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Have root canal, crown. Crown fell off. Having bad taste due to abcess. Pull off teeth?

I have a root canal and a crown on my lower right side. The crown just fell off for the 3rd time. I thought I had an absess, but now know that the bad taste was from bacteria between the loose crown. My dentist did an x-ray and say a pocket at the end of my tooth and said it was absessed, but it was never painful, so I didn t think it was. He sent me to an implant specialist who sent me to a root canal specialist. I have spent close to $10,000 on my mouth with root canals, crowns and cavities constantly. What is the worst case scenerio if I just pull the tooth? I fear my teeth shifting to the right, but I have a crown and root canal on my left lower tooth too, can I just pull both? my bottom teeth are crowded anyway.
Asked On : Tue, 12 Mar 2013
Answers:  2 Views:  455
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Dentist 's  Response
Hello and welcome to HCM,

As you described,your root-canal treated lower right side teeth is periodontally affected resulting in abscess formation.
If you are not willing to retain the teeth,it has to be extracted and replaced with fixed prosthesis.
The prosthesis will prevent shifting of adjacent teeth.
Regarding your left lower teeth,if it do not have any problem associated,no need to worry.
I Would suggest you to maintain good oral hygiene.
prevent plaque accumulation on the affected site.
take care.
Answered: Wed, 13 Mar 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

Pain after root canal treatment can be because of re-infection of the canal leading to periapical infection , it can also be because of food lodgement between the cap of the tooth leading to infection of gums .

Get complete mouth scaling and polishing done .
Take an x-ray of the tooth , if the root canal is fine there is no need to pull the teeth.

Take an antibiotic Tab odoxil 500mg three times a day
Tab zerodol DT three times a day for 3 days .

Use 0.2% of chlorhexidine mouthwash gargles twice daily .
Use saline water gargles 3-4 times a day .

Hope this helps out .

Answered: Wed, 13 Mar 2013
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