Question:
I 've just read about a new wonderful material called ceromer, which has been
used as a replacement for porcelain on the outside of metal crown caps or as
a sole material for crowns. My question is, has ceromers been used to restore
the tooth structure after a root canal treatment without using a cap -- just
a strong ceromer inlay filling. It appears [to me, a non-dentist] that
in cases when a root canal treatment leaves most of the tooth structure intact,
shaving off a substantial part of the tooth to accommodate a cap may be
too aggressive. Wouldn't ceromer, unlike other types of filling materials,
actually strengthen the tooth?
I would like to hear from both dentists and patients who had ever undergone
the described treatment.
Answer:
Sometimes I see an x-ray where the inside of the tooth has
been completely reamed out for the root canal filling. I almost cannot
find any tooth. Yet, standard care suggests a post, a crown and then
who knows?
A nice onlay type gizmo which coveres the biting surface is just
great. The onlay can come over the top of the tooth and over the cusps
and on to the outer surface too to prevent any fracture.
Besides, you then have natural tooth structure where your gums meet
instead of porcelain or metal where your gums meet.
Why don't dentists give this alternative to patients? Everybody that I've been
to say 'crowns' also for teeth that have large
fillings which are in need of root canals. Something about the tooth breaking
if they don't replace it with a crown.
