Conflicting information from the dentists


Joined
Feb 18, 2020
Messages
1
Best answers
0
Hello,

The first dentist that my mom went to told her that a Root Canal Treatment is not an option and that the tooth (#5) needs to be surgically extracted. She went to get a second opinion from another dentist and was told RCT is an option.

Here are her X-Rays:

Bitewings

Pano

Here is a picture of her chipped #5 tooth

IS RCT an option or not? If yes, would you recommend a RCT or extraction or other options? Also, please consider that my mom had radio-iodine treatment for thyroid cancer about 2.5 years ago, thus affecting her oral health.

Thanks.
 
Ad

Advertisements

honestdoc

Verified Dentist
Joined
Jun 14, 2018
Messages
730
Best answers
1
I think surgical extraction is more predictable. I see a lot of structural damage and investing in root canal and crown has a high risk for failure. However, with her history of radio-iodine treatment, ask the oncologist if dental extraction is OK. There may be a risk for bone damage after surgical extraction due to compromised bone circulation (osteoradionecrosis of the jaw). If the risk is too high for surgical extraction, then do the root canal, cover the root and remove the crown for over-denture abutment.
 
Ad

Advertisements

MattKW

Verified Dentist
Joined
Mar 18, 2018
Messages
1,321
Best answers
0
Extraction. The radioactive iodine (RAI) treatment will not affect the risk of the extraction. In RAI, the thyroid attracts the radioactivity, not the jawbone.
 

Ask a Question

Want to reply to this thread or ask your own question?

You'll need to choose a username for the site, which only take a couple of moments. After that, you can post your question and our members will help you out.

Ask a Question

Top