Crown lengthening, hard and soft tissue???!


Question:

Crown lengthening, hard and soft tissue???

I have just had 2 root canals, teeth 14 and 15. They have been 'bonded', not prepared and do not have temporary crowns yet. My General Dentist wants my Periodontist to complete the crown lengthening BEFORE he preps the teeth and fits the temp. crown, however my Periodontist wants the General Dentist to prep the teeth and fit the temp. crowns BEFORE he does the crown lengthening work.
This is costing me alot of money and I want to be certain that the work is carried out with my best interests in mind, I want the best possible outcome for my dental health.
Who do I listen to?...I have requested that they both liase, discuss my case and come to a discision.....I have been trying to reserch this topic myself and would LOVE to hear from anyone who has had this work carried out or indeed any Dentist, General or Specialist who performs this type of procedure..oh, how long can I be left with just the built up bond while this is being resolve..I do not want my root canals to be jeapodized

Additional Details

2 months ago
Thank you Michael, the Periodontist told me that I should wait 6 - 8 weeks after the lenghtening for the final restoration....If I go to him first, does that mean I will have to wait 6 - 8 weeks for the prep. work, inc. temp. crown?....this will take me well over 1 month from root canal to crown placement.....my General Dentist built up with bond after putting in posts...by the way I have Periodontal Disease that is being treated with deep cleaning to see how it helps.


Answers:

There is no reason a periodontist cannot do a crown lenghtening without a preparation, more so if you already have tooth canals (tell him not to be a baby!).

You should have the lengthening BEFORE the preparation so that your general dentist prepares in one appointment, otherwise he would have to prepare, wait for your lengthening, and re-prepare (this makes no sense).

By the way, if 1 month goes by and you haven´t restored your root canals, the outcome might be compromised.

Good luck




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