Hi Bryanna,

you mentioned pathology at the apex. I've got 2nd opinions from several dentists, almost all of them thought it was root crack, none of them tole me apex infection. But now I agree with you and suspect it is apex infection. Will apicoectomy work? (I know you are against endodontistics according to what I read here )

To be fair, my periodontist suggested extraction. And we did plan to have socket preservation right after extraction in order for future implant. (because he did not see crack, he did not extract the tooth.) Do you think socket preservation is required for my case? If so, I read you said socket preservation should be done after the infection is gone. But I was also told I can start taking antibiotics several days before the extraction so dentist can do the socket preservation right after extraction.

What should I ask my periodontist about sinus exposure? What should I do to minimize its risks?

Thank you a lot!