Tooth extraction or antibiotics: what are my options at 7 months pregnant? (Photo)
Doctor Answers 4
Extraction or root canal
Your choice is not between extraction and antibiotics. There is no way that your tooth will survive only with antibiotics without giving your problems around the time of your delivery date.
There does appear to be some apical blunting (where the root length is getting shorter) which is sometimes associated with a biofilm at the end of the canal. This can mean that the re-root treatment may have a slightly lower success rate.
I would speak to an end specialist. If they feel they can provide a solid outcome for the tooth - if they go in to it and is is largely undamaged inside - then you may feel confident to have the root canal. Otherwise you should have it extracted.
Good luck however you decide to proceed.
Thomas Dey, BDS, MSc
Options for Treating Failed Root Canals
While the rate of success is lower for root canal retreats, I believe in saving teeth if at all possible. The root canal on the adjacent tooth (#31) looks much better than the tooth with the infection (#30), therefore, the quality of the root canal matters. If there is sensitivity to sweets, there is the possibility of remnants of pulpal tissue. Seek an endodontist with a microscope because the added illumination and magnification allows him or her see missed canals, irregular anatomy and any remaining tissue. Also, replace the crown as there is recurrent decay present. As far as pregnancy, this option works great! Also, I always like to consult with the obstetrician prior to initiating treatment just to be sure. Good luck!
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