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Oral Surgery/failed apico, chances of failed implant?


Hi Dr. Teig,

A few years ago i had a root canal done on tooth #9.  The dentist left it open for three weeks of drainage and then completed the RCT.  A year later I returned to have an apico.  Apico was fine until 5 years later when I developed an infection.  I decided to re-do the apico since I couldn't afford an implant.  I do not see any infection (fistula) but from time to time I do have a strange feeling and some slight pain.  The X ray shows a dark area but I 've had the same dark area for years now.  I was told it might be scar tissue.  My next step is an implant, with my history of failed apicos, does this lower my chance of a successful implant?

thank you for all your help!

Sylvia -  It is not the fact that you had a failed apicoectomy, but the main factor in the success of an implant is the quality, skill and knowledge of the surgeon.  There are many general dentists who now attempt the placement of dental implants with a very limited success rate.  The knowledge of the anatomy of the particular area and the surgical ability usually predicts the success of the implant.  For that reason, it is important that the dental implant be placed by a board certified oral and maxillofacial surgeon.  Other dentists who attempt placement are not skilled in the surgical requirements for success and have a very limited success rate.  So find a board certified oral and maxillofacial surgeon and the implant should be successful.

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Joel S. Teig, DMD, Diplomate ABOMS, retired


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.


Board Certified Oral and Maxillofacial Surgeon practicing for over 20 years. Assistant Clincal Professor at State University School of Dentistry.

American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons

BA- University of Connecticut DMD-University of Pennsylvania School of Dental Medicine Oral and Maxillofacial Surgical Residency - Roosevelt Hospital, NYC

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