The hottest bitch you know ([info]strand3d) wrote in [info]dental_nursing,

failed root canal tooth extraction?

My boyfriend who is almost 28 has had a lot of dental problems due to not having dental insurance for a really long time and not taking care of his teeth when he was younger. His job doesn't offer dental insurance so he bought a plan offered in our state which is decent and at least covers some stuff. Last October he underwent two root canals and that was that. They were causing him a lot of pain at the time but after the root canal things were fine. Cut to this week he had an appointment with an oral surgeon to have his wisdom teeth pulled. They x-rayed his teeth and told him that one of the teeth he had a root canal on ( #19) was really really infected, to the point where they weren't sure if it could be saved. He's lost quite a bit of bone according to the xray. We postponed the wisdom teeth removal, went back to the general dentist and he referred us back to the dentist who preformed the root canal. She said after doing a test of the gums around the tooth (which she said involved poking the gums and if one side goes really deep that means the tooth is cracked) that the tooth is cracked in the middle and not salvageable.

Obviously this was seriously upsetting news after the all the money dumped into the root canal and crown not to mention the potential cost of an implant and not having a molar on one side of the mouth for awhile. We asked the insurance for a second opinion but in the mean time my question, is there any way she's wrong about this? She was very certain that the tooth couldn't be saved, but i just don't see how it's that simple and there isn't a possibility that once they open the tooth that it could be saved.

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[info]silentmonster

August 15 2008, 04:10:14 UTC 3 years ago

sorry, but this sounds like very bad news for the tooth. if she measured the gums and one part was very deep and the rest was very shallow, it indicates a cracked tooth (a vertical root fracture - very bad). it's not something you can fix by going inside the tooth. when there is a crack, it goes all the way to the outside of the root. there is no other option but to pull it in cases like this. obviously i didn't see your boyfriend or the xrays so make sure you talk to your dentist. in other words, i can't say for sure without actually examining him, but what you are describing is not something that can be saved.

[info]silentmonster

August 15 2008, 04:16:31 UTC 3 years ago

also, it is going to be very hard to recoup your $$ on this - it is possible your dentist might be extremely generous and give you a credit for the implant (if she does it herself), but very unlikely. it's generally not something caused by the treatment itself, but by the fact that the tooth was diseased and lost structure among other possibilities. when a tooth is diseased enough to need a root canal, it's structural integrity is weakened. Crowns can help protect against that kind of fracture, but cannot prevent all cases.

sorry for the bad news.

[info]strand3d

August 15 2008, 04:35:17 UTC 3 years ago

Ugh how terrible :( this is what happened she said at one point it went down really far in the gums. The dentist we saw for the root canal wont be the one extracting the tooth or applying the implant so i guess we're out of luck on the money dumped into the tooth. We're still going to get a second opinion with someone else hopefully next week and they do implants so i guess we'll see what happens from there. My bf works the night shift and goes to school so it's going to be hard to find time to do all this. I'm worried about leaving the tooth in too long without treatment i don't want him to get sick as its already eating bone. He is on antibiotics though but i don't know how much good it does. I just hate that he'll be missing a molar for so long considering how long implants take to finish.

[info]drkatie99

August 16 2008, 23:12:41 UTC 3 years ago

I agree that it doesn't sound so good. :o/ Hope everything turns out well and that he can get it taken care of without further incident.

BTW, is that your kitty? Gorgeous!

[info]strand3d

August 16 2008, 23:36:16 UTC 3 years ago

Yeah :( thanks for the well wishes. I actually found some information online that it is possible to fix a vertical fractured tooth with a special bonding agent. But i don't know how hard it will be to find a dentist who knows anything about it but it's worth looking into at least.

Yes that's my kitty. Thank you i think he's pretty too :)

[info]edholden33

October 7 2008, 17:13:13 UTC 3 years ago

Woh.

That sounds ridiculously painful (physically and financially). I feel bad for all the hassle the two of you have gone through. Yikes!

Anyone know of a good Great information on how toChicago Dentist

[info]strand3d

October 7 2008, 17:24:18 UTC 3 years ago

Re: Woh.

Yeah, it's been really sucky. We got the same answer with the second opinion so now we're in the process of having the tooth extracted. My bf isn't having any pain so he's been procrastinating with having it pulled but we'll get it done soon. Then onto the $5,000 implant! geez.
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