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Will That Make The Other One Worse By The Drilling Activity In Teeth?

Posted on Mon, 7 Oct 2024

Question: I have two teeth that are side by side and both have fractures that need to be extracted with an implant. Due to money concerns and one hurting and one dormant, my oral surgeon decided to do one at a time vs. doing both at same time. My question is will having the one tooth done that hurts, will that make the other one worse by the drilling activity, etc or have no adverse affect?

Answered by Dr. Honey Arora (3 hours later)

Brief Answer:
Depends on the condition of the fractured tooth.

Detailed Answer:
Hi.
Thanks for the query.

Well, if the other tooth that you are leaving without treatment Is no vital that is its nerves are dead then there is a possibility that it will not cause any problem if delayed treatment.

But if the tooth has infection and if it is having some sort of pain and sensitivity then it can cause problem.

So better discuss with your Dentist and get treated accordingly.

Hope this helps.

Regards.

Above answer was peer-reviewed by : Dr. Dr. Yogesh D

Follow up: Dr. Honey Arora (49 minutes later)

Hi, doctor and thanks for your answer. Both are root canal teeth and one hurts terrible and the other one has been quiet for years and both found to have no infection. My concern was since they are side by side, that the extensive work needed to be done on the one hurting (extraction, then the implant into the bone) would somehow aggravate the quiet one. However, I believe u say there is little chance of this happening?

Follow up: Dr. Honey Arora (25 hours later)

One last question since my dentist will most likely suggest both teeth be extracted at same time. Both have root canal and there is no pain in biting down but I do have a heaviness type feeling and even some pulling type pain extending into the neck and ear. Could this be a symptom of the two adjacent fractured teeth?

Answered by Dr. Honey Arora (47 hours later)

Brief Answer:
Pain can be related to the tooth.

Detailed Answer:
Hi.
Thanks for writing back.

Well if one of the root canal treated tooth is completely asymptomatic and free from infection then pain in ear extending to neck can be related to the other tooth.
Although there are lesser chances of the painless tooth to flare up after extraction of the painful tooth but as you are going for extraction followed by implant then if possible get both teeth done together to avoid another surgical procedure in future.

Hope this helps.

Thanks.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Honey Arora (3 days later)

Before doing an implant, the periodontist found some gum inflammation and perio pockets around the tooth. He said the conservative approach would be to address this first. Can gum issues such as these cause a tooth to hurt and if so, why?

Answered by Dr. Honey Arora (21 hours later)

Brief Answer:
Gum issue can cause tooth to hurt

Detailed Answer:
Hi
Thanks for writing back.

Yes, deep gun problem can laso cause the tooth from the gum to reflect over the associated tooth.
Addressing gum problem should definitely be done first to reduce infection completely and then you should proceed for implant procedure.

Hope this helps.

Thanks.

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Above answer was peer-reviewed by : Dr. Vaishalee Punj