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Dentistry/Calcified tooth

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Question
Part of my filling broke of the side of my molar..there was no pain I thought it needed refilled again but dentist said I had to have a root canal done because of the cavity...He tried for an hour to break through the canals and gave up as my roots were totaly calcified... He said I would be better of having it removed and having an implant done...Went to the surgeon he could not remove it because he could'nt get it numb enough because of the calcification..Now I have to return and be put out in order for my tooth to be removed..I am now feeling a throbbing in the tooth and wonder if  my tooth  should have been filled..The throbbing in my tooth is caused by all the trauma from the denists..Is it possible to leave the tooth as is  if the throbbing stops as I am so afraid to pulll it because the tooth is so difficult to come out and I will end up having nerve damage or worse problems. Also as I am missing my molars on the other side of my mouth and removing this tooth will cause me difficulty eating..and what causes calcification is it good or bad thing?I am 64 years old. Thank you .

Answer
Dear Elizabeth,
wish there was some advice that I could give you.
At a distance without seeing your tooth there is little i can suggest.
You seem to have most things figured out.
If the symptoms caused by the unsuccessful removal of the tooth disappear, and the molar tooth feels ok , there is no reason why you cannot keep it.
A good Endodontist , someone who specializes only in root canal treatment should be able to help you make that decision.  Because the filling and the molar tooth are broken, does not necessarily mean that there is infection and that what remains must be treated.
Without seeing your tooth, and visualizing with x-rays what the bone pattern is it is impossible for me to be of more help.
As to your question about calcification, it is neither good nor bad, it is what happens inside the tooth as you get older.  The pulp tissue tends to recede away from the mouth and as it does the pulp chambers fill in with mineral (calcification.)
Finally if you are in pain after a week, then most probably the tooth should be removed.
All the best
Dr. Moss

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Stephen J. Moss

Expertise

I am a professor emeritus at New York University, with a background that includes extensive research, scientific writing and biology. I also am an international consultant in health education, particularly in developing education on new science for health professionals and consumers. I am a past president of the American Academy of Pediatric Dentistry, former head of the NYU Division of Oral Biology and I represent the World Dental Federation at the United Nations. I travel around the world to provide health education to professionals and consumers.

Experience

Having retired from New York Universit, where I directed the pediatric dentistry training program, a walk-in dental clinic and research on oral biology, I formalized my professional and consumer health education initiative in the form of Health Education Enterprises. This entity consults and provides information on new science pertaining to oral and general health, particularly leading edge concepts that can be employed in the health professions to improve the public's health. As such, I am an expert in communicating new science and its usefulness to professional and lay audiences alike. I also had a pediatric dentistry practice in New York City for nearly 30 years.

Organizations
I am affiliated with the American Dental Association, the World Dental Federation, the International Association of Pediatric Dentistry and the American Association of Pediatric Dentistry among other formal organizations. My experience has included a research fellowship at the National Institutes of Health and work at the Forsythe Dental Research Center

Publications
lpha Omegan USA, Nowa Stomatologia Poland, Journal of Public Health Dentistry, The Journal of the Southeastern Society of Pediatric Dentistry USA, News Bulletin Japan, Journal of Marmara University Dental Faculty Turkey, Italian Journal of Paediatric Dentistry Italy, Asian Dentist Singapore, The Journal of the Israel Dental Association Israel, ROBRAC Brazil, Italian Journal of Paediatric Dentistry
Italy, FDI World, STOMA Portugal, Pediatric Dentistry The Philippines, Modern Stomatology Bulgaria, Journal of the Indian Society of Pedodontics and Preventive Dentistry India

Education/Credentials
I obtained a doctor of dental science (DDS) degree, a master of science degree and am a board certified pediatric dentist.

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