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

Crown lengthening, hard and soft tissue???
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
Reply:The best solution would be for them to sit down and discuss your case. If that can't be arranged, look outside your current dental team, and consult a thrid party. Other DDS's might be able to lead you in the right direction.
Reply:If at all possible, I prefer to do the crown prep before the periodontist does the crown lengthening. This is because I want to show where, exactly the margin is now. And it allows me to direct things better, because I can say: I need 4mm more space, etc. However, there are no hard and fast rules. I am sorry for you, however, that your GP and periodontist can't get it together. Usually there is a better working relationship and these kinds of conflicts don't happen.
Reply:I had crown lengthening procedures several years ago on teeth 7-10 by a periodontist. Then my general dentist did the crowns. It was a breeze, after 3 years in ortho and the cl i am very happy with my teeth. it cost a fortune but worth every dime. Try not to eat anything hard or sticky while you are waiting for the procedures to be done.