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Leaving an extraction gap

User Level:
Patient
Posted by: JenWhite45  (8 years ago)
Hi all!

I had a root canal done on my first lower right molar over three years ago. A few months ago, the tooth broke. It left what it looked like a stick that pokes the gum. Food is getting trapped in it a lot. I looked at it in the mirror and I saw that it is black around the root canal. Is this a sign of decay or does a root canal treated tooth normally looks black underneath?

The dentist wants to pull it and do a bridge. I asked him if we can just leave the hole but he said, the other teeth will shift if I will not put a replacement. My brother's first molar was extracted several years ago, he did not get any replacements for the missing tooth and so far he does not have any problem with the gap or with his teeth shifting yet. I do not want to compromise the two adjacent teeth for the bridge. I told the dentist about my desire to just leave the extraction gap there but he gave me a very long explanation with all the possible problems that may arise in the future. Can someone please shed some light on this for me? Should I go to another dentist who is willing to just extract the tooth without replacing the missing tooth?
User Level:
Student
Posted by: ghnane  (8 years ago)
Hello. Have you considered an implant as an alternative to getting a bridge? Yes, there many potential problems that may arise if the gap is left, such as you maxillary 1st molar starts elongating downwards to meet contact and your teeth begin shifting. This will take place of a number of years and your second molar may begin shifting mesially (towards your front midline).
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