Cracked tooth - possible to save?

Merowig

Hello

I've got a root canal treatment on my first upper premolar some years ago - three years ago the same tooth got infected again. I've got then a root amputation / Apicoectomy which worked out fine till now.

The dentist checked it out again and the infection returned - looks like I have got a vertical crack (though another dentist of the same group said horizontal crack through both roots.)

Recommended treatment is now extraction and implant. I would prefer though to have the tooth saved at all costs.
Unfortunately no way according to my dentist (who is very good)

Is there any way to seal the crack or do something else? Any help / advise would be highly appreciated.
Send me please a private message for recommendation of a specialist in Ireland or Abroad.

The prospect of losing a tooth is quite depressing for me.

Dianthus

Modern dentistry is such that, with planning, you won't be left with a gap in your mouth at any stage.
Book an appointment with an endodontist at another practice for an opinion from a 3rd source.
Of course as with any loss, there's a grief cycle.
One of my colleagues was out one Friday night after work in the 90s,& spent an hour or so bemoaning the fact he couldn't had to extract a tooth for a patient. The next day he received a letter from his friend (Not a dentist), sympathizing with his troubles but ending with the line "Just remember, at the end of the day, it's just a bloody tooth"! There's always another solution even if you do end up losing it.

WardonGordon

Think of it like this, the root canal bought you some time and the apicectomy bought you some more time.
The tooth is obviously very compromised and you could be better off investing time and money into a replacement.
In general root fractures have very poor prognoses. Dentists try and save teeth at all costs, you said yourself your dentist is very good.

Replacement options like implant retained crowns and resin bonded/conventional bridges have good long term success rates and high levels of patient satisfaction.

Repeating an apicectomy if appropriate removes more bone which is invaluable for implants.

Merowig

Thanks for the responses.

Can some one suggest per direct message please any great endodontist to get another opinion?

Thank you and best regards