Hello dear Bryanna,
I have now decided to have my upper lateral tooth extracted.
I have been having this weird dull pain in that tooth or the area around it.
I want to ask you a couple of questions though before this is done:
1. The dentist tested me this morning and anaesthetized my upper lateral tooth. I had been having pain in my lower tooth and that pain almost went away after he had numbed the upposite one (refferd pain?) Could this be a proof that the upper tooth is the guilty one?
2. Do you think that when I have this two times root canaled crown tooth mooved with its roots that I will get rid of this pain?
3. Can I expect to have pain after the extraction for a long time, they are now making a temporary tooth that I have to have in my mouth for about 8 months all together.
The dentist wants do do this because he says that if he will do this apicoectomy surgery he says that he will damage the bone even more (like you said) I will probably, at any time in my life have to have it extracted, better now because of thiss strange dull pain in it and the opposite tooth.
One more thing, is it not strange that my pain in this upper tooth comes and goes all over the day and I hardly fell it during the night.
I have not got headaches, it is not a muscular problem, it is just this tooth isnīt it ? :-)
I just wanted to hear from you before the etraction will take place :-) Thanks again so much.
Quote:
Originally Posted by Bryanna
Hi annikasamper,
So you are talking about your upper lateral tooth. This would be the tooth next to a front tooth. Correct?
Your long term (permanent) replacement options depend on the health of the bone as well as the health of your gums and teeth in general. So it would be wise to have a complete treatment plan that included all of your teeth not just this one.
Some permanent replacement options could be:
...A dental implant if the bone is healthy and adequate enough to hold the implant.
...A permanently cemented bridge that spanned across several teeth and would replace this missing tooth with a fake one attached to the bridge. To do this the teeth involved in the bridge would have to be healthy (not root canaled). Those teeth would be shaved down and covered by the bridge. Replacing a lateral tooth would mean that at least one central (front tooth) and the canine (the tooth behind the lateral) would need to be part of the bridge as they would serve as anchor teeth to the bridge that replaced the lateral.
...A removable partial denture which is an appliance that replaces any missing teeth in the entire arch. So if you had other teeth missing or had them removed due to extensive decay then the partial would replace those teeth as well as the lateral. This is worn for esthetics, to keep the existing teeth from shifting and can be worn when eating most foods.
The short term or temporarily solution could be what is called a flipper or small removable partial denture. It is a small appliance similar to a retainer that has a tooth on it to replace the extracted tooth. This appliance snaps into place and is removable. It is worn for two reasons. One is esthetics so that you don't walk around with a missing tooth. Two prevent the adjacent teeth from shifting towards the space.
Without xrays or a clinical view of your mouth I cannot tell you what would be the best choice for you. This is why you need to discuss your overall dental problems with your dentist, explain to him that you are concerned about keeping infected teeth and may want them removed... this way he can give you a comprehensive treatment plan that includes every thing. If you patch things up here and there you will find yourself in the dental chair more than you want to be and financially patch up dentistry always costs more in the long run.
I hope this information is helpful to you. I know this can be very confusing. If you are concerned about keeping your root canaled teeth for the reasons that I have stated, then please sit with your dentist and seek an alternative treatment plan that includes removing those teeth, replacing them and taking care of the rest.
I wish you well...
Bryanna
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