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Doctor insights on: Root Canal Vs Implant Vs Bridge

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A root canal is necessary on a tooth next to one that is holding a bridge of 6 teeth. Both teeth on either side of the bridge have to be extracted and implants will be put in. What do I do first?

A root canal is necessary on a tooth next to one that is holding a bridge of 6 teeth.  Both teeth on either side of the  bridge have to be extracted and implants will  be put in.  What do I do first?

Root canal first?: Most treatment plans would suggest a root canal first on a infected tooth that adjoins a potential implant site. It is possible that this tooth may need to be extracted too and more implants placed and/or it's infection may hamper the placement of implants or bone grafts for future implants. All bets are off if this is in the smile zone. Then your dentist will have to deal with esthetics too. ...Read more

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Dr. Abraham Jaskiel
5 doctors shared insights

Implant (Definition)

An implant is a medical device manufactured to replace a missing biological structure, support a damaged biological structure, or enhance an existing biological structure. Medical implants are man-made devices, in contrast to a transplant, which is ...Read more


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Please tell me if I should have tooth pulled and replaced with bridge or implant or try a root canal and crown?

Please tell me if I should have tooth pulled and replaced with bridge or implant or try a root canal and crown?

Treatment choices: What might be best in your particular case is best answered with a clinical exam, x-rays, perio evaluation, occlusal (bite) analysis, health of adjoining teeth, etc. You should rely on the advice\judgment of a trusted dentist and not an internet search for the answer. Either one might be the best choice depending upon the circumstances. Definitely implant over bridge. ...Read more

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Did root canal on infected/ abcessed tooth inside 15 years old 4 units bridge. Do you replace with another bridge, do implant, or keep old bridge .?

Did root canal on infected/ abcessed tooth inside  15 years old  4 units bridge. Do you replace with another bridge,  do implant, or keep old bridge .?

All are viable: All options are viable. Make sure you have a treatment plan presentation so they can give you the risks and benefits of each and they can answer your questions. ...Read more

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Which costs more a root canal with bridges or implants?

Which costs more a root canal with bridges or implants?

Could be the same: If you are getting a single implant and crown then chances are you are going to spend as much or very close to what you would spend on a rootcanal and a bridge. See a dentist and have them give you a complete treatment plan with your options. The most important thing for you to consider beside the financial is knowing which treatment would suit your particular situation best. So ask questions. ...Read more

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Can others besids a dentist do cleaning, filling, root canal, make crowns and bridges, implants?

Can others besids a dentist do cleaning, filling, root canal, make crowns and bridges, implants?

Legally, no.: Only exception is in the Dental School. Here the Dental Student may perform these treatments under the supervision of a licensed Dentist on staff. Cleanings may be done by licensed Hygenist. ...Read more

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Do you think I should go for a root canal or an implant?

Do you think I should go for a root canal or an implant?

Denpends: It all depends on your specific situation. Is it the first time root canal on that tooth? What is the condition of the tooth in question and what is the prognosis on it? If it is a second time rootcanal treatment and the tooth has less than ideal prognosis than an implant is a much better option. See a dentist and explore your options. ...Read more

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I'm having pain when I move cheek or press on cheek above #11 and #12. I had root canal on #10 2 days ago and implant on 9 2 weeks ago.Is this normal?

I'm having pain when I move cheek or press on cheek above #11 and #12. I had root canal on #10 2 days ago and implant on 9 2 weeks ago.Is this normal?

Normal at this stage: Most likely its related to where they gave you the shot and will subside in a day or two. Advil (ibuprofen) or other Ibuprophen meds if you can take them will help make it more comfortable and speed the recovery. ...Read more

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Will i need an implant after having a root canal?

Will i need an implant after having a root canal?

No: No. You may need a retention post and a crown. But not an implant if you just had a rootcanal done. ...Read more

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Which is cheaper, a root canal or dental implant?

Which is cheaper, a root canal or dental implant?

Root canal...: In a short term, root canal can be a cheaper option. However, it puts the same tooth in risk for another infection, possible fracture, if not properly restored. Sometimes dental implants can be a better long term solution. So many factors come in play when making a treatment recommendation. Given other conditions are the same, i would try a root canal first on my own tooth. ...Read more

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Why are dentist treatments so much more in the us than the same procedure in the ukraine? Root canal, implants, etc.

Why are dentist treatments so much more in the us than the same procedure in the ukraine? Root canal, implants, etc.

Many reasons: The lower expense of ukrainian dental implants or root canals are unlikely because of poor training, or bad materials but more to do with cost if living, office overhead and supply and demand. If public health is picking up the expenses ones education and also paying their salaries, they may have the right to set the fee's at a low rate! these procedures are probably done by less costly gps too. ...Read more

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What is the normal procedure to repair a missing upper molar that broke off years after a root canal due to never being crowned. Would the remainder of the root have to be removed as well, would an implant be best?

What is the normal procedure to repair a missing upper molar that broke off years after a root canal due to never being crowned. Would the remainder of the root have to be removed as well, would an implant be best?

