.Sc. Degree (Medical Physiology and Medical Virology; Physiology Cum Laude; Stell 1994). B.Ch.D. Degree (Bachelor of Dental Surgery; Clinical Dentistry Cum Laude; Stell 1997). CPR and CPR-Advanced Courses (2000/2001; UK). Clinical Botox (UK, 2001). Cosmetic Dermatology (Botox and Dermal Fillers; RSA 2011).

Awards and Honors
Placed on the Dean's List at University for academic achievement (1994). Highest achievement in the subject Dental Materials. Medal from 3M and the Radiology Association of South Africa for highest achievement in the subject Dental Radiology and Imaging. Medal from The Periodontal Association of South Africa for highest achievement in the subject Periodontology. Highest achievement for Oral Medicine. Highest achievement in Oral Pathology. Received the DASA (Dental Ass. of South Africa) Gold Medal for highest achieving dental student across the 5 1/2 years of the Degree. Passed the subject, Clinical Dentistry with distinction in final year.

©2016 About.com. All rights reserved.