A member asked:

My 4 upper incisors have a cap. the lateral incisor inside the cap hurts n the nerve is sensitive. hows the treatment done since the cap is attached?

9 doctors weighed in across 7 answers
Dr. Charles Lockhart answered

Specializes in Dentistry

From behind: If the crown is well made, access can be gained from behind (palatally) on the tooth and the root canal treatment can be performed as though it were a normal uncrowned tooth. Upon completion, a filling can be placed to close the access hole preventing the need for a new crown.

Answered 5/23/2013

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Root canal therapy: It is routine to do root canal work through crowns. Sometimes, though, they break and need to be replaced.

Answered 5/23/2013

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Dr. Gregory LaMorte answered

Specializes in Periodontics

Sensitivity: Sensitivity does not always require root canal therapy. See a dentist for an evaluation. Do it today.

Answered 5/23/2013

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Endodontics: Usually if the nerve is affected and you will need a root canal a small access preparation will be done by the treating dentist through the back of the crown and the tooth can be treated that way. If there is nothing wrong with the crown the small access preparation can be filled with a composite (white) filling.

Answered 5/25/2013

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See a root canal spe: Many times crowned teeth require root canal therapy to stop pain and infection within the teeth.

Answered 5/28/2013

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Root canal treatment: You might need a root canal treatment done to the lateral incisor, it can be either done through the bridge and the access hole fixed with a filling later or the bridge can be removed for the root canal tx. Depending on the bridge and the dentist approach

Answered 7/4/2013

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Dr. Alan Zweig answered

Specializes in Prosthodontics

Through the cap: Treatment can be done either by removing the cap, and replacing it with a new one, going through the cap, or by going through the gum.

Answered 7/6/2016

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