Apicoectomy or dental extraction and implant? (Photo)

Question

I had root canal done on tooth 12,13 more than 7years ago. I was recently referred for Apicoectomy on 13. The doctor is saying that procedure of Apicoectomy is not worth it to just extract tooth and implant. Should I continue to look for a second opinion or just go with extraction and implant, Cost plays a big factor on why I’m trying to get the Apicoectomy. Also being that I’m not ready to extract tooth.

YeahSmile - Cancun - Account Suspended · Answer

While an apicoectomy can be a viable option for certain cases, your dentist's recommendation to extract and replace with an implant likely reflects concerns about long-term success and cost-effectiveness. However, it is perfectly reasonable to seek a second opinion from an endodontist who specializes in saving teeth. They can evaluate whether the apicoectomy would provide a predictable outcome.
My Advice:
If cost is critical: Get a second opinion about the apicoectomy. Ensure the tooth is structurally sound and the infection is limited to the apex (root tip).If long-term reliability matters: Consider the extraction and implant. Implants are a long-term solution and may save you money and complications in the future.Regardless of the decision, your health and comfort should be the top priorities. Make sure to discuss all options thoroughly with a specialist.
Dr. Miller Vieira Paula

Baran Bardakci, DDS · Answer

Based on the jaw x-ray you sent, apicoectomy may not be successful. The success rate is especially lower for teeth with two roots. Tooth extraction and implant placement are the most suitable treatment options for you.

Apicoectomy or dental extraction and implant? (Photo)

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