The 2009 root canal failed due to the ill-fitting crown and I now have a chronic abscess deep in the former root near my sinus. (Gum boil visible in photo). Should I attempt to save the tooth through re-treatment and a new crown or move straight on to abstraction and implant? What is the max amount of time you can go "toothless" before having an implant? Is a year too long?
June 20, 2012
Answer: Implant or Have Root Canal Treatment Redone
I would get the opinion of an excellent endodontist if you have not already and ask his or her opinion of the success of redoing the root canal. A photo really does not show what is wrong with the existing root canal and how salvagable it may be. If they can not give you a very high degree of success, I would go ahead and go the extraction and implant route.
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June 20, 2012
Answer: Implant or Have Root Canal Treatment Redone
I would get the opinion of an excellent endodontist if you have not already and ask his or her opinion of the success of redoing the root canal. A photo really does not show what is wrong with the existing root canal and how salvagable it may be. If they can not give you a very high degree of success, I would go ahead and go the extraction and implant route.
Helpful
June 20, 2012
Answer: Implant vs. redoing a root canal.
Root canal treatment is a very successful treatment but sometimes it fails. The subsequent re treatment has a lower success rate than the original treatment and involved time and money with a prognosis that is not best. Also because of the chronic abscess there is likely bone damage which around a tooth can't be readily repaired.
An implant has a high success rate and done correctly a very good prognosis. If there is sufficient bone there is a good chance that an implant can be placed the same day the tooth is removed and a bone graft is placed around it. This would heal for 4-6 months. So no time going "toothless". If an immediate implant is not possible then something temporary can be made, or just walk toothless its a back tooth :_).
Hope this helps.
Helpful
June 20, 2012
Answer: Implant vs. redoing a root canal.
Root canal treatment is a very successful treatment but sometimes it fails. The subsequent re treatment has a lower success rate than the original treatment and involved time and money with a prognosis that is not best. Also because of the chronic abscess there is likely bone damage which around a tooth can't be readily repaired.
An implant has a high success rate and done correctly a very good prognosis. If there is sufficient bone there is a good chance that an implant can be placed the same day the tooth is removed and a bone graft is placed around it. This would heal for 4-6 months. So no time going "toothless". If an immediate implant is not possible then something temporary can be made, or just walk toothless its a back tooth :_).
Hope this helps.
Helpful