I need an answer quickly. I have scheduled appt. for 8a.m. tomarrow. I had my wisdom teeth extracted, no problems. Five years later my top upper left back tooth broke. Went to dentist grinded tooth etc. put on crown. Pain so back to dentist sent for root canal on both upper left back teeth. Recommended another crown I could not afford already paid for 2 root canals and 1 crown. 3 months later tooth without crown broke to save money I decided to have it pulled. Oral surgeon pulled tooth and I ended up with a sinus perforation. I wasn't told this happened. I found this out when rinsing my mouth and water poured out my nose. Had that repaired. Pain, pain, pain! That was in September. Now less than a year later my crown is cracked in my remaining tooth on upper left top. What do I do? Shouldn't he replace my crown for free? Should I have tooth extracted and be done with it? I am scared to death to have it pulled given my previous expierience. I am also worried about cost of crown. Will it just crack again? Is it worth it? I am at a loss and feel these people only want my money and trust me they already have plenty of it

Crowns are better than pulling.
Implants are better than bridges.

There really isn't any guarantees with crowns, but you can always ask the dentist if he is willing to share some of the costs.

The top upper left back tooth, in general, should not be porcelin fused to metal crown. It should be pure metal. If it's the former, it's probably why it cracked. There is just too much pressure on those teeth.

Because of your sinus perforation issue, you may not be a candidate for implants. They are fantastic by the way.

If he isn't, I'd consider a second opinion from another dentist.

So, my recommendation is to ask the dentist to share some of the costs. Have it replaced by a metal crown (no one will see it. If he won't consider another dentist.

To save money, you can try to have the work done by a dental school. They will however want to do a cleaning and evaluation before starting and you would want copies of any recent X-rays.

I do believe the mistake was using the wrong material, but I can't be sure based on your information.

Did you ask your DDS if he stands behind his crowns? If not, you need to before you have this appt. From what I understand from your story, the crown is around a year old. It really should be some kind of guarantee from the DDS or even the lab that made the crown. And saving a tooth is a better decision over just pulling a tooth. Once you pull a tooth the other teeth start to shift. If pulling is your decision, you might want to try a diffferent oral surgeon, if you don't trust the last one you had. I hope this helps you out a little. Good luck!

In cases like yours a second opinion is always recommended.