Treatment after apicectomy

[lmount]

After re-occurring infections on my UL5 premolar, my dentist referred me for an apicectomy. This was performed on the 19/11/07, but unfortunately within two weeks of the surgery a further sinus tract appeared above my UL4. My dentist inserted a GP point and determined that the infection was coming from my UL4 this time and not my UL5. Athough the infection had appeared at the same time, she felt it would of probably happened eventually anyway as this tooth had previously been root filled as well.

I had an apicectomy on UL4 on the 17/01/08, and when the Oral sugeon was performing the operation she commented that she didn't feel the apicectomy had worked on the UL5 as an infection was still present and the front quarter of the buccal bone had dissolved. She recommended that this tooth should be extracted.

I immediately sought advice from a dentist who specialises in dental implants to extract both teeth and replace them with implants. As i need bone grafts and sinus augmentation it is going to be a very long and expensive procedure.
(£6,000)

Since my implant consultation, my two teeth have not given me any further problems. The gums have returned to their normal colour and I do not have any more swelling or bad tastes. Is it possible that the apicectomies have worked? Will the buccal bone grow back? How long do apicectomies last?
Sorry for all these questions, but I am due to seen the implant consultant next week and I am not sure if i should go ahead with his treatment plan or wait and see what happens over the next few months. I have no other problems with my teeth and have good oral health. These two teeth have been a problem for me since my late teenage years.
Please advise me.
Many thanks - Lynne

[Dr Pav Khaira]

I can totally understand your concerns. The only way to see if the apicectomies have worked is to have another x ray taken once the correct period of time has passed to assess if healing has ocured.

The success rates of apicectomies is not as high as implants. From what you have described, I would want implants as a long term solution. If done well it will give you fewer problems long term. If the apicectomies flare up, more damage can occur to the bone and more advanced grafting may be required

Hope this helps

[lmount]

Dear Dr. Khaira

Thank you for your time in answering my question. I have given your advice alot of thought, and i have decided after reading lots of other comments on various topics on this forum to go ahead with the implants. I know this is going to be a long and expensive procedure, but i am fed up with constantly worrying about these two teeth and know that it will be well worth it in the long run. It has been very helpful reading the support yourself and other dentists give to the public on this forum, which can help everyone to make an informed decision on what action to pursue next.

Thank you again for your valuable time.
Lynne

[Dr Pav Khaira]

Glad to be of help. Remember, an implant placed well by a good surgeon will last a very long time!