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Question:

First, I just had the second half of a root canal done on a molar. It appears to be okay. How long should I be able to wait to have a crown started? Also, should I avoid at all costs eating on that side of the mouth entirely until the temporary crown is attached?

I plan to have a gold crown put on permanently. My tooth did give me some pain, but it wasn't throbbing at all, so I'm thinking that I "caught it early", and I hope that even though I may grind my teeth at night that I have a few weeks to wait while my dentist can fit me in.

Also, how long are the visits? Do dentists normally have to cut away at the gums to fit on crowns? What normally is done on the first and second visit? ...Visitor from IL

Answer:
My advice is a minimally invasive viewpoint using microdentistry. Your Dentist/Endodontist obturated (filled) the canals in root canal therapy. You should as soon as possible get the restoration done. Reason: the temporary filling is porous to bacteria and you want a final stopper to help the mumification of the root canal therapy.

The next step the dentist creates a post and core or core to buildup the tooth to put a restoration on. In my practice, depending on how much tooth structure is left after I complete a core build up I either create a crown or onlay preparation. The onlay preparation keeps the walls of the tooth while the crown removes more tooth structure.

If the tooth destruction goes down to the gums, I gingerly remove only what is necessary of the gums (gingiva) to create a long lasting restoration. Gingivectomy per tooth.

A note - Please don't take aspirin or advil, or ginger before a dental visit in this case. Because its easier to control the bleeding.

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