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Huaren
等级上士
威望1
贴子1522
魅力2179
注册时间2007-10-09

ribosome

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如果需要先crown lenghtening 再root canal, 值得做吗?

1455

7

2009-08-03 13:39:00

今天去看了endodontist 咨询我的牙能不能做root canal, 他说因为decay的位置到了牙龈,必须先做crown lengthening,然后root canal,这样一来整个过程至少要去6次,而且总费用和我的genenral dentist 建议的 implant 差不多,而且做过crown lengthening 以后,牙龈会低很多,这个牙和两边的牙之间会有两个洞,容易掉进去食物。。。
本来看了大家的建议,已经决定要做root canal了,这样一来有有点犹豫了,因为看到网上有人说了 crown lengthening,如果以后需要植牙,可能骨头不够。。 上来看看dudu和其他懂的xdjms有没有什么建议,多谢多谢了!!

顺便问一下,做implant的specialist叫什么啊,还是general dentist就可以做。。。
Huaren
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wendypig

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2009-08-03 21:08:00

This is really a decision for you to make. But don't worry about how many visits you have to go. Both plans need mutiple visits in a few months. Specialists including oral surgeons, prosthodontists, and periodontists as well as certified general dentists all can do implant. Sorry I cannot help more.

Huaren
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威望1
贴子1522
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ribosome

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2009-08-03 22:22:00

 mm多谢你的回复,我以为implant 次数会少一些那,还有就是觉得做了crown lengthening 以后,留下的牙缝大,又在靠后面的位置(#30 牙齿)清理麻烦,怕以后再有后患。确实这几天犹犹豫豫了很久,还好这边很多热心的xdjm给我意见
Huaren
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贴子1522
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ribosome

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2009-08-03 22:24:00

周三又要去看我的general dentist 了,希望她能推荐个好点的医生,看起来可以做植牙的医生还挺多的,原来我一直以为是很高精尖的工艺。。。
Huaren
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wendypig

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2009-08-03 22:44:00

Talk to your dentist more about your concerns. The food impaction after crown lengthening could be a potential problem but after the implant is done, a crown is still needed and good cleaning is also a must. If you already decide to choose implant, make sure that the oral surgeon/periodontist who will extract the tooth knows that you plan to get an implant there and he/she will save as much bone as posiible during the extraction.


已奖励 by dudu

[此贴子已经被dudu于2009-8-4 22:07:51编辑过]

Huaren
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贴子1522
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ribosome

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2009-08-04 10:04:00

 谢谢mm,我的general dentist 本来是想自己给我拔,但是他的老师(我的dentist 是 dental school 的学生)让他推荐我去oral surgeon 哪里拔,应该就是考虑了mm说的这个问题吧,你一说我才想起来。
mm说的implant之后good cleaning is a must, 是和做crown lengthening 之后同样的问题吗(牙齿两边有两个空洞)?还是说日常生活要注意清理?还有就是implant后可以用牙线吗(会不会把crown掀掉。。。。)问题很多啊。。。先谢谢mm了
Huaren
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wendypig

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2009-08-04 19:10:00

If you have implant and crown done, it should look like a normal tooth from outside. When I said good cleaning, it just means the regular brushing and flossing. Sorry for the confusion. The crown will be cemented to the abutment and no worry for the flossing.
Huaren
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dudu

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2009-08-04 22:11:00

以下是引用wendypig在2009-8-3 22:44:00的发言:
Talk to your dentist more about your concerns. The food impaction after crown lengthening could be a potential problem but after the implant is done, a crown is still needed and good cleaning is also a must. If you already decide to choose implant, make sure that the oral surgeon/periodontist who will extract the tooth knows that you plan to get an implant there and he/she will save as much bone as posiible during the extraction.


已奖励 by dudu
[此贴子已经被dudu于2009-8-4 22:07:51编辑过]

exactly。不管哪一种方案,都不是能很完美解决你得问题。所以你要跟医生多沟通,告诉他们你的想法,多听听多了解会出现得问题和风险,自己权衡了再
做决定。治疗前多了解,治疗得时候不要怕麻烦,好好配合。

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