Pull tooth or get implant??

[INeedLove]

Hi all. I had a root canal but afterwards my tooth broke lengthwise. My dentist couldn't get enough of the tooth to create a good crown base. He recommends extraction. It's apparently a more complicated extraction so I'm being referred to an oral surgeon. I have to choose whether to go with an implant or not once it's pulled. It's tooth #2. I'm leaning towards just pulling it. The implant process is lengthy and a bit expensive. My dental insurance isn't great and frankly I don't want to mess with it anymore. Are there cons to leaving that space empty?

My other question is about the procedure. I can get it done with a local or they could even put me under. How gruesome is the procedure? Are the sounds of breaking teeth awful? I'm freaking out a little--if you can't tell

I appreciate any advice. I've never had to deal with this.

 

[loveroflove]

Hi all. I had a root canal but afterwards my tooth broke lengthwise. My dentist couldn't get enough of the tooth to create a good crown base. He recommends extraction. It's apparently a more complicated extraction so I'm being referred to an oral surgeon. I have to choose whether to go with an implant or not once it's pulled. It's tooth #2. I'm leaning towards just pulling it. The implant process is lengthy and a bit expensive. My dental insurance isn't great and frankly I don't want to mess with it anymore. Are there cons to leaving that space empty?

My other question is about the procedure. I can get it done with a local or they could even put me under. How gruesome is the procedure? Are the sounds of breaking teeth awful? I'm freaking out a little--if you can't tell

I appreciate any advice. I've never had to deal with this.

tooth number 2 is sooooo far in the back that unless you have a very wide smile no one will notice it!
as far as a dental implant they are not that bad! they will hurt for the first few days because they do have to drill though bone but i was awake when they did mine!
another option if you dont have the money now is a dental bridge. this is only if you have tooth one and 3, they can cap those two and connect them
if/when you have teeth pulled it does hurt, but mostly because the put a shot of novicane in the roof of your mouth, also you will feel alot of tugging but no pain. once the novicane wears off then make love to the bottle of pain meds they give you! also a little clove oil helps, dab it on the gums above that tooth (dilute it some)

 

[Zeb_Carter]

Leaving a hole there will cause the other teeth to move to fill the void. You may want to look into a bridge that will fill the space with a fake tooth that will be attached to the other teeth around it. Talk to the oral surgeon. I know that implants are what they suggest now, because it's easier for the dentist/oral surgeon.

 

[Hypoxia]

Is there a dentist in the house?

If not, suspect all advice here.

Our expertise is mostly elsewhere.

 

[amofiga]

Leaving the space open will allow the surrounding teeth to "drift in" and could also loosen up with time. Check with the oral surgeon and get a second opinion. If you rood canal the tooth and there is at least some solid structure, sometimes they can put a steel post in the old root and anchor a crown. Probably cheaper than the implant.

Extraction can be done with a local but with what's happened to you (I had it happen too) I chickened out and had a general. It wasn't too bad. NOT like a general for major surgery.

 

[amofiga]

PS: I'm not a dentist. I'm not sure what tooth #2 is. If it's something visible, you might also want to consider a crown tied to the surrounding teeth. My wife had that. Better than a removable bridge and also probably cheaper than an implant.

 

[loveroflove]

PS: I'm not a dentist. I'm not sure what tooth #2 is. If it's something visible, you might also want to consider a crown tied to the surrounding teeth. My wife had that. Better than a removable bridge and also probably cheaper than an implant.

tooth #2 is the to right tooth beside the wisdom tooth. i had #4 10 12 &15 removed. 12 is a bridge and 10 is a implant 15 is nothing and so is 4

 

[Psychprofgal]

No Implants

It was recommended to me many times in my life because I am only a B cup. It was popular, but I refused. I always thought that mine were enough. Nicely shaped and firm. My nipples are very prominent and it was embarrassing so I tried to hide them. I am glad I didn't do it. However, I had great problems with my teeth, and I would not exchange the issues.

However, you do whatever makes sense for you.

Sincere and sympathetic,

Psychprofgal

 

[amofiga]

If #2 is that far back, you may as well get it extracted, especially if it's not between two teeth to bridge or have a bridge cap. Then again, I know someone who got implants and she said it wasn't too bad. I suppose it depends on the individual and the dentist.