Full crown: The remainder of the tooth is cut down to a specific geometric shape and a crown is placed. This protects the rest of the tooth and lets the dentist provide the best and most esthetic restoration. ...Read more

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What is the normal procedure to repair a missing upper molar that broke off years after a root canal due to never being crowned? Would the remainder of the root have to be removed as well? Would an implant be best or would a simple single

What is the normal procedure to repair a missing upper molar that broke off years after a root canal due to never being crowned? Would the remainder of the root have to be removed as well?  Would an implant be best or would a simple single

The : The first choice would be to use what remains of the tooth and restore it- if feasible. If not, then you and your dentist should consider removing the tooth and replacing it with either a dental implant or a fixed partial denture (a bridge). That would involve three teeth. I am not sure what you refer to when you mention a 'simple single tooth bridge.'. ...Read more

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Do you think I should get an implant after a failed root canal?

Do you think I should get an implant after a failed root canal?

Yes: Yes implant is your best option. With an overall success rate of about 95% and almost 50 years of clinical research to back them up, dental implants are frequently the best treatment option for replacing missing teeth. ...Read more

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What are any known longer term health risks associated with either a root canal or implant procedure that I should consider before choosing one or the other?

What are any known longer term health risks associated with either a root canal or implant procedure that I should consider before choosing one or the other?

Local Infection: A failing root canal or dental implant can cause a localized infection. I am unaware of any systemic health risks associated with these procedures. If the localized infection cannot be managed and cured, the tooth or implant would need removal. ...Read more

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Old root canal without crown now has cavity. Should i opt for crown lengthening with filling and crown or pull it and get an implant?

Depends: It does depend on the strength of the tooth. Generally if a tooth has a root canal it had multiple fillings before this possibly a fracture -it is compromised already even after all the time and financial commitments of restoring, the chances of that tooth surviving 3 -5 years is not great. Then you are back to getting an implant. I try not to pay for things twice, but it is a decision between you. ...Read more

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I've been advised to have two teeth extracted and then have implants for replacements. Should i try to save them? One tooth has a root canal but there is a pocket of something at the base of the root. The tooth is loose but still functions. The other i

I've been advised to have two teeth extracted and then have implants for replacements.  Should i try to save them? One tooth has a root canal but there is a pocket of something at the base of the root.  The tooth is loose but still functions.  The other i

Implants: If you have questions about the options presented by your dentist then a second opinion by a periodontist may answer your remaining questions. As dentists we look at the long term prognosis of the teeth. You have noted some problems around the teeth that indicate bone loss. There needs to be good gone to place implants so do not wait until the bone is completely degenerated before the implants ...Read more

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Do you know are implants an option only if the initial root canal fails or can you still have implants after a root canal retreatment fails?

Do you know are implants an option only if the initial root canal fails or can you still have implants after a root canal retreatment fails?

Both are ok: Replacement of a bad tooth with an implant is possible after either scenario. Some variables to consider are the amount of bone present to support the implant, your bite, position of other teeth, and other factors. Seek a consultation for a good implant surgeon. Periodontists or oral surgeons are a good place to start. You might consider getting an endodontist's opinion on saving your teeth. ...Read more

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Is my dentist legally or moraly obligated to pay for an accident? Does my dentist legally have to pay for an oral surgery implant that was necessitated by him breaking a drill bit off in a tooth he was working on during a root canal? He's indicating to m

This : This is more of a legal question and should be posted in the legal forum of this website. That being said, endodontic files infrequently separate in a tooth during treatment. They are thin, flexible instruments that sometimes fracture, through no fault of your dentist. It is part of the risks and headaches of having root canal therapy on a tooth that needed treatment. I am not sure of your relationship with your dentist, but usually these types of things can be worked out without getting upset or resorting to legal action. You expected that everything with the procedure would be perfect, without any complications: usually, that is the case. But once in a while, things don't always work out the way we expect, both for you and your dentist. You could have had the same problems with your treatment of this tooth even if the file had not separated.. Root canal therapy is not guaranteed 100% successful. I am not trying to minimize your frustration and the problems you had... I'm just trying to put things into perspective: there are complications that can occur with most all medical procedures. It is part of the big equation. Regarding payments and responsibility, you will need to work that out internally. Everyone runs their practices differently and what i would do personally may not be what other dentists would do. Again, try to work things out. A very smart attorney once told me that the best deals are ones where neither party is one hundred percent happy. Hope this info helps. All the best. ...Read more

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Dental implants can take 9 months. During this time some other crown or root canal problem happens. Not good. Why so long for bone graft to get solid?

Dental implants can take 9 months. During this time some other crown or root canal problem happens. Not good. Why so long for bone graft to get solid?

Bone grafts: It is what it is. Bone integration takes the body 4-6 months at least for enough integration to minimize chance of failure. Bone grafting around implant takes less but sufficient time needed. Other conditions such as irreversible inflammation of nerve of tooth, decay just don't take as long. Other procedures such as RCT or crowns take 1-2 visits generally. See comment below: ...Read more