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Root canal Vs extraction

  • 09-01-2019 2:13pm
    #1
    Closed Accounts Posts: 4,128 ✭✭✭


    Hi all,
    Went to a specialist this morning for a look into if I need a root canal (upper left back tooth, p27 I think he called it).

    He said to me he could do a root canal. But the problem would be crowning it. The current filling goes beyond the gum line. So a crown would not fully protect root canal work.

    I've booked in again for 1st Feb to have exploratory work done (take out current filling/decay/have a look around). e300. Which would be included in bill if I went for the root canal procedure.

    Am struggling with the cost (e1600/1700) for something not guaranteed to work.

    But I feel so weird thinking about taking out a tooth-sad or lonesome or something...

    Am thinking of asking for it to be taken out and an implant put in. Not sure of cost.

    Anyone any advice? Try save the tooth, pay a fortune, get a crown that probably won't last very long.


Comments

  • Registered Users, Registered Users 2 Posts: 10,900 ✭✭✭✭Riskymove


    I had a similar choice previously

    while the implant was more expensive (twice the cost), it "finished the job"

    I reckoned getting a crown that could result in me having more problems in years to come just did not make sense


  • Closed Accounts Posts: 4,128 ✭✭✭dellas1979


    Riskymove wrote: »
    I had a similar choice previously

    while the implant was more expensive (twice the cost), it "finished the job"

    I reckoned getting a crown that could result in me having more problems in years to come just did not make sense

    Ah wow-same train of thought! Yes that's what am thinking too.

    Like, e1700 (root canal and crown) and high risk of the crown not being effective to protect the tooth/root canal work.

    Do you mind me asking, the process you went through for an implant? And the cost? (Pm me if you'd prefer).


  • Registered Users, Registered Users 2 Posts: 10,900 ✭✭✭✭Riskymove


    dellas1979 wrote: »
    Ah wow-same train of thought! Yes that's what am thinking too.

    Like, e1700 (root canal and crown) and high risk of the crown not being effective to protect the tooth/root canal work.

    Do you mind me asking, the process you went through for an implant? And the cost? (Pm me if you'd prefer).

    implant cost about 1500
    then the crown cost 800

    I also needed a bone graft (not everyone does) which was 600


    1. tooth removed
    2. back 6 weeks later for implant but needed graft instead

    3. had to wait 6 months for graft to settle and then implant in

    4. wait 3 months then crown made and put on

    around a year total!!

    Plus I had to get a temporary bridge for the year as it was a front tooth (this was €400)


  • Closed Accounts Posts: 4,128 ✭✭✭dellas1979


    Thanks for the reply/information.

    I feel unusually emotional about all this.

    I can't figure out if I don't try to save the tooth (a part of me), will I be angry/upset at myself.

    It's a very costly process. Rational side is take the tooth out. It's a back tooth.

    Emotional side is try hard as you can to keep it. Even if it fails and does cost a fortune. The thought of giving up on it feels so sad.

    Feel nuts!

    Need a psychologist/dentist lolssss!!!


  • Banned (with Prison Access) Posts: 3,246 ✭✭✭judeboy101


    If its non cosmetic id save the money go on a nice holiday minus a tooth. It's a bit dark but at the end of the day you are just paying for a nice tooth for your skeleton.


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  • Registered Users, Registered Users 2 Posts: 18,126 ✭✭✭✭Idbatterim


    dellas1979 wrote: »
    Hi all,
    Went to a specialist this morning for a look into if I need a root canal (upper left back tooth, p27 I think he called it).

    He said to me he could do a root canal. But the problem would be crowning it. The current filling goes beyond the gum line. So a crown would not fully protect root canal work.

    I've booked in again for 1st Feb to have exploratory work done (take out current filling/decay/have a look around). e300. Which would be included in bill if I went for the root canal procedure.

    Am struggling with the cost (e1600/1700) for something not guaranteed to work.

    But I feel so weird thinking about taking out a tooth-sad or lonesome or something...

