Is my dentist right in recommending that I have my tooth removed?

Q.
Dear Dr Hughes,
I have had a root canal filling and a crown put on one of my teeth (upper side) about 10 years ago. It had given me no trouble till about 2 months ago when I bit on some hard nuts and I got a dental abscess. I had severe pain and swelling of the face. With antibiotics it cleared up and I have had no problems since then, but my dentitst says I should remove it. I am hesitant as it is not giving me any trouble and I don’t intend to bite anything that hard ever again. Also I have never had a tooth removed before. Please advise if it needs to be removed. thanks, 
A.
Hi  Thank you for your questions and I understand your concerns. To be able to answer your question accurately I would need to see you in person and also have some X-rays of the tooth in question.

However here are some potential solutions. Sometimes a tooth with an old root canal that fails and gets an infection again, can have the root canal repeated – we would refer you to our specialist endodontist to have this assessed and carried out if approipriate. Sometimes a surgical procedure called an apicectomy can be done. It may also be the case that removal of the tooth is the best long term solution with replacement by a method such as a dental implant (amongst others).

I guess the best thing for you to do is to get a second or third opinion. Maybe from an endodontist or a dentist who is an expert on implants or other forms of tooth replacement.

You can then make a more informed decision on what’s best for you.

Hope that helps

Best wishes

Mark

dr mark hughes

Dr Mark Hughes

Harley Street Dental Studio
52 Harley Street, London W1G 9PY
Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981

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