I had my peg tooth extracted and it got infected should i have an inplant

Q. I have recently had a front ( peg ) tooth extracted, it had a crown on it for years but developed an infection which was not noticed/ treated the last time i got my crown put on. I was then going to have a bridge, but the tooth next to it which it was going to be fixed to ( eye tooth ) now needs root canal. My dentist thinks i might have to have an inplant. Would i have to have an inplant or can a bridge be attached to this tooth? it is such a tiny tooth i was thinking it might be ok. Or do you think it would be benificial to have the implant in the long run? – i am 35years old thanks Mrs B

A. Thank you for your question. An implant is usually the ideal replacement for a missing tooth. I know that if I was in the same situation as you that I would consider having an implant placed. The tooth that you are referring to, the peg lateral, is the weakest tooth in the mouth in all people. It doesn’t take much of the biting or chewing force. If you want to consider having a bridge, it is a treatment option, however to have a bridge the teeth or tooth on the side of the gap need to be shaved down to place a cap over it and the false tooth is attached to it. From a dental point of view it is a slight compromise on the implant. You need to decide what is best for you. An implant is a more expensive treatment option but it will last longer than a bridge and doesn’t require the other teeth to be crowned. The canine tooth is strong and even though it needs root canal treatment it would successfully support an extra tooth for a number of years. Bridges do ultimately fail and at this stage you would be faced with similar dilemas. The situation could also be worse because at the point when the bridge does fail, the cainine may also be damaged. I guess it is a question of damage control. If it was me I would explore the option of an implant.

I hope this helps you

Kind Regards

Dr Komal Suri

Dr Komal Suri

Smile Design Dental
33 High Street, Wendover, Buckinghamshire HP22 6DU
Web: www.smiledesigndental.co.uk  Tel: 01932 223 479

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February 11th, 2009 at 08:47 PM
Raquel Moore Says :

Is it normal or common practice to place a bridge over an extracted tooth on the same day of the extraction? My thought is that the extracted tooth cannot heal?

October 9th, 2014 at 08:47 PM
Lesley Says :

I need to replace a broken crown on my front small tooth (not the goofy one at the front but the smaller one at the side). I am considering having a denture initially as its just one tooth as I am not too happy at having an implant drilled into my gum at this stage.

Can you advise if this is a reasonable option and how does the denture hold in place and will a denture affect my speech and would it come off it you kiss somebody? Just things I need to be aware of.

Thank you for your input.

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