    Am thinking of asking for it to be taken out and an implant put in. Not sure of cost.

    Anyone any advice? Try save the tooth, pay a fortune, get a crown that probably won't last very long.

    Ive had to do a root canal, I think it was E500 and crown is E700. This is from the best dentist Ive had here in Dublin by a mile. I have had bad experiences with dental implants and given my experience with them, I personally will avoid them at all costs. The first one on a bottom tooth failed. I then went to get an implant on a top tooth and the implant didnt take, TWICE!

    I am looking after my teeth incredibly well now, BUT I would never lose natural teeth for an implant, ever! Yes the implants are great when no other option, but I would not be losing teeth unless there is no other choice. My dentist always said that too, thats its a last resort and given my experience with implants, I totally agree. The implant place is also based in Dublin btw...

    you should get 20% refund from revenue off the dental work for crown and implant work... FYI I just went onto my dentist page and this is the costs she has given...

    Root Canal Treatment

    Anterior Teeth:
    €350

    Premolar Teeth:
    €400

    Molar Teeth:
    €550

    Crowns

    Core / Post Preparation
    €100

    Crown:
    from €595

    I also had to pay E150 an xray of my mouth in a place in ranelagh somewhere. Maybe the cost of your implant includes that... also I had to pay E600 artificial bone graft for one of the implanted teeth! Id be checking all this with your dentist first if I were you op!


  • Registered Users, Registered Users 2 Posts: 1,663 ✭✭✭wench


    Riskymove wrote: »
    I had a similar choice previously

    while the implant was more expensive (twice the cost), it "finished the job"

    I reckoned getting a crown that could result in me having more problems in years to come just did not make sense


    I did the same, and I'm glad I did.
    A bit more expensive at the time, but I've had 12 years trouble free now.


    Do you smoke? It can make quite a difference to the success rate.


  • Closed Accounts Posts: 9,057 ✭✭✭.......


    Guy in my job was faced with same choice 2 years ago. It was a back tooth.

    He said he just couldnt justify the cost and had it out. I have asked him since if he misses the tooth - he says no, not at all. Doesnt even notice its gone apparently.

    Now obviously, you dont want to lose one for no good reason, but in your case if the root canal might fail anyway......

    Id just have it out and forget about it.


  • Registered Users, Registered Users 2 Posts: 18,126 ✭✭✭✭Idbatterim


    ....... wrote: »
    Guy in my job was faced with same choice 2 years ago. It was a back tooth.

    He said he just couldnt justify the cost and had it out. I have asked him since if he misses the tooth - he says no, not at all. Doesnt even notice its gone apparently.

    Now obviously, you dont want to lose one for no good reason, but in your case if the root canal might fail anyway......

    Id just have it out and forget about it.

    one thing about this and I am about concerned about it now. I am wondering is it doing more damage to potentially other vulnerable teeth beside it as they are taking more of the strain...


  • Closed Accounts Posts: 3,502 ✭✭✭q85dw7osi4lebg


    Had two failed root canals in the past, no recourse. Had another tooth pulled Monday night, second from the back. Don't miss the tooth, can always get an implant.


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  • Registered Users, Registered Users 2 Posts: 31 WardonGordon


    Hi,

    You need to ask yourself if it is worth putting more money and time into something with no predictable long term outcome or very poor outcome.

    There comes a point when you are better investing in a replacement which can have more predictable and successful outcomes.

    You would have to question how much you would miss 27 because in my experience many people choose not to replace teeth this far back especially if they have a full dentition.


  • Closed Accounts Posts: 9,535 ✭✭✭btkm8unsl0w5r4


    Save the tooth if the financial burden is not going to impact your life too greatly and there are not other teeth in your head more toward the front that need work that would not receive it because of the investment in this tooth.

    Tooth loss has long term consequences or over-eruption of the opposing teeth/tooth and drifting and tipping of the adjacent teeth. It also accelerates tooth wear if your prone to it.

    Implants are a great replacement for a missing tooth, but no replacement for a tooth if you know what I mean.


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