Does make any sense to do a root canal on an old baby tooth?

I'm 34 years old and I have a baby tooth ( 11. Cuspid (canine/eye tooth) that had never fallen out. The adult tooth is up in my gums. I feel no pain in the area... if it wasn't for xrays and the tooth being smaller than my other teeth I'd never know I had an adult one up there.





My dentist says he wants to do a root canal on the baby tooth and put a crown on it. Does this make sense? I've never heard of anyone doing this.





I thought the only options I had was to have the baby tooth removed and either have a bridge made or get an implant... or have the baby tooth removed, get braces, and have the adult tooth slowly pulled down into place (if it hasn't fused into my bone already). Both of these are WAAAY to expensive for me right now. (Ugh, this has been the excuse my parents gave years ago when we first found out about this. lol It sucks not having a lot of $$$)

Does make any sense to do a root canal on an old baby tooth?
I think the best option is the one you mentioned, having the baby tooth removed and the adult cuspid orthodontically pulled into its proper position.


Implant would be next best option if the implant could be placed with the adult cuspid impacted up there. This is better than the bridge option because placing the implant will preserve bone in the area. If the baby tooth is lost and a bridge done, the neighboring teeth will have to be cut down for the bridge and you will develop a bone defect where the tooth was.


The pulpotomy and crown idea for the baby cuspid is an option, but I question if there will be enough tooth there to provide enough structural strength so that the tooth will not fracture and the crown break off.


Our canines are very important teeth for our bite. Cuspids are the size and shape they are because they need to withstand a great deal of occlusal force. When we bite together and then slide our teeth to one side, our teeth are meant to touch only on our cuspids and our other teeth are meant to not touch. This is called Canine Rise, and if you do not want to wear your teeth abnormally,it is an important component of your bite.
Reply:ouch... removed then pulling the new one up... yikes! I say if it doesn't bother you let it be.
Reply:hi there, i personally suggest that u get a second opinion by another dentist and see what he recomends...both of the options u mentioned sounded better than what ur dentist is suggestin..ask question like which procedure would be less painful and more affordable for u from getting removed and getting an implant to gettin removed /get braces ect..ouch it really sounds more pricey and painful than an implant yet i think u should still get a profecional opinion..good luck!! ps..i have gotten 2 implants (not so bad) just took about 2 to 3 weeks to completely heal..



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