I have a root infected molar tooth should I have an implant

Q. I have a molar tooth which has been root filled & has had a crown for several years. An infection developed in the gum root which was treated by antiobiotics but my dentist is certain it will recur & has advised removal of this tooth. If I want an implant how long should I wait after extraction due to the posible presence of infection still being there? Can you give me any other advice as to the best way to go about this. Should my own dentist remove the tooth or should the cosmetic dentist do the whole job? Many thanks.

A. Dear K, thank you for your question.
Have you considered the posibilty of re- root canal treatment. If you are reluctant to loose the tooth the crown could be removed and a specialist could re do the root canal treatment and a new crown could be placed. Although having root treatment done again sounds cumbersome, if done properly by a specialist could prolong the life of the tooth for some time. This is an option that I always give my patients if there isn’t much decay in the tooth and if I think I can succesfully restore the tooth afterwards.

If you have decided that you do want to have the tooth extracted then definately go to a dentist that does implants for a consultation. The tooth need to be extracted in a certain way so as to preserve as much bone in the area as possible. The resulting socket will be cleaned out to make sure that there is no infected tissue. Synthetic bone crystals are then put into the socket and stiches are placed so that new bone can generate and the site can be strong enough to support an implant. This takes between 4 -6 months afterwhich the implant can be placed and then there is another healing time of 6 months for your bone to grow around the implant and stabilise it. A crown is placed on the implant after this. Implants can last a long time but there a cases in which the success is compromised. If you have diabetes, if you smoke or are immunocompromised in any way, the implant may not last as long but on the whole they have about a 95% success rate.

My advice would be to find an implant dentist and also ask to be referred to a rooth treatment specialist so that you know all your options before you make a decision

I hope this helps

Kind Regards

Dr Komal Suri Smile Design Dental 33 High Street, Wendover, Buckinghamshire HP22 6DU Web: www.smiledesigndental.co.uk  Tel: 01932 223 479 View My Profile Dr Suri
May 23rd, 2012 at 08:47 PM
Lou Burton Says :

Just had a molar removed, due to throbbing and pain and sore gum. Dentist said it was infected and loose so I chose to have it removed. Read on the internet the usual treatment and after symptoms. I experienced weird noises at the back of my nose like a drain sucking down the last water . Read a risk : An opening into the sinus cavity when a wisdom tooth is removed from the upper jaw. (If that is whats happened will it just heal up)? I dont think I had stitches either! The hole keeps taking in food, even though rinsing the next next food appears out of the tooth.
Regards for your advice.

June 26th, 2012 at 08:47 PM
Mitchell Says :

I am 21 and my top, left, back molar seems to be pushing on the tooth in front of it causing a lot of discomfort to all the teeth in that row. Is there any reason this would happen? I have had all my wisdom teeth removed when I was 18 and see the dentist. I have had a few problems before with there being a small gap and getting food stuck in it, now there is only a very small gap and it really hurts. Can you please help me? It’s driving me crazy.

June 26th, 2012 at 08:47 PM
Cordell Says :

you may have a small cavity if food is trapping- see your dentist this week to see whats going on.

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