Horizontal Fracture Tooth Root #22 Option other than extraction?

[elpaso611]

After root canal and retreatment on #22 pain continued.  Endodontist suggested a 3D Xray (cone beam?)  It shows a horizontal fracture about 1/4 distance from tip of of root; also showed another line higher but the oral surgeon who took the Xray said he did not think higher line was a fracture.   Before I went for the 3D Xray Periodontist said it needs to be extracted and to go with an implant.  #22 supports a bridge.  Is there an endodontic procedure that will save the tooth?  I want the best long term solution.  Also I read on the internet that there is a problem with food around a tooth after a root resection.  Is the best solution extraction and an implant?  I will need another implant next to #22 also as the bridge covers that space.

[Gellia]

GOOD LUCK.  Implants are great.  The procedure can seem long, but if you focus on the end result I'll bet you'll be pleased.

Best to you,
Gellia

[elpaso611]

Thanks for the fast reply.  Your answer makes sense and I was leaning that way from what I read on the internet.

[Gellia]

Hi,
IMO your perio is right.  Once the fracture gets below the gumline the tooth usually cannot be saved.  As this is an supporting tooth for a bridge, you would need an implant on the other side also.  Implants can only be bridged to another implant.  

They are, IMO that best way to go though.  With care, the can last a lifetime.'

Good luck and let us know how you do.
Best to you,
Gellia