Topic: dental issue- sinus bone lift/implant or bridge?
Marz
Frequent Contributor (1K+ posts)
Member # 3446
posted
I saw endodontist for tooth with abscess. Never had pain or any discomfort with this tooth.
I know root canals are bad, but sort of talked myself into it cuz didn't want bridge or empty space either.
Turned out whenI went for consult with endo and he took his x-ray he's not sure that he can do root canal until he'd get in there because there's calcification.
So an oral surgeon would be standing by to pull the tooth and raise my sinus which sounds horrible when I read about it. After 6 months, an implant.
I think the occasional dull ache in eyeball and sinus drainage might be from sinus infection. That side is always more plugged than the other. Naturopath and LLMD kind of agreed. Both are against root canals.
But I'm not sure if the drainage/eye things are related to a symptom free tooth for sure.
I'm wondering about the sinus lift etc if I already have a sinus infection.
The endo said the tooth could cause the infection. And I've read the other way around?
Anyone with experience???
I'm really agonizing about this!!!
Posts: 1297 | From USA | Registered: Dec 2002
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Just FYI. Before doing anything major, it's always wise to get a second opinion unless you are completely confident in the person that you are working with. In each State there are various Universities that have Dental Schools. Call your State Capitol Board of Dentistry for a list of dental schools. You can make an apt for a second opinion if you decide to. You can make an apt with a dental student who is overseen by a Dental Professor or with the Dental Professor alone.
Posts: 653 | From Northern Virginia | Registered: Oct 2014
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dbpei
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Member # 33574
posted
It sounds like you have a very good endodontist who wants to do no harm. Many of my troubles began after getting a root canal, that eventually failed. I ended up getting a dental implant in its place and 5 years later, had the implant removed.
My facial nerves seem to be damaged, as are auditory and vestibular nerves. Some of the doctors I have seen tell me I have an 'atypical' form of trigeminal neuralgia. I don't know if it is related to past sinus infections, dental infections or tick borne illness. Perhaps all.
My hearing is gone in one ear, on same side as the dental work. Now I have a constant sizzling sensation in that side of my face and head. Also fluttering and constant tinnitus.
I have seen numerous ENT's and had many sinus scans, as well as mastoid bone scan. Other than a 'benign cyst' at the base of my sinus, where it appeared the implant had penetrated, everything looks normal. I am told I should have had a sinus lift with implant placement, but never did.
However, the doctors don't think this would have caused the symptoms I live with today. I have consulted with many excellent oral surgeons about this. I know it is not normal to have the symptoms I do!
Feel free to PM me if anyone here wants to discuss further. Good luck to you, Marz. I know it is a tough decision.
Posts: 2386 | From New England | Registered: Aug 2011
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Marz
Frequent Contributor (1K+ posts)
Member # 3446
posted
Your remark dbpei that you were told later that you should have had a sinus lift helps me with my decision since that's what he wants to do.
I have appt tomorrow to consult with my dentist and then depending on what he says go to endo appt on Mon. or let him pull for bridge.
I was leaving towards bridge.
I searched and read all the posts on this topic and getting so confused.
I won't have time for an ENT before these appts, Lymetoo but could postpone the Mon endo appt.
I am worried if the sinus infection goes up to my eye. But maybe will go away with the tooth gone???!!!
Funny thing is, none of this is painful. Only occasional mild dull ache in eye and hard pressure on that sinus gives a dull ache..
Posts: 1297 | From USA | Registered: Dec 2002
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Marz, I've been in dentistry for years and years.... And I don't know all your specifics, as which tooth #, bone structure, surrounding teeth, etc...
But I would get a second opinion if you could.
I have assisted in many many upper extractions and/or root canals. In 25 years, I've never had a patient that needed a sinus lift...
Doesn't mean you don't need it... I can't see what your xrays show so can't explain what they would look like. I have the license to take xrays, not 'read' them. But....it would depend on how many roots this tooth has, and calcification of roots CAN be cleaned and then filled which means can be a root canal. But again, I can't see what your doctor sees. An Endodontist really can do a root canal on most teeth... if they have a crack in the root, then it's a no brainer to extract.
If your teeth surrounding this tooth are good, you can do the fixed bridge which will be connected to each tooth. They will prep them for a crown basically but it will be what's called a three unit bridge, all connected. It's very non invasive. You would have your extraction and let the gum tissue heal before you would want the final prep for the bridge. That way the bridge is up against how your gum tissue healed.
Either way you go, the abscess on the root of the tooth needs to be treated before anything happens. Antibiotics to calm it down before treatment. In time if you don't do anything with the tooth, it will blow up and hurt eventually.
-------------------- Lyme, Babs, Fry Bug..... Whatever it is, may a treatment be discovered to make us all whole again! Posts: 941 | From AZ-MT | Registered: Oct 2004
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posted
I've done this. The CT Scan should be standard and is def an excellent/critical recommendation.
I too had bad sinus/eye issues that may or may not have been related to the tooth (frankly, sinus/eye has been one of my worst Lyme symptoms which i realized after the tooth thing).
Frankly, i would never again do an implant. It sounded easy enough at the time but i ended up with a perforated sinus (have since learned is not all that unusual) and ultimately i 'expelled' the post anyway (body rejects it). Also more common than you would think.
It was a very expensive mess (and honestly, painful) and i ended up with a bridge that is FINE. Wish so much that i had done this in the first place.
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