Which one?

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BettyBoop

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  1. Psychology Student
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Here's my situation, and I hope I can get some idea on what to do while I'm still in school. I'm studying Psychology in PA.

I visited my regular dentist, and endo, and a perio, and a maxiofacial surgery for evaluation of:

2-upper teeth #14, #15 which have failed root canals. The very last upper tooth will need to be pulled #15. The one in front of that #14 can "supposedly" get a retreatment of the root canal.

There's no guarantee that the retreatment of the root canal on # 14 will succeed because the dentist won't know what the findings will be until he drills up into my crown.

Therefore, there is a "probability" (not sure statistically what the number is) that if the root canal retreatment "fails" on tooth #14 I could incure a similar infection again & eventually have that tooth pulled. Plus I will still have had the #15 already extracted and will then have 2 missing teeth.

The bone has already shown some "receeding" in the x-ray. That means "if" I chose implant surgery I will still need a bone graph.

Other option is to forget the root canal retreatment on #14 & have both #14 & #15 pulled altogether, then get a bone graph, then get implants, then wait a few more months, and get the nubs and the 2 crowns and my teeth will be back to normal.

Which would seem like the better option?

Dentist said, there's always that chance that an infection could reoccur in the area of #14 & 15, but he can try to retreat #14, but will definitely have to pull #15. Again, won't know about 14 til he goes up into the crown & sees what's there.

Periodontal disease can be serious. I hate the idea that over time, my bone loss in the upper portion of my jaw bone is the result of 2-failed root canals that I had over 10 years ago.

My main concern is the bone loss I've already incurred as a result of the previous infections. Implant surgery sounds scary to me, as we know nothing is 100%, but I am very healthy.

My thinking is: I'm still going to be upset at having my #15 pulled (I'll still be without a tooth) and have a lower molar underneath. And "if" #14 can be retreated, I wonder "really" how effective it can be knowing that the "bone" has already somewhat disintegrated. It's not like the bone will re-calcify or rebuild back to where it was.

So, isn't it possible in the long run that the bone could further deteriorate, & then I lose #14?

Lot's to think about. I know there's lots of bright and insightful people here. I realize that without seeing me or actual x-rays, any objective opinion would be limited to what I wrote above. I'll keep that in mind. If you know of anyone in Philadelphia area, please let me know. Thank you.
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If you are in the Philadelphia area and you have some free time in your schedule, you can try a dental school. You'll have access to multiple specialist and you might be able to save some money in the process.
 
SDN isn't for giving treatment advice. No dentist can give you accurate advice over the internet, especially without any sort of radiograph, medical history, etc...

Find a doctor you trust and ask them what to do. They'll be able to evaluate your situation much better then some anonymous students on the internet.
 
im surprised that this thread hasnt been closed yet.
 
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