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Question
Hi, I have had a root canal and an apicoectomy on #14 10 years ago. I am now having pain and the endodontist would like to redo the apio on the mesial buccal root where there appears to be infection. I had a Reclast infusion in september of 2008 so there is concern over osteonecrosis. Can you give any advice on how to minimize my risks. Thnk you, Mary
Mary - I am sorry to say that no one is able to truly predict if osteonecrosis will occur after dental treatment. If you truly have an infection there really is no choice. You need it treated. Even the best surgery can cause a problem, but although a lot is written about the osteonecrosis in women taking osteoporotic medications, only a small percentage fortunately do develop ostenecrosis. If you have to have that tooth treated, you really don't have a choice. You can leave the infection brewing there alone, but problems can develop from that also. I wish I could give you a definite answer, but there really isn't one. I wish you well and hope it all goes well; chances are it will.
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| Rating(1-10) | Knowledgeability = 10 | Clarity of Response = 10 | Politeness = 10 |
| Comment | Thank you for your timely answer. I wish you could have put my fears to rest a little more but I have been doing a lot of reading on the internet and realize your answer is very truthful, there is just a lot of "unknown" about my situation. Lets just hope I am not one of the few percent that have a problem. Mary | ||
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Joel S. Teig, DMD, Diplomate ABOMS, retired
Expertise
I am a board certified oral and maxillofacial surgeon and I am available to answer questions related to tooth extractions, implant insertion, facial recontruction, facial and oral tumor removal, TMJ dysfunction and various successful treatments, including surgery if all else fails, and occlusal discrepancy requiring orthognathic or jaw surgery.
Experience
Board Certified Oral and Maxillofacial Surgeon practicine for over 20 years. Assistant Clincal Professor and State University School of Dentistry.
Organizations
American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons
Education/Credentials
BA -University of Connecticut
DMD - University of Pennsylvania School of Dental Medicine
Awards and Honors
National Honor Society (OKU), Philadelphia County Dental Society, Mosby Book Award, Oral Surgery Honors, Summa Cum Laude
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