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Q Tooth extraction or Root canal

User Level:
Patient
Posted by: Holistic  (3 years ago)
I had a crown a year later it fell off. Another dentist glued it back on. Crown leaked a couple months later crown fell off decay had gotten into the tooth. They drilled the decay away exposing the nerve. I have a temp crown now. it is the molar 7 upper right. I am in serious pain. half my face is numb.

Is there any real danger to tooth extraction?
To prevent migration of teeth is there an alternative to implants?

Thank you in advance have a great night
User Level:
Dentist
I had a crown a year later it fell off. Another dentist glued it back on. Crown leaked a couple months later crown fell off decay had gotten into the tooth. They drilled the decay away exposing the nerve. I have a temp crown now. it is the molar 7 upper right. I am in serious pain. half my face is numb.

Is there any real danger to tooth extraction?
To prevent migration of teeth is there an alternative to implants?

Thank you in advance have a great night


The dangers of tooth extraction are many- Sinus exposure, infection, bone loss, swelling, to name a few.

Implants are least predictable in the upper second molar region.

There is no way to do a bridge to replace a SECOND molar. Nobody in their right mind anchors a bridge to an wisdom tooth. So no, there is no alternative to an implant.

That being said, most humans chew perfectly fine if they have back to their first molars to chew on.
Posted 3 years ago
User Level:
Dentist
Since your dentist is a specialist (endodontist), you should take his advice. With his/her knowledge and expertise, you are in good hands. I would have a consultation with an endodontist (root canal specialist) to find out what the long term prospects are for that tooth. It's usually best to keep your natural teeth as long as possible, but today's implants have a very high success rate. Implants also preserve bone and don't decay. It could be better and less expensive to have a successful implant rather than complicated dentistry on questionable teeth. If a tooth is infected and is to be saved, a root canal is the only available treatment. Usually a root canalled tooth will need to be restored via a crown. If one chooses not to have a root canal performed on a tooth, the tooth can be extracted and replaced with a dental implant. In most cases, in my opinion, if a tooth can be saved with a good prognosis, that is the treatment of choice.
Posted 3 years ago
User Level:
Patient
Posted by: gladyvibe1  (3 years ago)
Thanks for this very informative replies!
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