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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Infection In Teeth

I have a root canal and a cap on the lower front bottom tooth. The adjacent five teeth are also capped. I now now a shadow around the gum( with no pain).
My dentist says it is best to remove the four bottom teeth and put a bridge with the bottom canine teeth as the anchors.
I was always taught it's best to keep your teeth. He says the roots are very shallow and the bridge would be strong. Once a shadow appears, there is infection. Thank you I advance.
Fri, 8 Aug 2014
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Dentist,  's  Response
Hello,
Your periodontal health needs to be considered when making a choice for placement of crowns and bridges. Healthy bone support will lead to a good long term prognosis. If a tooth has reoccurring infection, bone support loss, thin tooth structure or a small percentage of root in bone, there is a good risk of fracture. If you have new crowns and a tooth fractures, then these new crowns would need to be replaced to place a fixed bridge. Another option involving a single tooth or multiple teeth would be to consider an implant. I always encourage my patients to keep natural teeth when possible and often consider implants as an option to a fixed bridge.
Thank you for your inquiry. Please consider an evaluation by a periodontist if you have concerns about the strength of your bone support for your teeth. This will help you make an informed decision.
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Dentist,  Dr. Dr. Rohit S Menon's  Response
hellooo...read thru ur query...i am also a person who feels that preserving ur natural teeth is best..but i can tell this only thru ur descrption ..dentist who has seen u knos the clinical presentation better...in my personal opinion i will tell u to go for a second opinion (not that ur dentist is bad but before getting extracted better to have another opinion)..i feel that as far as u dont have any pain (just shadow) u should wait for sometime..as sometimes it may disappear or if it pains then u can go for required treatment..as for now better be happy and preserve ur natural teeth...think and decide...hope ur benefitted something from this reply..have a healthy day!!
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Suggest Treatment For Infection In Teeth

Hello, Your periodontal health needs to be considered when making a choice for placement of crowns and bridges. Healthy bone support will lead to a good long term prognosis. If a tooth has reoccurring infection, bone support loss, thin tooth structure or a small percentage of root in bone, there is a good risk of fracture. If you have new crowns and a tooth fractures, then these new crowns would need to be replaced to place a fixed bridge. Another option involving a single tooth or multiple teeth would be to consider an implant. I always encourage my patients to keep natural teeth when possible and often consider implants as an option to a fixed bridge. Thank you for your inquiry. Please consider an evaluation by a periodontist if you have concerns about the strength of your bone support for your teeth. This will help you make an informed decision.