Fractured upper molar treament
Added: September 01, 2009 - 9:40 PM
By: Patient Email Withheld, Walnut Creek, CA
Need Dentist / Specialist:
Yes
Provide Cost Estimate:
Yes
X-rays Available:
Yes
Case Summary
Broken Tooth
Teeth: 15
Case Description
Dear doctors,
I am seeking advice on a broken upper first molar. The tooth had a filling before. I was suggested to have it extracted and have an implant. I am wondering if the problem could be fixed without extraction. I heard of root canal before and wonder if it is worth trying.
If I have to go with the implant treatment, what are the risks? My dentist used to told me that I have very serious periodontitis and the loss of bones around the teeth is bad. Moreover, the tooth seems to be close to the nose. I am concerned that an implant might be impossible because of the periodontitis and sinus complication.
Your suggestions will be highly appreciated. Many thanks in advance!
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Did the dentist tell you if the tooth was savable or not? The only concern about having implants in the upper molar area is the sinus position and there might need to be a sinus lift performed before an implant can be placed (more expense). Implants sometimes fail but then agian root canals can fail too!The best option is definitely to save the tooth. You are also mentioning Periodontal issues which could be a major concern. Without looking at the xrays it is very hard to discuss the options.You are welcome to come in for a free consultation. Please don''''''''t forget to bring your xrays with you.Regards, Dr. Karbassi
Cost Estimate: $ No Estimate at this time. Additional information required.
Thank you for your question. One thing dentists and patients have in common is that we want to save teeth. While it is, of course, impossible to diagnose over the internet, I can address your concerns based upon what you''''ve said. First of all, there are often heroic measures that can be taken to save teeth. If all goes well, these heroic treatments can extend the life of a tooth for a while--with good care and luck. If you really want to save this tooth, it may be worthwhile to ask what heroic measures are available for the situation this tooth is in. Secondly, if the tooth must come out, there are a number of options which each carry risks and benifits. 1. Doing nothing. This costs the least, but can affect your bite and remaining teeth which carry more load.2. A removable partial denture is inexpensive but some people don''''t like taking these in and out and food gets trapped underneath. They frequently need adjustments and repairs.3. A fixed bridge. More expensive but a lot like your own tooth. Permanently cemented in place. 2 teeth on either side of the empty space must be solid. 4. Implant. An implant is the most expensive but most like your own tooth. Sinus proximity can be dealt with using common surgical techniques.Good luck with whatever you decide.Josh Bernstein, DDS http://www.allnewsmiles.com
Reply: Fractured upper molar treament
added: September 02, 2009 - 9:17 AM
Cost Estimate: $no charge
Good question...the solution is difficult without seeeing you and the x-rays. Is there any pain, is there swelling? Is the tooth periodontally envolved (does it move ?) A filling may be all that is needed. If the nerve is envolved and is dying, yes, a root canal will be needed, which will then usually require a build-up and a crown.If the tooth lacks boney support and is mobile (serious periodontitis) then then the root canal etc is not the best solution.Implants are very stabile but there must be enough bone above to support the implant.There are always many different ways to treat the problems and there is no charge for a second opinion i.Give us a call. Look me up on my web site... drjpope.com
Reply: Fractured upper molar treament
added: September 02, 2009 - 10:27 AM
Cost Estimate: $49 for the new patient x-rays and exam
Hello, my name is Doctor Hokmabadi and I would like to help remedy your situation. As far as your first molar, it can be saved with a root canal and crown as long as the tooth has a fair long term prognosis. If their are issues such as advanced gum disease or not enought tooth structure then it may be prudent to look elsewhere. As far as implants, to find out if your a candidate we would need radiographs. With new techniques implants now be placed almost in any area, however some type of bone grafting may need to take place first. If you are interested, we have a full spectrum office that offers root-canal, crown, implant and gum treatment. If you are interested then contact us and ask for our new patient program.
Cost Estimate: $ No Estimate at this time. Additional information required.
This is one of those situations that would require seeing you and seeing an x-ray of the tooth. Of course, it might be possible to keep the tooth, but it would depend on how much tooth and how much bone are left around the tooth. A serious periodontal condition may add to the possibility that the tooth can not be saved. Putting an implant in near your nose does not usually have serious complications, it may require a special proceedure to have enough bone to put the implant into. Again, x-rays would be helpfulDr. Kent Davis
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