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Dentistry & Dental Issues For support and discussion about dentistry and dental issues. |
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02-12-2010, 10:38 PM | #5 | ||
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Everything you have mentioned are things I did consider and were concerns of mine, and actually still are. I did research both, the dentist and implants. Let me give you a little background. I take very good care of my teeth and gums. My gums are in great shape but I do clench my teeth so they have taken a little bit of a beating from that but I have worn a flat plane night guard for the last 10 years. I have a prosthodontist that handles all my restorations, an endotontist that has done my root canals, (I know how you feel about those and it has me scared to death) and a periodontist. I do have a high amount of respect for my endo though. He is actually very against doing any procedure unless it is absolutely necessary. Even root canals which is his job. I did interview 3 perio's before I chose the one I am using. I also considered an oral surgeon but I was told (by my endo) that since perio's specialize in soft tissue they are the best to use for the extraction and implant. I was told by all three perio's that they try to do the implant at the time of extraction depending on the patient. I did also check with my prosthodontist about the removal of this tooth and asked him how difficult it would be, since he has done a lot of extractions and he thought she would be able to remove it no problem. When she mentioned the root to me this is what she said. "If the root tip breaks off we may have to leave it. In my opinion I feel it is too much of a risk and could cause damage to the nerve, trying to retrieve it." she also said she will really take her time with the extraction, but the problem is that with the resorption, the teeth tend to "pop" while you are trying to remove them, since they are hollow inside. She does 200 implants a year. I didn't ask how many extractions she does, I didn't think to. I just assumed she did a fair amount. I can call her on Monday and she will answer any questions I have. She is very good about that. My surgery is scheduled for Tuesday. Here is what I have read and been told. 1. It is better to have the extraction, let it heal, then have the implant, but 3 perios have said they try to do it at the same time if possible. 2. Oral surgeons specialize in removing teeth, especially difficult ones, but perio's are the soft tissue guys. 3. Leaving a root tip in can cause an infection. And implanting on top of that can be disastrous. But, removing it can cause nerve damage. So should I just plan on talking to her on Monday and depending on her answers consider postponing and getting an opinion from an Oral Surgeon? The tip is very close to the nerve. I have an x ray that I was going to attach but I guess I cant until I get to 10 posts. Thank you so much for all your help. I just want to make sure I do everything the best way possible and I get the best treatment out there. It can just be very confusing when you get conflicting answers sometimes and when dentists are trying to make money! lol One last question about the pain. Can I expect it to be really sore, or more throbbing? I just want to be as prepared as possible. I have all my soft foods ready to go and filled all my prescriptions today. I plan to follow all the directions I am told so hopefully I will heal fast! Elle |
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