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About Joel S. Teig, DMD, FABOMS
Expertise
I am a board certified oral and maxillofacial surgeon 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 practicing for over 20 years. Assistant Clincal Professor at 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
DMD
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You are here: Experts > Health/Fitness > Surgery > Oral Surgery > #3 extraction
Expert: Joel S. Teig, DMD, FABOMS - 11/5/2009
Question
Hi Joel, about 2 years ago I had a root canal on #3 and was did not have a crown done. A few months later, the tooth busted. I was able to pull the upper part of the tooth myself leaving part of the lower tooth in the gum. I have been reluctant to have the extraction done by an oral surgeon because of the cost. He wanted around $1200. During a cleaning this week my dentist mention that he wanted to try to do the extraction. My concern is, while I trust my dentist, I think I may be more likely to have complications without an oral surgeon doing the extraction. When I was at the oral surgeons originally, he felt that he would need to graft the extraction because the tooth was in the sinuses. I believe this to be true as I can sometimes taste mucus when I run my tongue over the area. My primary question is whether or not my dentist, who is a dds but who sent me to an oral surgeon originally for this and the root canal, should attempt the extraction.
Answer
Jacob - This is a tough question for me to answer. It sounds like you only have the roots of the tooth left. If so, the removal of those can definitely be difficult. If your dentist is not comfortable with the procedure, then he is the wrong one. I don't like the proximity of the sinus and the roots of the teeth. I guess the safest approach would be to have the surgeon remove the roots. It might be expensive, but if sinus perforations occurred from the root removals by the dentist, the repair could cost much more that just the removal of the roots.
That is the best answer I could give you.
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