 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / General / Dentistry / February 2008Is puling a tooth my only option?
Some background. Age 50.... decent health...etc. Had a left bottom molar (2nd form the back) bothering me when I chewed on it only. Dentist did a RCT and put a gold crown on it. Got worse instead of better....and now I can't even chew on it..... feels kind of hot sometimes ( maybe my imagination). Anyway..... what options do I have now b4 going back to the dentist? Is an implant my only option now? I can't afford that as I'm unemployed and back in college. So does that mean my only "other" option is to have it pulled and have a gap back there? I've got to do something as its bringing me down discomfort wise. Thanks in advance guys. > Some background. > [quoted text clipped - 20 lines] > > Thanks in advance guys. It seems likely the root canal is failing. The tooth should be looked at. It may be possible to re-treat the root canal--sometimes a small canal is missed. OTOH, it could be a sign of a fracture in the tooth, and most of these in root-canal treated teeth can't be helped, necessitating that the tooth be extracted. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 Mark & Steven Bornfeld <bornfeldmung@dentaltwins.com> wrote: >It seems likely the root canal is failing. The tooth should be looked >at. It may be possible to re-treat the root canal--sometimes a small >canal is missed. OTOH, it could be a sign of a fracture in the tooth, >and most of these in root-canal treated teeth can't be helped, >necessitating that the tooth be extracted. Other than complete extraction.... is my only other option some kind of implant? If yes.... what does that cost in Missouri in USA? Or rough price USA anyway? I am going back to the dentist but want some info up front before I get there THANKS guys! > Mark & Steven Bornfeld <bornfeldmung@dentaltwins.com> > wrote: [quoted text clipped - 15 lines] > > THANKS guys! You say this is the second molar from the back. If the teeth in front and behind the one that may be lost are structurally reasonably sound and periodontally healthy, it may be possible to replace the tooth with a fixed bridge. This involves making crowns on the teeth in front and behind, with a false tooth (pontic) suspended between the two. It is easier to rationalize this if those teeth are heavily filled. An average fee for placement of an implant fixture, abutment and crown would be between $3K and $4K, off the top of my head. 3-unit bridge perhaps slightly less. Also, getting the bridge in generally takes less time overall. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 Mark & Steven Bornfeld <bornfeldmung@dentaltwins.com> wrote: >You say this is the second molar from the back. If the teeth in front >and behind the one that may be lost are structurally reasonably sound [quoted text clipped - 6 lines] >perhaps slightly less. Also, getting the bridge in generally takes less >time overall. OK Does this have to be done SOON after the extraction? Or can I wait say a year or so before having that bridge made? Money is an issue right now > Does this have to be done SOON after the extraction? > > Or can I wait say a year or so before having that > bridge made? > > Money is an issue right now For the implant, it's best to plan on doing it soon, as the bone around the roots of the tooth being extracted starts to resorb, and you want to make sure you have sufficient bone for a nice solid implant. Sometimes it's best to graft the extraction socket at the time of the extraction if implant placement is anticipated. If the plan is to do a fixed bridge, the major risk is that the holding (abutment) teeth may drift. Usually the tooth behind the space tips forward. Sometimes the upper tooth that now bites nothing may drift down a bit. In any case, this can be monitored if that is the concern--it doesn't always happen. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 On Feb 7, 2:49 pm, Mark & Steven Bornfeld <bornfeldm...@dentaltwins.com> wrote: > m...@privacy.net wrote: > [quoted text clipped - 22 lines] > Brooklyn, NY > 718-258-5001 Glad to see this answer as I thought I had time to let the socket heal completely before deciding whether to get an implant. I had #17 (I think ... left lower furthest back) extracted a week ago. A question I have is .... what's the socket supposed to look like? Black? I think there may be food stuck down there. Looks like cracker crumbs or rice. I got some out with a toothpick, but am afraid (and also can't see) to go in further. OTOH, I wonder if that spot is bone or something? TIA ... Lobo > On Feb 7, 2:49 pm, Mark & Steven Bornfeld > <bornfeldm...