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Do I need implant? Is the tooth infected again, after 3 apicoectomy? Because I feel something weird there. (photo)

pobyh
I've had 3 apicoectomy on the tooth#7. The 1st apico due to an infection and a cyst at the tip after years of root canal. The endodontist cleaned the area without treating the "hole" where the cyst was. 7 yrs later, 2nd apico was done due to reinfection. Another 7 ys and it failed again. This time an oral surgeon did bone graft (cow?). More tip was cut off at infected area. Now, 8 years later, it feels a little funny again. Is implant my only option? I am worried because it's a front tooth.

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Anthony Mobasser, DDS, DMD profile photo
Dr. Anthony Mobasser, DDS, DMD
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