If planned and done properly, IPRs are okay to gain space to move or retract teeth.

I would personally limit IPRs to front teeth only as it is very difficult to do a good IPR on posterior teeth.

It would depend on your treatment plan and needs whether IPR or extraction is more suitable for you.

if you feel your teeth is very protruded and needing lots of space to retract inwards, then extraction would be a better option for you.

if its only minor changes probably only go with IPR

Usually there is a limit how much IPR we can do. also dependant on your tooth size or enamel thickness. some people have bigger or wider tooth means probably having a thicker enamel so more room to shave.

Generally shaving is no more than 0.5mm on each side. but during the shaving procedure, if you start feeling sensitive, do let your dentist know.

best to get your gum inflammation checked as well. the chlorhexidine mouthwash only resolves the symptoms. eventually if there are gum issues, it will slowly creep back.

If its a small chip, it can be repaired by just a small composite filling.

Unless your bite is heavy on that tooth which generally front teeth should not be, you can consider a veneer.

A crown would mean cutting your tooth all around and significantly reducing your tooth structure just to bond the crown.

Cost of the gold crown relies alot on the price of gold. You're expecting perhaps around 5k for it.

Probably in the range of 5-13k depending on the type and quality of implant placed and parts used. How detailed is the planning of the procedure.

Implants can last long provided place properly with good planning and good maintenance by the user.

a surface inspection and a periodontal (gum) check on that said tooth can roughly tell the extent and severity of the crack.

A crack tooth is pretty tricky to properly diagnose and treat.

Usually if its not too severe or minor symptoms, we may like put a band on the tooth and monitor, in case it develops to more serious, may have to consider an exploration of the crack then possible a root canal procedure. Then monitor again until its stable to place a crown on it.

THere are alot other factors as well to consider, eg remaning tooth left, the amount of forces the tooth will be subjected to overtime. that will let us determine whether its worth trying to save or better to remove and replace with another more stable option. There factors are to be discussed with patients and come with a decision.

sorry to hear that, I would probably suggest you to look into replacement of the missing tooth now especially when its a molar.

Your symptoms does look like a microleakage into the filling and possibility developing crack into the tooth.

And onlay covering all your tooth cusps or the peaks would be what you require, or its commonly known as overlay as it covers over the whole of the top surface of your tooth.

Inlay would not be an option to treat your symptoms as it does not stop the crack progressing further.

Basic restoration as well will not help unless your dentist opt to do an overlay using the same basic restoration material that is a composite material where durability will be lesser compared to porcelain.

I believe your case will not require any RCT to be done, just an onlay as of now.

And yes it does cost quite a fair bit for a porcelain Onlay, most likely a eMax or lithium disilicate material.

what the onlay would do it that it would cover the whole of the top surface of your tooth and prevent the microcracks from progressing further thus reducing/minimizing the sensitivity or mild discomfort that you are having due to the cracks.

Another alternative would be a crown but it would mean the whole of your tooth has to be reduced much more to fit a crown on.

the picture is not very clear to begin with and its no sufficient investigation for me to be sure whats going on.

When do you experience the sensitivity when it happens?

Most likely i'd suggest for you to check with the dentist, do a vitality test on the tooth and take an xray to verify that it is totally fine before proceed with crowning.

And if its just a small crack on the surface. maybe consider just a onlay coverage over the surface to prevent the crack to progress much further.

it does look like the tooth has got a inflammation lesion at the tip. Its the upper left second last tooth it seems.

Glad you went for an x-ray. hopefully the RCT resolves your issue.

did your dentist take any x-rays for do proper examination on the tooth before advising you for a root canal?

swollen and bleeding gums can indicate gum issues.

but if the issue originate from the tooth itself, it can cause swelling due to abscess buildup too.

implant is really the final option if the tooth is non salvagable. if the tooth is still restorable, would suggest for you to do a root canal first .

only the latter is problematic, therefore many are against it as a lot of dentist dont do a proper job with root canal.

For peace of mind do check if your dentist is okay to deal with root canal or seek specialist for your root canal job.

implant has its own set of problems if not done properly, but the issues comes on usually few years after using the implant.

This post has been edited by Batusai: Feb 4 2025, 02:25 PM

It depends on why the recession is happening.

Could you be brushing tooth hard?

or are you have gum problems which are causing the recession, it usually comes along with bleeding gums and swollen gums which leads to bone loss that is supporting the tooth itself.

Usually when bone loss happens, it will be hardly reversible. Unless you do some bone grafting and then a gum grafting to better protect whatever remaining bone around the tooth.

Best to check with a dentist who is experienced with gum issues. A specialist for gums would be periodontist.

I would suggest you to check with a periodontist or a dentist who specializes in gums. A proper gum examination would be good for you.

To prevent tartar buildup requires plaque prevention which is through proper brushing techniques and also cleaning in between your teeth with floss or interdental brushes etc.

Sometimes general cleaning only removed tartar that are above the gums. Most dentist are not trained well enough to detect tartar that are hidden under the gums which there may still be leftovers even after your clean.