Can porcelain crowns be placed if the tooth root is damaged?
Encyclopedic
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First, let's understand porcelain crowns. Their outer crowns are made from natural porcelain powder and can be color-matched to adjacent teeth. A well-made porcelain crown is indistinguishable from a natural tooth in both color and shape, preserving overall dental aesthetics. Porcelain crowns also have a long lifespan—with proper care, they can last 30 to 50 years.
For patients with damaged tooth roots, if decay caused by dental disease has compromised the root but a portion remains—even a small segment—and the root is stable, it can be treated and directly fitted with a porcelain crown. This approach avoids damaging adjacent teeth.
If the root is completely destroyed, extracted, or beyond salvage, porcelain crowns can still be used. In such cases, a bridge restoration may be employed. This requires grinding down the adjacent teeth to create abutments for the porcelain crowns. While this process removes the outermost layer of enamel, the crowns restore both function and aesthetics once placed.
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