Root Canal Extraction of Maxillary 2nd Molar W/severe Bone Loss. Is There Hope for Implant?
- Asked by maddenyc
- 1 year ago
My root canal has been infected - For years my old dentist couldn't see anything with x-ray & dismissed by telling me to take Advil. Cap recently fell off, found new dentist, got me on antibiotic, got a temp, but face began to swell. I was sent to second doctor who uses the Picasso Trio Dental CBCT. He found dramatic bone loss, some areas that there is no bone at all! I was put on very high dose antibiotic. Should I be worried, will this be a difficult root canal extraction? Feedback appreciated
Infected tooth, failed root canal
The tooth should be extracred as soon as possible. The site could be bone grafted and prepared for future implant
depending on the extent of bone loss/ extent of bone graft/ type of bone graft, the site should be re evaluated in 4-6 months using a CBCT scan for available height and width of bone for an implant. Also to see if additional bone grafting / sinus grafting needed
This way you will know if you could have an implant/ what size.....
Bone grafting will help also for preserving the bone that is shared between this tooth and adjacent tooth. So it is useful even if no implant is planned.