01-13-2011, 10:26 PM
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Join Date: Jan 2011
Apicoectomy vs Extraction and implant
I hope Idalis will be willing and able to help me! I read on a previous thread that you are a dentist!
I had a root canal done on my tooth (one just back from the left front tooth on the top) about 20 yrs ago (I was in junior high then). Started to get discoloration above the tooth on the gums a couple of years after. Then I got a crown on that tooth in 2001. 2 weeks before this past Christmas (2010), my youngest hit his head on my chin as he was standing up (it was only very lightly). One of my bottom teeth pressed on that tooth and that was the first time I felt pain in it. That same week I went to see a dentist as the pain was just getting worse. The x-rays showed infection, she put me on antibiotics and referred me to an endodontist whom I saw this morning. He recommended the apicoectomy. My concern is: this tooth being right in front and at the top, what is the chance of the hole in the bone not healing and leaving a defect under the nose? With the success of the apicoectomy lasting only a couple of years, what is the reason for trying to 'save' a tooth? Why rather save it than just extracting and getting an implant? What I'm also wondering about, would the dentist be able to see on the x-ray if there is adequate bone for an implant? Or is it something that can only be determined after extraction? I don't know what to do and could really do with some advice!