@dentaltwins.com> wrote: [quoted text clipped - 33 lines] > > TIA ... Lobo I wouldn't pick at it. Vigorous rinsing should get out most of the gunk. The rest is probably the fibrin clot gradually being resorbed and new connective tissue being formed. Steve >> On Feb 7, 2:49 pm, Mark & Steven Bornfeld >> <bornfeldm...@dentaltwins.com> wrote: [quoted text clipped - 39 lines] > >Steve Why people pick at scabs I will never understand. >>> On Feb 7, 2:49 pm, Mark & Steven Bornfeld >>> <bornfeldm...@dentaltwins.com> wrote: [quoted text clipped - 40 lines] > > Why people pick at scabs I will never understand. That's the least of what I don't understand about my wife and daughter. Steve Lobo wrote: >>> A question I have is .... what's the socket supposed to look like? >>> Black? I think there may be food stuck down there. Looks like cracker [quoted text clipped - 3 lines] >>> >>> TIA ... Lobo > Why people pick at scabs I will never understand. I am picking at food caught in the socket, not a scab ... do sockets even get scabs? Sure don't want the socket to heal over food debris, if it even can. Ick. I was concerned about losing the blood clot if I rinsed too vigorously. Got myself an irrigating syringe today and wonder why the oral surgeon didn't give me one. Lobo ~~~~~~~~~~~~~~~~~~~ Delete the obvious to reply to me personally. ~~~~~~~~~~~~~~~~~~~ > Lobo wrote: >>>> A question I have is .... what's the socket supposed to look like? [quoted text clipped - 16 lines] > Delete the obvious to reply to me personally. > ~~~~~~~~~~~~~~~~~~~ The socket will not heal over debris. After a week it's unlikely you'll hurt yourself with an irrigating syringe, but it's not likely to accomplish anything anyway. Steve >> Lobo wrote: >>>>> A question I have is .... what's the socket supposed to look like? [quoted text clipped - 22 lines] > > Steve That's good to know. When I pulled out the The first chun Signature~~~~~~~~~~~~~~~~~~~ Delete the obvious to reply to me personally. ~~~~~~~~~~~~~~~~~~~ >> Lobo wrote: >>>>> A question I have is .... what's the socket supposed to look like? [quoted text clipped - 19 lines] > > Steve That's good to know ... but even though it may not heal over debris, the debris made it sore. When I got the first chunk out, it tasted really bad and also smelled bad. Getting the food out of there and rinsing with salt water has made me more comfortable. Lobo ~~~~~~~~~~~~~~~~~~~ Delete the obvious to reply to me personally. ~~~~~~~~~~~~~~~~~~~ As usual, it's impossible to diagnose anything over the internet. You are *likely* to be clenching your teeth (especially during certain sleep cycles). This may have led to a cracked molar and the root canal. If the crack went through the roots, the tooth is toast. If the crown is high, your clenching could be causing most of the trouble. If the root canal wasn't done perfectly (well, *almost* perfectly), it could also be an issue. I would get a second opinion on the endo, adjust the bite on the crown, and get an NTI to control the clenching. JMO, D > Some background. > [quoted text clipped - 20 lines] > > Thanks in advance guys. >As usual, it's impossible to diagnose anything over the internet. > [quoted text clipped - 13 lines] >I would get a second opinion on the endo, adjust the bite on the >crown, and get an NTI to control the clenching. Ok I've been using an NTI for abt a year or so now....well before the RCT and gold crown put on. Possible he missed a root tho huh? If..... I have to get the tooth extracted..... what happens to the gold crown? Can I resale it for the gold in it and use to pay for other dental treatment? Also.... what can be done abt the "gap" due to missing tooth back there? Will I need a small "fake" tooth to wear to keep teeth from drifting? > Ok > > I've been using an NTI for abt a year or so now....well > before the RCT and gold crown put on. Possible he > missed a root tho huh? Yes, even by me (hope you're not already my patient <G>). Root canals are not exactly rocket science, but they aren't something that most dentists can adequately perform in 30 minutes. Some teeth are down right tough to get all of the canals located, cleaned, shaped, and filled perfectly even when I spend an hour or two. What part of Missouri? I might be able to recommend a referral to check the tooth/root canal. e-mail me privately. > If..... I have to get the tooth extracted..... what > happens to the gold crown? Can I resale it for the gold > in it and use to pay for other dental