Tag Archives: root canal

Did the Emergency Dentist Damage My Tooth?

I had a toothache and went to an emergency dentist. He did an x-ray and didn’t see a problem, though he said he suspected a tooth was cracked. He did a crown. I’m done with that and now, lo and behold the tooth next to it is suddenly gray. Did he damage it when he did the crown?

Justin L. – Nevada

Justin,

Before we address possible causes, I want to address the gray tooth. This tooth is either dead or dying. It needs treatment right away before it blows into a full blown infection. Don’t put this off. If you don’t trust this dentist, find another emergency dentist.

As for what happened, there are a few possibilities.

The first possibility is a misdiagnosis. It could have been the tooth hurting you all along. Your other tooth, the one that was crowned, could have referred pain. If you have another dentist look at the x-rays and they say it was a clear misdiagnosis, you could get a refund for the crown.

Another possibility is both teeth were injured simultaneously. Maybe when you traumatized the cracked tooth, you also injured the adjacent tooth, but it died slowly.

A third possibility is they are two completely separate injuries that happened at different times. That’s not the most likely, but is always  a possibility.

This blog is brought to you by Dr. Randall Burba.

Whitening and Veneers

Hi again,

I wrote you back in January about my discolored front tooth. I’ve decided to go with the porcelain veneers. But, as I’ve been thinking about it, I think I want to get the rest of my teeth whitened. Should I do the veneer first or the whitening first?

Nancy G. -Alabama

Nancy,

Under normal circumstances you would always do the teeth whitening process before adding anything like porcelain veneers or dental bonding. The reason for that is you want your dentist to match your new cosmetic work to the brighter white color you’ll obtain with whitening. Otherwise your teeth will be mismatched.

I remember your case. You had a discolored tooth from a root canal and were worried about whitening weakening your tooth. Remember to find a dentist that knows how to bleach the crown of the tooth and leave your root untouched.

This blog is sponsored by Boston Emergency Dentist Dr. Randall Burba.

Discolored Root Canal Tooth

I had to get a root canal about two years ago because of an inflamed nerve. The tooth has turned an ugly yellow color, which is making me very self conscious. My dentist told me that whitening it will weaken the tooth. What are my options?

Nancy G.- Alabama

Nancy,

Ideally, it would have been best to prevent the discoloration to begin with, though this is not your fault. Many dentists aren’t aware that if you carefully remove all root canal filling materials and cements from the inside of the crown of the tooth, the tooth won’t discolor for maybe ten years. We are seeing cases, where the dentists didn’t do this and discoloration is starting even within the first year.

However, now you’re stuck with this discolored tooth, so let’s figure out your options. Your first option is teeth whitening. If you bleach only the crown of the tooth, and prevent it from getting to the root, then your teeth will not be weakened, but you’ll have to make sure ahead of time your dentist knows how to accomplish that.

Your next options are to either get a porcelain crown or a porcelain veneer. I am guessing you’d want the more conservative treatment. In this case, as long as there are no large fillings in the tooth, that would be porcelain veneers. They will actually leave the tooth stronger. You would only need one veneer, unless there are other things you want to change about your smile. A dentist may try to suggest there really needs to be two of them, but that is not the case and reflects a lack of confidence on  the dentists part of how to match the color and translucency.

If there are other issues with the tooth, such as fillings, then it might be preferable to do a crown. With porcelain crowns, you have to shave the tooth down quite a bit, so if the tooth is otherwise healthy, this would be my last choice.

With either of the last two options, you’ll want to make sure to go to an expert cosmetic dentist. Matching another front tooth, and making it look natural takes a lot of artistic talent and technical expertise. Don’t just entrust this to your average family dentist.

This blog is sponsored by Boston Cosmetic Dentist, Dr. Randall Burba.