Q: I had a crown a root canal and crown placed on #14. I have had complications due to an abscess caused by an unsuccessful root canal. I was told by two dentists that I would need an apexectomy and a new crown which will cost over $2000. Apparently, there is no guarantee it will work. I’m thinking of getting an implant. Should I have the tooth extracted or wait to see cosmetic doctor?
A: See an experienced Endodontist who uses a microscope and get an opinion before you extract your tooth. If the Endodontist cannot give you a good prognosis, then seek the services of an experienced laser trained Periodontist to evaluate you for an extraction, possible sinus/bone graft, and implant placement. The laser promotes rapid healing with minimal chances for post-operative infections. You would also need a quality set of digital x-rays for a full treatment plan.