treatment? The gold crown is yours. If you request it, it should be handed to you the day of the extraction. However scrap gold isn't worth nearly as much as the alloy before casting. > Also.... what can be done abt the "gap" due to missing > tooth back there? Will I need a small "fake" tooth to > wear to keep teeth from drifting? If you are going to have the tooth replaced in a year or two, you probably don't need any temporary space maintainer. A fixed bridge in Missouri can range from $2,000 to $3,600 depending on your location, the materials, and the dentist doing the work. An implant for a single molar would probably be $2,500 to $3,800. For an implant, the oral surgeon wants the extraction site to heal at least 4 months. A bridge could be placed sooner. JMO, Steve tooth/root canal. e-mail me privately. >> If..... I have to get the tooth extracted..... what >> happens to the gold crown? Can I resale it for the gold [quoted text clipped - 3 lines] >handed to you the day of the extraction. However scrap >gold isn't worth nearly as much as the alloy before casting. No way to get ANY money back out of the gold? Anything to help pay for the new treatment whatever it turns out to be? >If you are going to have the tooth replaced in a year or two, >you probably don't need any temporary space maintainer. Well id like to do something.... not have a "gap" back there..... but its gonna be awhile as I'm unemployed right now and wont be back to work till May-ish >A fixed bridge in Missouri can range from $2,000 to $3,600 >depending on your location, the materials, and the dentist [quoted text clipped - 4 lines] >For an implant, the oral surgeon wants the extraction site to >heal at least 4 months. A bridge could be placed sooner. Wow...so an implant cost is same as bridge? I would have thought an implant to be WAY more expensive >>The gold crown is yours. If you request it, it should be >>handed to you the day of the extraction. However scrap [quoted text clipped - 3 lines] >to help pay for the new treatment whatever it turns out >to be? Sure there is; but you will have to get the dollar value from either a refiner or gold dealer. Recommend my patients send their gold crowns to Garfield Refining. They have a web site, check 'em out. Yep. Didn't say you couldn't get any money out of it. I said it was yours and that scrap gold isn't worth nearly as much as refined metals used for new dental work. I did not say it was worthless. Even in today's market, I would guess less than $50 though. Steve >>>The gold crown is yours. If you request it, it should be >>>handed to you the day of the extraction. However scrap [quoted text clipped - 9 lines] > Recommend my patients send their gold crowns to Garfield Refining. > They have a web site, check 'em out. >Some background. > [quoted text clipped - 20 lines] > >Thanks in advance guys. Have read all the other responses in this thread. Believe this to be #19 by your description. Think you said #17 was extracted ? Sounds to me that you had a cracked tooth from the get go. What to do now ? Get an evaluation by an endodontist. Find one here: www.aae.org Until you know if your tooth is salvageable or not, all other questions are moot. >Have read all the other responses in this thread. >Believe this to be #19 by your description. >Think you said #17 was extracted ? No..... have all my teeth at the moment..... so #17 not gone I'm not sure what "number" is giving me the problem.... 2nd tooth form the back on lower left side.... >Sounds to me that you had a cracked tooth from the get go. Possible >What to do now ? > >Get an evaluation by an endodontist. OK >>Have read all the other responses in this thread. >>Believe this to be #19 by your description. >>Think you said #17 was extracted ? > >No..... have all my teeth at the moment..... so #17 not >gone #17 would be the LL wisdom tooth, aka third molar. Don't remember if you posted a radiograph link. Could be more accurate if you are able. >I'm not sure what "number" is giving me the problem.... >2nd tooth form the back on lower left side.... Based on your clarification, that would make your 'problem tooth' #18, a second molar. Second molars are highly variable and the current consensus is that RCT is slightly less successful than first molars. Don't remember the exact numbers but first molars are ~95% successful, 2nds are a little less ~85+%. Still very good odds. >>Sounds to me that you had a cracked tooth from the get go. > [quoted text clipped - 5 lines] > >OK It's your best bet. |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.