Q. Many years ago a lower molar was removed and not replaced with either inplant or denture. Over time the molar to the left of the remove one has borne most of the pressure when eating on that side. It has amalgum filling from past dentistry. In recent years eating hard food caused a little discomfort and it was assume there could be a fracture of this molar. Within the last three weeks the gum around this tooth has become inflamed and sore and I have a swelling and tenderness of the glands (not seen in the mouth) under my chin. There was alot of pain and radiation for about two days which calmed down to what is now a background soreness and slight ache. An exray has revealted some grey around the tooth root between the root and the gum indicating bacteria I believe hense the swelling and soreness but no evidence of an infection (no puss)! Apparently the tooth has some slight movement. There is no sign of decay. I have never been advised to have a bridge or cap to take the pressure of this molar so I guess it has suffered a bit. It would seem either a denture or inplant is now needed to fill the existing gap. My question is, is it worth trying to save the molar I am having these problems with in which case I will would need only one inplant (or a cap I guess?) or should this molar be removed rather than risks problems in the future with it and go for a double implant? I hope I have given you enough information here. PS Root canal work has been discounted in my case – my dentist feels extraction is the best option. Regards,