Do I need RCT on tooth #30 that has external resorption or should I extract it and have an implant? (Photos)

Question

Hello, I need to know if its possible to save this tooth. I had endos that told me that extraction is the only way and I have Endodontists that said its possible to save it or see willing to try to save it. I am very confused at what to do now? Im scared if RCT fails, what pain will I go through? Would infection destroy my bone fast and leave me with no option for an implant? Please help!

Ira Shapira, DDS · Answer

I have had many teeth like this over the years that have been saved long term.  It is important to understand that many is not the same as ALL,
Once the necessary root canal treatment is completed and the area debrided the external/ internal resorption should stop.  In my experience most external resorptions are actually a combination on internal and external processes.
It is very important that great care is taken in placing excellently bonded post and core restorations to create a solid foundation for a future crown.
Tri-Minerl Aggregate can be used to seal perforation and promote healing.  I would probably wait before placing crown to make sure treatment was successful.
Extracting teeth does kill thousands of brain cells primarily conneted to the PDL of the tooth.

Lance Timmerman, DMD, MAGD · Answer

While we all hope for the best, there are some situations that simply may not be work the effort and cost.  I have yet to see an external resorption case successfully treated by anything OTHER than extraction.  All the other treatments are simply delaying the inevitable.

Joseph H. Hidalgo, DDS · Answer

Unfortunately, I see no way to save this tooth. It appears by the time you go through a root canal and gum surgery to allow crowning the tooth and spend the dollars on trying valiantly to save the tooth, you could place an implant and crown at less than the total cost of trying to save the tooth. You will get more value with an implant and crown. Hope this helps.

Do I need RCT on tooth #30 that has external resorption or should I extract it and have an implant? (Photos)

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Do I need RCT on tooth #30 that has external resorption or should I extract it and have an implant? (Photos)

Answers (3)

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Everything you need to know about Dental Implants

Our mission is to create a world where every investment in modern beauty is Worth It.