I keep getting infections and needing apicoectomies after breaking my teeth when younger. Should I get implants or just keep taking antibiotics?

Q. Hi, please can you help. I am a 43 year old female and broke my front teeth when I was 8. Since then I had have 2 lots of crowns on my front 4 teeth and although I have looked after them, I have had extensive problems for approx 20 years with frequent abscesses and have had 5 apicetomy’s over the years. I now have another abscess on my front teeth and have been advised that no further apicetomy’s can be performed and I have the options of either a plate, a bridge or implants. I understand the best option would be implants (albeit very costly), and have been advised that most of my gums would be lost, so astechically they will not look as good as they do right now. How can I be sure though, that after having them taken out and having either implants or a bridge, that another infection will not occur, since 5 apicetomy’s have not stopped subsequent infections and that this would affect my implants or bridge and I may be left with just the option of a plate, which I certainly do not want. If infection is likely to occur again (I have also had abscesses lanced inbetween apicetomys, so have had a LOT of infections), would an option be to leave the teeth as they are and take frequent courses of antiobiotics to keep the infection at bay, since I am in no pain and they look very good. I do not want to pay out a lot of money, only for an injection to re-occur and the implants/bridge be affected. Please can you advise?,
A. Leaving an infection can never be the best way to go. If you remove the teeth the infection should resolve. I guess you will need to wait for 6 months for the bone to heal and will probably need a bone graft to rebuild the tissue lost after the multiple infections.
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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