Tuesday, March 16, 2010

Hi, I recently went to my dentist for a molar assessment (a chunk of it chipped off); he says I need the ..?

following done: bone graft, tooth extraction, dental implant and finally crown. If I were to not undergo this procedure and just let the tooth be, would that be bad [would my chances of getting gum disease, etc... skyrocket?] or would things just be the same, more or less, and I'll just have one funny looking tooth (which btw is way in the back of my mouth, so not really visible)? I would like to skip this dental surgery if possible since it'll be quite expensive. And also, this tooth is not bothersome at all (no pain, etc..)

Hi, I recently went to my dentist for a molar assessment (a chunk of it chipped off); he says I need the ..?
For the dentist to want to extract the tooth and place an implant, the tooth must be damaged beyond repair by a root canal and crown. Your options are-extract the tooth an have a hole-if it's the very back tooth and you have all of your other teeth, eventually the opposing tooth(the one it bites against will grow to try to meet atooth that isnt there. Option 2- Dental implants are great and the preferred method of tooth replacement in an otherwise healthy mouth. You can extract the tooth and do the bonegraft and then decide what you would like to do but dont take too long, the bone tends to shrink when there is no tooth or implant to hold on to. you can also do a bridge if it is not the very back tooth but this involves the tooth in the front a the back of the extracted one. You should still have the bone graft if you opt for this option.
Reply:if youve lost a chunk of it, eventually it will hurt and cause problems so do it now or wait til you have more problems your choice
Reply:don't know how bad the missing part is but if you can save the tooth i'd do that first, with just a crown.


have you always gone to this dentist? if not get a second opinion.
Reply:As for dental surgery me being frm dentistry know that it is dangerous if delayed. A chipped off molar could be the start of all problems. The bone graft may not really be necessar, just get a second opinion on that. The extraction is extremely necessary. Go for a bridge instead of a crown. It is less painful and more reliable. Ask your dentist for a ceramic facing bridge.
Reply:Your dentist may be advising you to have the implant procedure preformed based on the expected longevity of either, implant or crown. He may not want to see you waste money on placing a crown on an already unstable or compromised tooth that’s chances of retention are extremely poor. If you are in doubt about this diagnosis, just ask your dentist to give his reasons behind it, he will be able to explain this so you can make an informed choice. If you’re still not satisfied, seek the advice of another dentist. Although this is an expensive route to undertake, the success rate is high, the crown option may not be as appealing if the prognosis of inevitable failure is explained. Then you may be left with no other option than the implant, but only after the expense of a crown.



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