nukuspot,

Thanks for posting the panoramic xray.

I am going to assume that since the large canal of #11 was calcified that the endodontist was able to drill out the interior of the tooth from the apico opening down into the tooth. Because it is full of gutta percha and he could not get that in the tooth from the opening in the biting surface of that tooth because the canal was closed. Yes, I can see the black area above the apex of the tooth above the area where he placed the IRM retro grade filling. That black area could be a cyst or a void in the bone. A panoramic xray does not offer enough dimensions or slices for anyone to diagnose that area.

I can see how the roots of your upper anterior teeth are fore shortened or blunted from orthodontia. That occurs when teeth are moved too quickly and too forcefully. You could also have had some blunting of those roots prior to ortho which may be a hereditary thing.

The problem is that this tooth has been through such trauma between force ably being pulled from the bone to an upright position, then an attempted root canal with a buccal perforation, then traumatic surgery done to the jaw bone above the tooth. Frequently the bone surrounding a tooth that has been through all of this is more fragile than say a healthy non root canaled tooth. So a dental implant in this area may be a bit tricky and no one can really know the extent of the condition of the jaw bone until the tooth is removed. I know.... that is not what you want to hear. :/

I would recommend that you discuss this tooth is great detail with your dentist and get a time line down as to when you want to undertake this extraction and exploration of bone. You may be awhile, a few months, without a tooth there as that may be the best option for complete healing. If this area is not healthy enough to receive a dental implant, then you will be dealing with other issues.

I wish this were easier to explain and I really wish I didn't have to give you this news. Teeth are such a pain in the........ ss!

Bryanna