Gail

From the standpoint of crown strength or appearance, the perforation is probably a non-issue.

What your crown no longer does is predictably provide a seal over the tooth.

In theory, bacteria could leak through the opening and cause decay. And for that reason making a new crown, in theory, offers the best solution.

From a practical standpoint, your dentist may decide that they can adequately monitor the perforation for developing problems without any immediate treatment.

Or they may feel that placing a filling in the opening seals the tooth predictably enough.

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