Urgent second opinion and advice please

[Louise Smith]

I have had lower left pain radiating to chin and along whole jaw for last four months. Was given abx x2 ...no X-rays. Re attended on Friday as an emergency in worse pain ever - and they finally took an X-ray. The dentist was suprised with the result and simply said I would need the tooth extracting as its unsaveable - offered only a denture! Or private implant at 2k plus!
I am devastated that I have to loose a front tooth, I am also in absolute agony and she has only suggested further abx for pain and said nothing else will work.
The current plan is to return on Wednesday for a root canal..however the dentist has said they can only start it off and would have to refer to a specialist to complete it, also to be referred to a different specialist dentist for a second opinion. My main concern is the delay that both options have with regards to continued pain. I am a nurse myself and I'm finding it increasingly difficult to look after my patients if I feel at the point of fainting with pain myself!
The pain comes in waves with sometimes little stimulus - however , hot and cold and vibrations..such as car journey all create the pain.
Any thoughts for treatment alternatives and for pain relief would be greatly appreciated.
Kind regards
Louise

 

[Dentgr]

I have had lower left pain radiating to chin and along whole jaw for last four months. Was given abx x2 ...no X-rays. Re attended on Friday as an emergency in worse pain ever - and they finally took an X-ray. The dentist was suprised with the result and simply said I would need the tooth extracting as its unsaveable - offered only a denture! Or private implant at 2k plus!
I am devastated that I have to loose a front tooth, I am also in absolute agony and she has only suggested further abx for pain and said nothing else will work.
The current plan is to return on Wednesday for a root canal..however the dentist has said they can only start it off and would have to refer to a specialist to complete it, also to be referred to a different specialist dentist for a second opinion. My main concern is the delay that both options have with regards to continued pain. I am a nurse myself and I'm finding it increasingly difficult to look after my patients if I feel at the point of fainting with pain myself!
The pain comes in waves with sometimes little stimulus - however , hot and cold and vibrations..such as car journey all create the pain.
Any thoughts for treatment alternatives and for pain relief would be greatly appreciated.
Kind regards
Louise

Given the fact that the borders are well defined, it looks to me like an external or internal resorption.
It's a tough case with NO guaranties.
If you want to try then have an rct and maybe a minor surgery to address the defect (if it's external)
A cbct would be very helpful.
Plz share with us any news!
Good luck