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Do I Need to Wait to Extract Tooth Before Implant?

asked 11 months ago by pinotnoir72 in Miami Florida
Latest answer by Scott Young, DDS
Question viewed 791 times
Tags: abscess, extraction, options

I had a crown a root canal and crown placed on #14. I have had complications due to an abscess caused by an unsuccessful root canal. I was told by two dentists that i would need a apexectomy to and a new crown which will cost over 2000. Apparently, there is no guarantee it will work. I'm thinking of getting an implant. Should i extract tooth or wait to see cosmetic doctor?

17 answers to Do I Need to Wait to Extract Tooth Before Implant?

+4

Endodontic retreatment vs implant

The multi-rooted posterior teeth have very little long-term success with endodontic retreatment. And they have extremely less predictable success with apexectomy due to the proximity of the maxillary sinus. If the tooth has a chronic abscess more and more bone is destroyed around the roots and less bone will be left for the future implant. Implant placement will be more predictable treatment in long-term than retreatment of questionable tooth with poor prognosis. Usually after the extraction... more
Olga Kharevich, DMD, PhD

Miami Cosmetic Dentist

www.cosmeticreconstructivedentistry.com

+2

Apicoectomy or Extraction and Implant?

The problem you are describing is more common than you may think! The reason for this is that there is more than one reason why a Root Canal may fail in the area you are describing. Possible reasons for abscessmay include improper cleaning and shaping of the canal, poor apical seal or the failure to identify and treat an additional canal. If you have an abscess there is always a possibility of resolution with Endodontic Retreatment by a Specialist or Endodontist. If he or... more
Howard Perlmutter, DMD

Paramus Cosmetic Dentist
+1

Extraction and Implant or Retreat Old Root Canal

In my opinion, when a tooth gets to this point the best long term solution is to extract the tooth and place a dental implant. A dental implant is an artificial tooth root that is made of titanium and placed in the upper or lower jaw. Most of the time in this situation the tooth would be extracted and a bone graft placed in the extraction site. Four to five months of healing would occur, then a dental implant would be placed. The implant would heal for another four... more
Scott Young, DDS

Houston Cosmetic Dentist
+1

Do I Need to Wait to Extract Tooth Before Implant?

This is a fairly common scenario that we run into on a daily basis . We need to consider if it makes sense to try to save this tooth . If it's easy to see why the root canal is failing that it may make sense to redo the root canal . If the root canal seems to been done well and there's no obvious reason why it is failing, then an implant may make better sense . If the infection has destroyed a significant amount of bone then a bone graft may be required. This may be... more
Richard Champagne, DMD

Freehold Cosmetic Dentist
+1

Extractions and dental implants

A failed root canal is not uncommon. In the past, an apexectomy was a common procedure to salvage the tooth and if that procedure failed, the tooth was extracted and a bridge was then manufactured to replace the missing tooth. Implants add another option to replace a failed tooth. If you look at the long-term aspect, implants are the logical solution. Apexectomies, especially on a multi-rooted tooth, are not a guaranteed to succeed. Replacing the missing... more
Edgard El Chaar, DDS

New York Cosmetic Dentist
+1

Implant

You can extract the tooth and have the implant placed right away.This is the best case scenerio. However , we have to check the ct scan to see if you have enough bone to place the implant,If not,we will have to extract the tooth,place the bone graft and wait for 4 to 6 months. Than you can have the implant placed.
Antoaneta Barba, DDS

Santa Ana Cosmetic Dentist
+1

Implant

Apicoectomy is usually accompanied with a guarded prognosis. Meaning it will not have a long term resullt even if it takes ! Implants are mor eof a sure thing, but if your tooth is abcessed, you need to extract it ASAP, because th einfection can deteriorate the bone and make p[lacement of the implant more complicated or lengthier than usual. Having said that, you do not have time to wait to replace the area becuase teeth shift very quickly. see photos
Soheyla Marzvaan, DDS

Orange County Cosmetic Dentist
+1

Apicoectomy vs implant treatment

Hi apicoectomy on tooth #14 is a very difficult and unpredictable procedure. The prognosis decreased significantly if a tooth has not responded to inital root canal and then retreatment (assuming it has been done). First I recommend you to see an endodontist to get their true opinion on the progosis. If it is poor (anything less than 90% success) then it is best to go with extraction and implant where you can have close to 100% success rate. Dr. Kazemi more
H. Ryan Kazemi, DMD

Bethesda Oral & Maxillofacial Surgeon

www.facialart.com

+1

There is no Simple Answer!

