Understanding Gold Crown Removal: What to Expect
As much as we'd like to think gold crowns are permanent, the fact is they often aren't. There are many reasons why a gold crown might have to be removed. The tooth structure underneath can re-decay after a period of time, necessitating a new crown, or the tooth can develop an abscess and require a root canal, which also requires remaking the crown. No matter the reason, the only way a gold crown can be removed is by a dentist.
Instructions
Make an appointment to see a dentist. If you have a regular practitioner, all the better. If not, many websites can provide you with information about local dentists.
Tell the dental staff what kind of symptoms you are having. They will likely take an X-ray of the tooth to see what's going on.
Seek a second opinion if you have reason to question a diagnosis. Removing a gold crown inevitably means replacing it, and if it needs a root canal or other procedure, it is very expensive. You must be willing to pay for another office visit and more X-rays.
Schedule an appointment for the procedure once you've accepted the diagnosis. When a crown needs to be removed, there is something wrong, and not attending to it leads to more complications down the road, including possible loss of the tooth.
Ask the dental staff what is involved in the procedure. If you need a root canal, be clear as to what it's for and what will happen. After a root canal through a gold crown, sometimes the original crown can be saved. If the crown needs to be replaced because of re-decay underneath the procedure involves a new crown preparation and impressions. The old crown is removed by making cuts into it with a dental hand piece (drill), then it's pried off with instruments. You are given an injection of local anesthetic so it won't hurt.
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