i have had many fillings on my tooth would an implant be better

Q. Hi doctor, I have had a five year ongoing saga with one tooth (lower jaw third from back). I had a gold filing for over ten years untill it needed replacing. It was replaced with a white filing which sensitized the tooth. A root filing was done but some of the root was left in which resulted in numerous visits to dentist and dental hospital till discovered and removed. A white inlay was applied which was too high, when removed the tooth had fractured. All that is now left is the front wall of the tooth. A new white inlay was fitted , which has come out twice this year. I feel unable to eat normally on this side. I finally came to terms with having the tooth out but when I discussed this with my dentist he suggests just filing it! This has been a lenthly and expensive time. I am now considering my options and wondered about an implant as my other teeth are in good condition. I would very much appreciate an experts opinion.

A. Some teeth would be suitable for salvage even at this stage. You would need a  exam to find out. It would not be unreasonable to seek a second opinion from another dentist. I agree that spending more money on a tooth that has shown poor return is not appealing, but I wouldnt know what to suggest unless I had personally seen tooth

Implants are one of the options if teeth cannot be saved. You need a good volume healthy bone and from your description of the site I would recommend a 3D / CT scan prior to implant surgery as there are some important nerves/ vessels in this area that you need to avoid and affect available space

Our practice offers a free initial assesment with a dentist from which we could make more specific comments

Dr Rob Tennet
www.e-dentalpractice.co.uk
[email protected]
0121 643 0610

Dr Rob Tennet St Johns Dental Practice 18 Bennett’s Hill, Birmingham, B2 5QJ Web: www.e-dentalpractice.co.uk

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