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Question:
Replace failed crown with Implant? One year ago I had a crown put on the top 5th tooth from the center.

The dentist had filed down my original tooth until it looked like a toothpick. The cap constantly was coming off and I would have to go back and have it re-cemented back on. The last time it came off, the small amount of tooth that was left broke off with the crown.

I would like to get an implant. My question is: can an implant be put in through the remaining tooth or do I also have to have this tooth removed? And if so, can the tooth be removed and the implant installed at the same time? I am not positive but I believe that I might have had a root canal in that same tooth ...Visitor from IL

Answer:
The tooth needs to be removed first. The way the tooth is removed has a huge impact on the immediate implant placement. Some dentists have special instrumentation that removes the remaining root easily. This prevents damage to the surrounding bone.

In most cases the implant is placed along with a temporary crown. An immediate implant enables you to walk out of the office with a tooth while the permanent restoration is being made by the lab.

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