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Dentistry/root canal vs extraction


QUESTION: hello dr jonathan,

I have a dead tooth in my mouth and where I live they  don't do implant cuz its not a civilized country...they only do scared to do the dental bridge cuz of having to cut down  the 2 adjacent teeth to attach the bridge therefore I have to sacrifice 2 healthy teeth to replace one and I donít want to weaken the 2 teeth and have decays under the crowns and suffer in the long run from more tooth damage and financial costs for fixing my teeth ?
what happens if I keep the dead tooth and leave it alone ? do u advice  me with the dental bridge although havig to compromise 2 healthy two teeth or just leave the dead tooth alone ?


ANSWER: Hello,

First, things, first.  I am NOT a Doctor.  No need to refer to me as a doctor.  I simply provide a "Patient Point of View."

Second, I have never been to Dubai, but from what I've heard, it's a very progressive cosmopolitan metropolis.  So I find it hard to believe that there is not someone there that can do an implant.

I believe that the first priority is to maintain the health of your teeth and gums and to prevent infection.  You can't just leave a dead tooth in your mouth and think that is ok.  You have to have a dentist, address that issue and take the dead tooth away, sooner than later.

If it were me, I would double down my efforts, and look a little harder to find a board certified dentist in Dubai, that can do the implant.  The description that you provide about a bridge and the filing down of adjacent teeth scares me.  I never advocate the defacing of your original natural born teeth.

Please let me know how you turn out.

Best Regards,
Patient Point of View

---------- FOLLOW-UP ----------

QUESTION: dear jonathan,

I found a dentist who said that he can do a root canal on the bad tooth but success rate would be 40 percent only ...he prefers to pull out the tooth cuz the tooth is bad and infected but he left for me the decision to make whether to go for  root canal or to pull out the u advice on a root canal if the success rate is only 40 percent?



It sounds like your dentist is saying he prefers to pull the tooth versus doing the root canal.....and the root canal option is only 40% success rate.

If it were me.....I would probably have my tooth pulled.

Your number one priority should always be to treat the infection.  It sounds like your dentist is providing good guidance.

Patient Point of View


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Jonathan at PatientBabble


My area of expertise from the patients point of view would be Dentistry/TMJ plus the speech challenges that these jaw and bite problems sometimes represent. Over the years I have seen a multitude of dentists, orthodontists, oral surgeons, speech therapists, neurologists and other health professionals who all had an opinion about my TMJ/bite problem. I AM NOT A DOCTOR...but would purely be a patients point of view type person. I "get it" when people say they tried to explain to their dentist what their TMJ/bite problem is and that they are misunderstood. I can listen to people's trials and tribulations and there is a good chance I have been down that road before. I can make suggestions as to what people can do at home, or what questions to ask their doctor or dentist when they visit. I will try and recall information or experiences that may be helpful to you.


About 25 years ago, I had my wisdom teeth out and since then my bite has never felt "normal." For whatever reason, the first sensation I remember was not that my bite was off.....but rather that my normal tongue and speech patterns had been impeded. I spent years going to different dentists, who lumped me into their generic version of what they knew about TMJ. The majority of dentists believe they can treat TMJ, but only those whose primary focus is TMJ treatment, are really any good at it. Any dentist, can take an impression of your teeth, send that impression off to the lab and have them make a night guard. That is the easy part. The tricky part is what the dentist does with the night guard, once receiving it from the lab. The dentist has to do a "fitting" where they tailor the night guard to be evenly balanced and comfortable in your mouth. Sometimes it can take a few visits, because further adjustments need to be made to the night guard appliance, to get it just right. I have found that dentists, who have had the most practice, do a better job at fitting your appliance. It's almost like an art form.

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