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Done root canal, crowns replaced twice. Half tooth broken. Tooth implant suggested. should I go for extraction and implant?

I had root canal on 13 and 14 crowned 15 years ago. The crowns were replaced almost two times. Yesterday my 13 tooth came off with crown and only little tooth left. Today I have seen the dentist , he told me tooth 14 root canal has not done properly and need to do redo ( Canals were filled with silver posts and one canal left untreated because not found) and extract tooth 13 and place an implant. I am attaching x-ray in the Photo section. What are my options 1. If I go for 14 root canal redo ( no pain now) - If it fails, then extractions - implant 2. Tooth 13 extraction and go for implant ? or Both at the same time I heard Immediate loading implants ? Will it work in this case. Thanks for your time
Asked On : Sat, 12 May 2012
Answers:  3 Views:  143
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Dentist 's  Response
I prefer you to consult an endodontist for both teeth, as the 13 if have sound roots even with complete destructed crown structure , it can be saved by endodontic posts/endodontic implants too..
you have silver posts in canal of 14 which makes tooth repeat RCT difficult..
sorry i cant view your RADIOGRAPH..
after the endodontist suggestion you can go for treatment in both teeth..
if he suggests extraction, then
yes Implants are best option, in anterior teeth you can have immediate loading also.. but it is always preferred to be loaded later after osseointegration of implants to increase its success rate ..
take care...

Answered: Sun, 8 Jul 2012
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Dentist Dr. Deepali Upadhyaya's  Response
as per your symptoms, your 13 need to be extracted and since that tooth is in front. implant is the best option for it. but in case you do not want to go for implant you can easily go for crown attached to the crown of 14 after re-root canal treatment. that will be cost effective. no implants in your case will not be immediately loaded since your tooth is old infected tooth. it will take atleast 4-5 months after placing implant , to load it.
Answered: Sat, 12 May 2012
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Dentist Dr. Latif's  Response
your case is complex, i will suggest for you that you try for a para post core build up in 13 and then re crown it , post can be of gold plated screw or a fiber optic , i will not advise for directly implant as there is always a chance of implant failure due to body rejection phenomenon , and if your 14th is pain free and not bothering you at presently then you need not to re-root canal it,
Answered: Sun, 8 Jul 2012
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