Is extraction the only way due to this infected root?

[AmirA]

Hi,

I have an abscess close to the tooth highlighted in the attached X-ray. I visited doctor and I am told the tooth root is infected and the only way to treat it is the tooth extraction. Is there anyway to kill the infection without tooth extraction?

Thanks.

 

[Dr M]

Good day

In my experience thus far, in such a case the best option would be to extract.
Mandibular pre-molars sometimes have very complicated anatomy, with lots of accessory canals etc. This can prove difficult to treat.
But you are always welcome to get a second opinion from a specialist endodontist. A CBCT scan might provide some insight into why the tooth has been giving problems, and if the reason is purely endodontic failure, or perhaps a perio-endo lesion, which is due to a localized periodontal problem.
In such a case, I always advise my patients to keep the cost factor in mind. Is an extraction and implant perhaps cheaper than re-treatment with the risk of future problems?

 

[AmirA]

Thank you Dr M for your message.