Sanaz Vahid, DDS

Hello, 

I am sorry you have been going through such a difficult time in regards to # 21. I would recommend opting for a implant if a second attempt at an apicoectomy is necessary. Implants are the standard of care. Please make sure you see a oral surgeon or periodontist to evaluate and place the implant. Good luck.

Dr. Vahid

Hello,

Sinus lifting or augmentation does not increase or decrease the longevity or prognosis of an implant. If the sinus lift is done properly by a surgeon ( either an oral surgeon or periodontist) the implant should hold fine. The bone they place will eventually be converted into your own bone after time. Yes the bone in the maxilla is softer than the mandible however there should be no issues. Go see a surgeon prior to implant placement then your dentist can then restore the implant with a crown. A implant is a better option for any missing tooth.  Best of luck. 

The bridge can be supported by a 3.0 X10mm implant, ideally however you would want 2 implants the same size equal distance apart. I would recommend the surgical plan be checked by  prosthodontist ( dental prosthetic specialist ) prior to any further procedure. The restorative plan should be in order prior to any surgical intervention. Good luck.

More importantly make sure the healing cap passed through your intestinal tract. Once you have been cleared  by a Gastroenterologist then proceed with another placement of a healing cap.  Based on the office policies healing caps can be replaced free of charge or have a slight fee, this depends on the office. Good luck.

Hello,

 Post operative discomfort is absolutely normal, however after 3-5 days post operatively this pain and swelling should be diminishing.  If pain is persisting after this time period see your surgeon again. The white you are seeing is most likely granulation tissue which is part of healing. Make sure you  are rinsing thoroughly with salt water.