Hi, I have a cracked tooth that developed an abscess. I originally posted on the question about swollen cheeks and abscesses, but I haven't had a response and my situation has changed, so I'm posting a new topic.
I've been to two dentists and one endodontist this week. (I thought it best to go to a dentist on my insurance plan when I realized how expensive this would all be, which is why I went to the second dentist.) The tooth is cracked and dead. It has had no prior dental work.
Today I went to the endodontist for the root canal, and he looked at the X-rays and said the tooth is hopeless. He said he could tell this from bone loss above the gum line evident on the X-ray. (The tooth is #13.) So he referred me to an oral surgeon.
However, the two dentists I saw this week both said you can't really know if the tooth is hopeless without drilling inside it and visually inspecting where the crack ends.
Now I don't know what to do:
1. Go for a root canal with the dentist not on my insurance and leave open the possibility that he'll extract the tooth, if he finds it's beyond repair upon examining its internal structure - OR
2. Just have the tooth extracted.
The first option seems like a no-lose, EXCEPT that a cousin who's a dentist said if the tooth needs to be extracted, it really ought to be done by the surgeon who will do the implant.
Also, it's possible to do the root canal and crown and still need an extraction later, which would really be regrettable.