Fracture on tooth

Discussion in 'Endodontics' started by PCG, Aug 28, 2018.

  1. PCG

    PCG

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    Hi, I am having toothache for last 5 days. Today I went to see a doctor and he did an x ray (photo of part of the x ray is attached below). So from the x ray it can be seen that one of the tooth has a fracture. This tooth has previously undergone root canal. And he also mentioned that the root of that tooth started to get infected (I couldn't get a picture of that, however in the x ray, around the root of this tooth was slightly different that of other teeth). So the doctor suggests, my best option would be taking off that tooth and do an implant. Or try root canaling again, but it might not last long.

    So I would like to get a second opinion before making my decision. Looking for your valuable suggestions.

    Capture+_2018-08-27-21-13-14.png
     
    PCG, Aug 28, 2018
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  2. PCG

    honestdoc Verified Dentist

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    It's a tough decision. If you were not having pain or infection, possible repair of the defect with a filling would be the most conservative option.

    With the RCT failing, retreatment is too costly and unpredictable. Placing an implant in this area is complicated because the sinus is very close. The dentist/specialist may have to lift the sinus and add bone grafting.

    The other (less popular) option is to extract and leave the space. I would avoid a bridge because you have to prep (drill) the 2 adjacent teeth. Another even less popular option is to have a removable prosthetic.

    One down side of leaving the space is if you change your mind and want an implant in the distant future, it is even more complicated with the bone flattening closer to the sinus.
     
    honestdoc, Aug 28, 2018
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  3. PCG

    PCG

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    Hi, Thank you very much for your response. I would prefer to leave the space but I have another tooth extracted from other side of my mouth. So if I leave it space it will be difficult to eat.

    It is a tough decision indeed :(
     
    PCG, Aug 28, 2018
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