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Risks of declining extraction for periodontal disease and what is the best case scenario for these teeth?

fortunateerrorNov 20, 2021
53F just dx w/gum disease. Dentist recommends removing 2 teeth due to bone loss. Horizontal mobility less than 1mm in both, but one also has vertical mobility (less than 1mm). He told me about risk of infection if I don't remove. What is the best case scenario for these teeth? Is there any chance they could be retained long-term or am I just delaying the inevitable (and potentially making things worse in the meantime)? How much can good home care/treatment help?

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Dr. Patricia Moezinia, DDS
Dentist
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Answered on Dec 28, 2021
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Patricia Moezinia, DDS

Although a clinical and radiographic study is necessary to determine if it is better to remove the crown, it is always better to try to preserve the natural teeth, being the extraction of the tooth the last option. The conduct to follow in this case, will depend on the diagnosis of the element,...

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Richard Gochman, DDS (retired)

From the xrays you supplied- It appears there isnt a very good seal or fit at the margins of these crowns. It would appear that you should get a 2nd opinion with someone that can actually evaluate in your mouth.

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Roberto Arce, DDS

You should see a dentist. If the crown is not sealing correctly over the tooth there is no protection and it can cause decay under the crown.

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