You are here:

Oral Surgery/To Extract a tooth or Not?

Advertisement


Question
FullSizeRender
FullSizeRender  
QUESTION: Hi

I recently visited my dentist for a general check up and he has suggested the following

Surgical extraction and cleaning of the bony socket tooth 36 is indicated. I have no symptoms or any pain.

ROOT CANAL TREATED, NON VITAL ELEMENTS :36 , WITH APICAL PATHOLOGY,INDICATIVE OF ABSCESS FORMATION, OR A CHRONICALLY PRESENT CYSTIC LESION.
( when looking at the x ray it is the large white area on the bottom right side)

Extraction of a tooth seems quite drastic. I have no idea what I'm looking at on the x ray, so don't know if this is in fact true and if i should have the tooth extracted.

Many thanks for your help. Sacha

ANSWER: Sacha - I can't be sure what that area is without testing you, but I suggest that you see a root canal specialist.  It does not look like an infection, a reason for root canal treatment.  I agree with you that the extraction of the tooth does sound drastic.

So look for a root canal specialist (endodontist) for an evaluation to determine if the tooth actually needs root canal treatment.  

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

QUESTION: Thank you for your response. The tooth has already had root canal treatment on it about 10 years ago. The dentist is saying that there is a abscess forming which is why he believes it should come out.

Answer
There are two options.  The tooth can be saved with a procedure called an apicoectomy.  If not an exraction would cure the problem.  Are you having symptoms of pain with that tooth or throbbing?  The infected area is quite small and if you are having no pain, I would suggest that the area is just watched at this time to see if it expands.  

Oral Surgery

All Answers


Answers by Expert:


Ask Experts

Volunteer


Joel S. Teig, DMD, Diplomate ABOMS, retired

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

©2016 About.com. All rights reserved.