What are the options for root canal failure and missing tooth

Q. I had a crown than a root canal and now i have been told to extract or an implant or bridge or removable denture its my back tooth. I dont know what to do please help

A. If a root canal fails then you firstly have 2 options.

Option 1: Re root canal the tooth with a special Endodontist. The pro of this is that you are doing everything you possibly can to save you existing tooth. Cons are that it may be costly and is not guarenteed to work.

Option 2: Extract the tooth. Pro of this is that you are not investing any money into a tooth that may fail. The cons are that you will be left with a gap and will need to decide on how, if at all, you would like to restore this gap.

The option for a missing tooth are:

option 1:  Leave the space. Th pro is that this is the cheapest option. Cons are that you have a space in you mouth and that eventually other teeth may fall into the gap and if it is only the lower jaw, the oposing tooth on the upper jaw my grown down into the space.

Option 2: Denture: This is the cheapest way to restore the gap. Cons are that it is removable and sometimes the plastic may be uncomfortable.

Option 3: A bridge: Pros are that it is a fixed restoration, therefore you will not be able to take it out. However the cons of this treatment are that bridges are very envasive as you have to corwn the teeth either side of the gap (which involves taking away tooth structure) retain the missing tooth. Bridges are advised to be changed every 10-15 years. As the price of a private bridge can be very similar to an Implant, if it is out of these two options an Implant would, without a doubt, be the best option.

Option 4: An Implant: Pros are that an implant is a fixed restoration that doesnt effect any of your other teeth. A titanium screw is implanted into your jaw and a porcelain crown is fixed on top. The cons are that this is the most expensive option with implants costing from £2500.00.

I hope this has help you in making a decision.

Kind regards

Dr Justin Glaister

Dr Justin Glaister Umbrella 11 Harley Street, London, W1G 9PF Web: www.umbrellasmiles.com Tel: 020 7612 9810 View My Profile Dr Glaister
May 29th, 2009 at 08:47 PM
Patricia Says :

I had a root canal treatment done 4 years back on a last molar on the right side of my lower jaw, and due to it not being crowned, the tooth above the gumline fell off, now all the remains are some tiny bits of tooth above the gumline and gutta percha filled roots.Can this tooth be restored by post and core or by pivotal crown?If I don’t want to extract the root, what options can be considered to restore the tooth?

May 25th, 2011 at 08:47 PM
Fidel Says :

Hi, I have not seen a dentist for two years, and was informed at my last appointment before me dentist left, that I needed a root canal filling (it has been done once but needs redoing as I have an absess on it). I also havea denture with three teeth on (metal with clips). One of the clasps has broken off and is uncomfortable and loose. As I am very nervous I need sedation for any intrusive work done. Can you help? Kind Regards

May 27th, 2011 at 08:47 PM
Noah Says :

I have a dental phobia that has killed me for years. consequently my teethand gums are a mess. I am that frightened that even consu.ltations make mevery nervous. I do work, and feel i need this sorting asap. I had an extraction at the dental hospital when i was a child, which is where my phobia dates from hope yopu can help.

Leave a Reply