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Opinion on Resorption (extract and implant reccomendation)

User Level:
Patient
Posted by: jonnyob  (9 years ago)
I had a root canal on #19 in 1999. In 2009 I had to go in for re-treatment. Recently it has been hurting and a small swollen abscess emerged and went away on the inside gum.

I went to an Endo who said he thought the root was fractured and that it had to be extracted.

I then went to the Perio who said he didn't think it was fractured but that #19 was suffering from external resorption, and he recommended extraction and implant. (for the bargain price of $4K)

I have attached the 2009 xray (left thumbnail) and the xray taken 2 days ago. Does this look like an obvious extraction case?

Any input would be greatly appreciated.
User Level:
Dentist
I had a root canal on #19 in 1999. In 2009 I had to go in for re-treatment. Recently it has been hurting and a small swollen abscess emerged and went away on the inside gum.

I went to an Endo who said he thought the root was fractured and that it had to be extracted.

I then went to the Perio who said he didn't think it was fractured but that #19 was suffering from external resorption, and he recommended extraction and implant. (for the bargain price of $4K)

I have attached the 2009 xray (left thumbnail) and the xray taken 2 days ago. Does this look like an obvious extraction case?

Any input would be greatly appreciated.


If you have had a root canal, it failed, was retreated, and now is abscessed again, it is time to stop throwing money at that tooth and have it extracted.

Wait a week of more to let the infection clear, then do a socket preservation graft. 4 months later, have the implant. Let it heal for at least 4 months, and you can have a crown fabricated.

Not simple, not cheap, but success rates are about 94% in that part of the mouth.
Posted 9 years ago
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