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Failed root canal procedure

User Level:
Patient
Posted by: goldensunset  (8 years ago)
Dear Doctor,

I have had a root canal and a crown on one of my upper teeth four years ago. After a year, my crown fell off. My regular dentist was out of town for two weeks so I went to another dentist. He tried to put the crown back in, but it did not fit anymore. We agreed to have the old crown destroyed and be replaced with a new one. It fits better now, but I developed a gum infection. I went to my regular dentist. He took X-ray and said I need a root canal re-treatment. He also added that if the tooth becomes reinfected after the re-treatment, he will pull the tooth and put in an implant. He said there is a 50% chance for the tooth to be saved. My tooth seems loose. Can I just have this tooth pulled? I cannot afford the implant for now so what are my other options? Thank you very much for your time.
User Level:
Student
Posted by: ghnane  (8 years ago)
Hello goldensunset, I am sorry to hear about your misfortune with the root canal treatment. Unfortunately if root canal treatment fails we have no other option but to extract the tooth. In your case having an implant put in would be the ideal solution. Your other option is to get a 3 unit bridge which is made by filing down two adjacent teeth next to the pulled tooth. The downside of this is that you will compromise two healthy teeth. You also need to be clean and floss using a floss threader under the Pontic that is the area where the tooth is extracted.
You may also ask for a space maintainer so that your teeth do not start shifting after the extraction and have an implant later on when you can afford it. It also depends how far back is the tooth for esthetic reasons. If it is seen while you speak you may want an immediate solution if it is far back then you can wait but make sure you maintain the extracted space.
User Level:
Dentist
Dear Doctor,

I have had a root canal and a crown on one of my upper teeth four years ago. After a year, my crown fell off. My regular dentist was out of town for two weeks so I went to another dentist. He tried to put the crown back in, but it did not fit anymore. We agreed to have the old crown destroyed and be replaced with a new one. It fits better now, but I developed a gum infection. I went to my regular dentist. He took X-ray and said I need a root canal re-treatment. He also added that if the tooth becomes reinfected after the re-treatment, he will pull the tooth and put in an implant. He said there is a 50% chance for the tooth to be saved. My tooth seems loose. Can I just have this tooth pulled? I cannot afford the implant for now so what are my other options? Thank you very much for your time.


Since the tooth already has a crown and it would be a shame to drill through it, has he discussed the possibility of apical surgery (cutting off the infected root end and refilling it?) The success rate for these is about 80%, as long as the cause of root canal failure was not a missed canal.

If you extract the tooth without doing a socket preservation graft, you may not have enough bone for an implant later.
Posted 8 years ago
User Level:
Patient
Posted by: goldensunset  (8 years ago)
Hello,

Thank you for your replies.

I've had undergone root canal re-treatment but unfortunately, I developed an abscess on the tooth and the dentist decided to extract it. I did not get any replacement yet because I do not have enough funds for it. It's a back tooth anyway. Can still ask for a space maintainer? It's been nearly two weeks since the extraction.
User Level:
Student
Posted by: ghnane  (8 years ago)
Yes you can still ask for one. Also make sure the dentist maintains the area for potential future implant as mentioned above. I am sorry you had to go through so many complications.
User Level:
Patient
Posted by: goldensunset  (8 years ago)
That's great to know! I will go back to the dentist tomorrow to have one put in. You've been very helpful.
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