sadie,

I re read all of your posts about these two teeth. I would not be surprised if one or both of them were fractured. Of course this is often difficult to diagnose until the teeth are removed because the fracture often does not show up on the xray and it is usually too far down the tooth to be seen clinically.

Aside from the fracture possibility.... the teeth are root canaled which automatically means they are unhealthy. So when you ask me about removing them... the only thing I can honestly say to that is.... ask yourself if you are comfortable with retaining two chronically ill teeth. If you are... then your dentists will re treat these teeth again and again as long as you are willing to do that. I know that sounds horrible .... but it is the way most dentistry is practiced all over the world because most people have no clue what is really going on and they are afraid to have their teeth removed :/
I don't think the decision to remove teeth is an easy one... not at all. And there are consequences to removing teeth that need to be considered prior to taking them out. However, on a personal level when I'm faced with two options and one of them is likely to cause me a systemic (possibly permanent) problem, I will always choose the healthier option. But that is just me.... you need to decide what is best for you. I am here to give you the information that you are not getting from your dentists.... and it's not easy for me to give it to you :/

Two teeth being removed in a row is a bit more complicated than removing one in the fact that the bone is going to more open than compared to removing one tooth at a time. On the flip side of that.... the surgery is one time and the healing takes place together. If you were to remove them at different times... you would have to discuss how long in between you should wait. If both teeth are causing you pain and one is removed, you will still have pain.

It is never ideal to have missing teeth as that can impact your ability to chew properly and cause pain in the TMJ area. If you could plan on replacing them within a reasonable amount of time, then you would minimize those complications. Ask you dentist if you are a candidate for a removable partial denture....at least until you could decide about the implants.

Bryanna