Hi Illana,

From what I recall, if I am correct, you have had several dental issues in various areas of your mouth that have caused or contributed to various infections, pain and nerve problems. Am I correct??

Anytime a root canaled tooth is extracted, there is going to be bacteria found in the ligament and jaw bone. The longer the rc tooth is present, the more advanced the disease in the surrounding area will become. The severity of the disease also depends on the individuals immune system. So some people may have more widespread problems than other people.

Anytime a root canaled tooth is replaced with a dental implant there is an increased risk of infection and/or implant failure due to the unfavorable changes that occur in the tissue and bone surrounding the root canaled or infected tooth. It is very hard to completely eradicate diseased bone that is not visible to the eye during the extraction of the tooth. So even under the best oral surgery care, there will always be some concern about residual bacteria living in that area of bone which can lead to infection, inflammation and nerve problems.

It does not matter how many times a tooth is root canaled, the status of the infected nerve tissue inside of the hundreds and hundreds of microscopic canals does not change for the better. There is no means of curing an infected tooth. Pain is often an indicator of a problem but no pain does not mean the problem has resolved when it comes to root canaled teeth.

I would suggest that you never go to a dentist who has a poor rating or reviews. Although these things are not always accurate, they should be a caution sign for those reading them.

I am going to attach a diagram of the microscopic canals called dentin tubules to show you just how many of these tiny canals are in each tooth. They are not accessible and do contain dead infected nerve tissue after the tooth has been root canaled. They are the brown lines that fill the dentin surface of the tooth and they are marked dentin tubules.

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