Wife with problems looking at new dentist and went to one that 2 sons
use and like.

He wants to cap the wisdom tooth that was root canaled a couple of years
ago and said she should have tooth above it capped because fit could
cause damage to the uncapped tooth.

I have two very old capped bridges and one old cap but there are no caps
on teeth below or above them.

Guy might be good dentist but seems to want to do work that is not needed.

Wonder what readers of this think?

Frank

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On 12/15/2017 12:47 PM, Frank wrote:

Wife with problems looking at new dentist and went to one that 2 sons
use and like.

He wants to cap the wisdom tooth that was root canaled a couple of years
ago and said she should have tooth above it capped because fit could
cause damage to the uncapped tooth.

I have two very old capped bridges and one old cap but there are no caps
on teeth below or above them.

Guy might be good dentist but seems to want to do work that is not needed.

Wonder what readers of this think?

Frank

There may be a valid reason, but unless there's something else going on,
there is no reason to crown the tooth opposing the one to be crowned
just because it "could cause damage".
In other words, you need a better explanation.

Steve

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On 12/17/2017 10:45 AM, Steven Bornfeld wrote:

On 12/15/2017 12:47 PM, Frank wrote:

Wife with problems looking at new dentist and went to one that 2 sons
use and like.

He wants to cap the wisdom tooth that was root canaled a couple of
years ago and said she should have tooth above it capped because fit
could cause damage to the uncapped tooth.

I have two very old capped bridges and one old cap but there are no
caps on teeth below or above them.

Guy might be good dentist but seems to want to do work that is not
needed.

Wonder what readers of this think?

Frank

There may be a valid reason, but unless there's something else going on, there is no reason to crown the tooth opposing the one to be crowned
just because it "could cause damage".
In other words, you need a better explanation.

Steve

Thanks, Steve, that's what I suspected. Her plans are to go back to his
office for her next cleaning checkup and discuss this. I printed out
your response to show her.

Frank

--- SoupGate-Win32 v1.05
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On 12/17/2017 11:43 AM, Frank wrote:

On 12/17/2017 10:45 AM, Steven Bornfeld wrote:

On 12/15/2017 12:47 PM, Frank wrote:

Wife with problems looking at new dentist and went to one that 2 sons
use and like.

He wants to cap the wisdom tooth that was root canaled a couple of
years ago and said she should have tooth above it capped because fit
could cause damage to the uncapped tooth.

I have two very old capped bridges and one old cap but there are no
caps on teeth below or above them.

Guy might be good dentist but seems to want to do work that is not
needed.

Wonder what readers of this think?

Frank

There may be a valid reason, but unless there's something else going
on, there is no reason to crown the tooth opposing the one to be
crowned just because it "could cause damage".
In other words, you need a better explanation.

Steve

Thanks, Steve, that's what I suspected.  Her plans are to go back to his office for her next cleaning checkup and discuss this.  I printed out
your response to show her.

Frank

There IS conventional wisdom regarding this. For instance, the received
wisdom is that you don't place a porcelain restoration opposite a cast
gold restoration, because the porcelain is harder and will chop right
through the chewing surface of a gold crown. But this isn't likely to
be your wife's situation. There is no need to place porcelain on a
third molar--it's certainly not a cosmetic liability to put a cast metal
crown back there. In any case, I have placed porcelain opposite a gold restoration and that dread chopping didn't take place (in those cases,
at any rate).
There are other possibilities--perhaps the wisdom tooth to be crowned
was broken down and super-erupted so that there is no room to place a restoration without butchering the opposite tooth. But that's not what
your wife was told.

Steve

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On 12/17/2017 12:55 PM, Steven Bornfeld wrote:

On 12/17/2017 11:43 AM, Frank wrote:

On 12/17/2017 10:45 AM, Steven Bornfeld wrote:

On 12/15/2017 12:47 PM, Frank wrote:

Wife with problems looking at new dentist and went to one that 2
sons use and like.

He wants to cap the wisdom tooth that was root canaled a couple of
years ago and said she should have tooth above it capped because fit
could cause damage to the uncapped tooth.

I have two very old capped bridges and one old cap but there are no
caps on teeth below or above them.

Guy might be good dentist but seems to want to do work that is not
needed.

Wonder what readers of this think?

Frank

There may be a valid reason, but unless there's something else going
on, there is no reason to crown the tooth opposing the one to be
crowned just because it "could cause damage".
In other words, you need a better explanation.

Steve

Thanks, Steve, that's what I suspected.  Her plans are to go back to
his office for her next cleaning checkup and discuss this.  I printed
out your response to show her.

Frank

There IS conventional wisdom regarding this.  For instance, the received wisdom is that you don't place a porcelain restoration opposite a cast
gold restoration, because the porcelain is harder and will chop right
through the chewing surface of a gold crown.  But this isn't likely to
be your wife's situation.  There is no need to place porcelain on a
third molar--it's certainly not a cosmetic liability to put a cast metal crown back there.  In any case, I have placed porcelain opposite a gold restoration and that dread chopping didn't take place (in those cases,
at any rate).
There are other possibilities--perhaps the wisdom tooth to be crowned
was broken down and super-erupted so that there is no room to place a restoration without butchering the opposite tooth.  But that's not what
your wife was told.

Steve

Thanks again. She is going to take her time and may even look elsewhere
but will discuss with this dentist unless she goes in another direction
with another dentist.

This new dentist was also suggesting a 3rd crown elsewhere and removing
old existing fillings for new which made me suspicious of him looking
for work beyond what was really needed. Two of our sons go to him and
are happy with him. They are both lawyers and pretty discerning about
medical practice with all the civil work they do so we often trust them
for advice.

Frank

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