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Medical Forum / General / Dentistry / December 2004Another question - retreatment of root canal
One of the things I'm looking at very shortly is getting a tooth that I had a root canal done on seven years ago "surgically retreated". Now, the cost of doing this, with the crown works out to around $2500cdn. The cost of an implant is around $2900cdn. I'm told that the retreated tooth should last my lifetime, I suspect the same could be said of the fake tooth.Which is the better option? >One of the things I'm looking at very shortly is getting a tooth that >I had a root canal done on seven years ago "surgically retreated". An apiecomotomy (spelling)? If that's the case... then why do you need a new crown? >Now, the cost of doing this, with the crown works out to around >$2500cdn. The cost of an implant is around $2900cdn. I'm told that >the retreated tooth should last my lifetime, Your natural tooth didn't last, and nothing a dentist can put in your mouth is going to be better than the original. >I suspect the same could >be said of the fake tooth.Which is the better option? I think that we'd need to see at least an x-ray to know... -- Adenosine Semi-informed Dental Consumer ? >>One of the things I'm looking at very shortly is getting a tooth that >>I had a root canal done on seven years ago "surgically retreated". > >An apiecomotomy (spelling)? If that's the case... then why do you need >a new crown? apicoectomy. May be a combined treatment type case. >>Now, the cost of doing this, with the crown works out to around >>$2500cdn. The cost of an implant is around $2900cdn. I'm told that >>the retreated tooth should last my lifetime, > >Your natural tooth didn't last, and nothing a dentist can put in your >mouth is going to be better than the original. Hmmm... generally true, but we haven't seen the tooth in question. >>I suspect the same could >>be said of the fake tooth.Which is the better option? > >I think that we'd need to see at least an x-ray to know... My thoughts exactly. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >One of the things I'm looking at very shortly is getting a tooth that >I had a root canal done on seven years ago "surgically retreated". >Now, the cost of doing this, with the crown works out to around >$2500cdn. The cost of an implant is around $2900cdn. I'm told that >the retreated tooth should last my lifetime, Hard to say .... > I suspect the same could >be said of the fake tooth.Which is the better option? I can't say which is 'best', but two things to consider: Retreatments are not as effective as initial treatments. Nothing lasts forever. Fawks > One of the things I'm looking at very shortly is getting a tooth that > I had a root canal done on seven years ago "surgically retreated". > Now, the cost of doing this, with the crown works out to around > $2500cdn. The cost of an implant is around $2900cdn. I'm told that > the retreated tooth should last my lifetime, I suspect the same could > be said of the fake tooth.Which is the better option? Well, I was told it has as good a chance of lasting as any root canal, and he think it should last my lifetime. By that, I gather he thinks its not in too bad of shape. I have looked at the x-ray, btw, what I'm I supposed to look for? (BTW, the tooth never had a crown, that's probably why it has to be redone). My concern was that I didn't want to spend nearly $3000 only to spend another $3000+ ten years from now on the same tooth. I don't know if my teeth are even worth this much (my wife thinks so). >I can't say which is 'best', but two things to consider: > [quoted text clipped - 10 lines] >> the retreated tooth should last my lifetime, I suspect the same could >> be said of the fake tooth.Which is the better option? Google at home has changed to some weird stuff (for now anyway). I use a regular news reader at the office. If this isn't in synch, sorry. Anyway, for similar money and the % success, the implant is more predictable over retreatment (IMO). Fawks >Google at home has changed to some weird stuff (for now anyway). I >use a regular news reader at the office. If this isn't in synch, [quoted text clipped - 4 lines] > >Fawks In a blind guess I would agree. If we could view a radiograph my opinion may change. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE >>Google at home has changed to some weird stuff (for now anyway). I >>use a regular news reader at the office. If this isn't in synch, [quoted text clipped - 8 lines] > >If we could view a radiograph my opinion may change. Okay. Well, this guy is the specialist every dentist in town recommends for root canal work, and his is very confindent it will work. Does that make a difference? >>>Google at home has changed to some weird stuff (for now anyway). I >>>use a regular news reader at the office. If this isn't in synch, [quoted text clipped - 12 lines] >recommends for root canal work, and his is very confindent it will >work. Does that make a difference? Well, I think you have to realize that without being able to see a radiographs, that we all all throwing darts with a blindfold on. I doubt that he would recommend any treatment plan if he wasn't confident that the treatment would be sucessful, especially when the option of implants exist. -- Adenosine Semi-informed Dental Consumer ? >>>Google at home has changed to some weird stuff (for now anyway). I >>>use a regular news reader at the office. If this isn't in synch, [quoted text clipped - 12 lines] > recommends for root canal work, and his is very confindent it will > work. Does that make a difference? nope I would want to know why conventional RCT cannot be re-treated first. >>>Google at home has changed to some weird stuff (for now anyway). I >>>use a regular news reader at the office. If this isn't in synch, [quoted text clipped - 12 lines] >recommends for root canal work, and his is very confindent it will >work. Does that make a difference? Depends on the town and the experience and ablility of the practitioner in question. Endodontist ? Usually a safe bet. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >>>>Google at home has changed to some weird stuff (for now anyway). I >>>>use a regular news reader at the office. If this isn't in synch, [quoted text clipped - 15 lines] >Depends on the town and the experience and ablility of the practitioner >in question. Endodontist ? Usually a safe bet. Yes, an Endodonist. >>Depends on the town and the experience and ablility of the practitioner >>in question. Endodontist ? Usually a safe bet. > >Yes, an Endodonist. Where and who ? Please reply privately and I will check my sources. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE No Crown? then, why not re-treat in a conventional manner?  Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > > Well, I was told it has as good a chance of lasting as any root canal, [quoted text clipped - 20 lines] >>> the retreated tooth should last my lifetime, I suspect the same could >>> be said of the fake tooth.Which is the better option? >One of the things I'm looking at very shortly is getting a tooth that >I had a root canal done on seven years ago "surgically retreated". >Now, the cost of doing this, with the crown works out to around >$2500cdn. The cost of an implant is around $2900cdn. I'm told that >the retreated tooth should last my lifetime, I suspect the same could >be said of the fake tooth.Which is the better option? Increasing the number of procedures done on any single tooth decreases the likelyhood of sucessfully retaining that tooth. Without an xray this is just a supposition and a rule of thumb. Many here would advocate the implant. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com If a fracture is reasonably suspected, do NOT attempt the apicoectomy as you will only make the site less optimal for implant placement. Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > >>One of the things I'm looking at very shortly is getting a tooth that [quoted text clipped - 16 lines] > Take out the G'RBAGE > wubbabubbazG@RBAGEyahoo.com >If a fracture is reasonably suspected, do NOT attempt the apicoectomy as you >will only make the site less optimal for implant placement. I don't think he suspects a fracture, at least, he didn't say so. He suspects that the cap didn't hold up, and it failed through this. He said there's been some decay inside the tooth, but to my untrained eyes, it looks okay. Just about every dentist in town sends their patients to him, and his highly trusted, so should I follow his advice? I don't want to go through this again, however. |
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