Since we are talking about tooth #14, a major concern is where you sinus floor is. Often in this area there is not enough bone below the floor of the sinus to place an implant without a sinus lift procedure. This will delay treatment and significantly increase the cost. Discuss this completely with your dentist before making a final decision so you can make an intelligent decision.
Joseph W. Worthington, DDS

Fairfield Cosmetic Dentist
+1

Retreat Root Canal or Implant

Root canal treatments fail for a variety of reasons, but often the failure of a maxillary molar root canal is due to a missed canal. If this is the first time the tooth has been treated with a root canal, I suggest you consult with an Endodontist. A good specialist can often find the missed canal and successfully retreat the tooth. However, there may be other complicating factors in this case that may have led the other colleagues to... more
Lorenzo Minniti, DDS

Alpharetta Cosmetic Dentist
+1

Unsuccessful Root Canal

Unfortunately, you have experienced the fact that not all root canal procedures are successful. Surgical re-treatment can and often does resolve the problem, but of course there is no guarantee. Having the tooth removed and an implant placed is a reasonable option. You would need to see an implant specialist to determine if there will be enough bone to support an implant placed at the time of extraction, if bone grafting or a sinus lift procedure is required or if it would... more
Marc Zive, DMD

Springfield Cosmetic Dentist
+1

Implant vs. Apicoectomy

The decision should be made only after you have gathered all of the pertinent information. This should include a consultation with an Endodontist. If your crown is in good shape currently the apicoectomy procedure will not necessitate a new crown. If after your consultation you decide that extraction is the route you choose then the extraction must be completed 3-6 months prior to implant placement. A bone replacement graft may be suggested to preserve and enhance the... more
Steven M. Cohen, DDS

Livonia Cosmetic Dentist
+1

Dental Implant Delayed vs. Immediate.

It sounds like a dental implant is your best bet, the question is should you extract the tooth and wait before placing the implant, or extract and place the implant immediately. Delayed placement is the traditional way of doing implants. The tooth (#14 in your case) is gently extracted and the bone around the tooth is preserved. The socket is allowed to heal for about 3-6months and then the implant is surgically placed. You may need to have a temporary replacement of... more
Dan Hagi, DDS

Toronto Cosmetic Dentist
+1

Implant to replace an ongoing infected tooth.

It sounds like your root canal tooth has a poor prognosis with its re-occurring infections. An extraction followed by a future placement of an implant would be the ideal treatment. I would highly recommend you see the dentist that will restore your implant with the crown (assuming it is a different doctor from the one that will extract your tooth and/or place the implant) prior to the extraction. By doing so you can discuss the potential use of a temporary while the... more
Dan Haas, DDS

Toronto Cosmetic Dentist
+1

Preparation for implant

If you decided that you want to get an implant, my recommendation is to find restorative specialist - prosthodontist who is going to evaluate your case and give you the best suggestion of what needs to be done. Your restorative specialist will refer you to the surgeon for extraction.
Zina Kaleinikova, DDS, MS

Cleveland Cosmetic Dentist
+1

The prognosis of the tooth you described is poor.

Therefore, yes, the most predictable approach is to find a qualified periodontist or oral surgeon who will extract the tooth and evaluate the quality of the bone left. Chances are the bone has been pretty damaged by the abscess. At the time of extraction, a proper bone graft should be placed. Depending on the nature of the defect, you will have to wait 3-5 months before having the implant placed. Sincerely, Anca Bazile, DDS, MSD, LLC
Anca Bazile, DDS

New York Cosmetic Dentist
+1

Extract vs. Implant

With your current symptoms as well as the investment that you have already made with this tooth, I would recommend extracting tooth #14 and consider an implant or possibly a fixed bridge to replace it. Investing another $2000 into saving this tooth is a very poor choice. That same amount could be applied to the implant and extraction, which is much more predictable. The abutment and crown that will placed into the implant at the restorative phase will be an additional... more
Chad Colson, DMD

Myrtle Beach Cosmetic Dentist

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