 

[albertaboy]

Tooth # two is actually the tooth one off dead centre.

I have a similar problem with my right Canine, it is broken down and there isn't enough left of it to prep for a crown.

I will be getting an implant in the course of a larger treatment plan.

 

[Bramblethorn]

It was recommended to me many times in my life because I am only a B cup. It was popular, but I refused. I always thought that mine were enough. Nicely shaped and firm. My nipples are very prominent and it was embarrassing so I tried to hide them. I am glad I didn't do it. However, I had great problems with my teeth, and I would not exchange the issues.

I think the OP is talking about dental implants, not breast implants.

 

[gypsyTX]

Tooth # two is actually the tooth one off dead centre.

I have a similar problem with my right Canine, it is broken down and there isn't enough left of it to prep for a crown.

I will be getting an implant in the course of a larger treatment plan.

Not in the US. Here dentists start counting top right going left then continue from bottom left going right, so your wisdom teeth are 1, 16, 17, and 32.
More info on that here.


I am not a dentist either.

Missing #2 won't affect the smile, but it might affect the way she chews her food, and as others mentioned, the surrounding teeth will shift which can cause further problems. There is also the corresponding tooth on the bottom, in a perfect world that would be # 31, which without the pressure from #2 can "erupt" more.

Another thing I took into consideration when opting with the implant is bone loss in the jaw. You can read more on that here: http://www.deardoctor.com/articles/hidden-consequences-of-losing-teeth/

 

[GiggLeGasm]

Just something to consider..
dental extractions can sometimes be covered under your medical insurance instead of dental. the coverage will be better, usually it involves the copay that you would pay a specialist. If applicable,you can check your medical provider to ask about oral surgeons on your plan. Once you select an oral surgeon, they can usually tell if it will be covered by looking at your X-ray.

 

[pplwatching]

Dental extractions can sometimes be covered under your medical insurance instead of dental. the coverage will be better, usually it involves the copay that you would pay a specialist. If applicable,you can check your medical provider to ask about oral surgeons on your plan.

Great point. The trick is to work with a medical doctor, rather than a dentist. Sometimes they can both perform the same procedure, but use a different billing code.

 

[ToysAreUs]

I had a Wisdom tooth extracted about ten days ago and the Dentist used a fairly new technique, 'single tooth anesthesia' which is terrific and virtually painless. The entire process including x-rays took just over half an hour.

 

[SweetErika]

I had the same thing happen last year. My dentist charges a fortune for general anesthesia, so I opted for oral sedation with a benzodiazepine instead.

The surrounding lower molars also need crowns, so my best option is a bridge. I'm just looking at getting started on that whole process, and haven't decided what type of bridge I'll go with yet.

Another huge disadvantage of a missing tooth is bone loss. Without a bone graft (about $500) or implant ($1500+), the bone will recede from that space. And as I'm sure you know, that means the surrounding teeth have less support and are more likely to have problems down the road.

In light of this, I will opt for the bone graft, implanted post, or an actual implant to preserve the bone. I don't need any other factors working against my teeth!

 

[INeedLove]

Thank you very much for your support and words of wisdom. This has been one of those "if anything can go wrong, it would go wrong with this" sorts of situations. If I can swing it, I will get the implant. My appointment is in a week and a half to get this rolling.

Have a terrific weekend!!

 

[coati]

No implant for me, either

It was recommended to me many times in my life because I am only a B cup. It was popular, but I refused. I always thought that mine were enough. Nicely shaped and firm. My nipples are very prominent and it was embarrassing so I tried to hide them. I am glad I didn't do it. However, I had great problems with my teeth, and I would not exchange the issues.

However, you do whatever makes sense for you.

Sincere and sympathetic,

Psychprofgal

Similar to Psychprofgal, people recommended that I get an implant after prostate cancer surgery. However, my cock still got hard with medication or with a penis pump, so I stayed with what I had. I am glad I did not get the implant. However, I had great problems with my teeth, and also would not exchange the issues.

A terminal wise-ass,
Coati