My dentist says my front tooth is infected but it doesnt cause any problem can i fix it later

Q. I had root canal on my 2nd premolar on the right hand side of my mouth (5th tooth over)10 years ago. I havent had any touble with it since but about 18months ago I went to a new dentist who discovered it was infected and had to be dug out and repacked with anesthetic. I have now managed to break the front of the tooth off. I went to my dentist and she said it was infected again so there was little point in getting a crown and she has recommended i visit a dental surgeon to have it extracted (the root is pointed apparently). My options then are to have a bridge crown (£600) or screw in tooth (£1500). It is not causing me any problems and i cant really afford to replace it at the minute. I have also heard that if its removed and I choose not to replace it there is a chance my other teeth will move into the space etc. Its far enough back in my mouth and cant be seen so Im just wondering is there any reason why i cant leave it as it is for a while until I can afford to have it replaced? or should i go ahead and have it removed now and replaced or can i safely leave the gap?

A. If you leave it with an untreated infection then you may risk an abscess or the bone around the root being destroyed. It might be worth removing the tooth and fitting an adhesive provisional bridge as a long-term temporary replacement if possible, then an implant at a later date. That way the space will be kept open and the gap will look better when you smile.

Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore

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