How do I minimize risks of internal resorption affecting front teeth relating to #8 extraction/implant
I have two related questions: I have internal resorption on #8 and have been told I need extraction/implant asap. I have had root canal on this and the other 3 front teeth 16 years ago and want to know the risks of delaying surgery on this tooth and the potential risks on neighboring teeth, as there is no pain or looseness but the resorption is quite big. Secondly, once extraction occurs, how can you minimize waiting period between temporary and permanent restorations.
2 Comments on How do I minimize risks of internal resorption affecting front teeth relating to #8 extraction/implant
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Dr. H Ryan Kazemi
11/25/2015
Hi
Root resorption will continue and can ot be slowed down or prevented. Once extracted, in some circumstances, the surgeon can place an immediate implant, otherwise the site can be allowed to heal for 2-3 months first before implant placement. Bone grafting may be also necessary. The implant healing time can be from 3-6 months depending on circumstances and the decision when to temporize and finalize the restoration should be made by the collaboration between the surgeon and the restorative dentist as both need to discuss the key circumstances for the right decision.
Dr. Kazemi
David C. Furnari DDS
11/25/2015
To Answer Your Question:
First of all there is minimal risk of the internal resorption affecting your other front teeth. You may delay the procedure, however you may risk complete fracture of the tooth at an inconvienent time. While the traditional procedures would require you to wear a removable reatainer ( flipper) once the tooth is removed and the site is healing it may be possible to place an immediate implant when the tooth is removed. In some cases, an implant can be used immediately with a prefabricated abutment and a very nice temporary crown can be placed. These cases are known as immediate load implants. Only through a clinical exam and proper screening can a dentist evaluate if this method will be appropriate for you. While this process can be very convienent by minimizing or eliminating the need to wear a removable partial ( flipper) it can also be more costly as the permanent abutment and restoration will still need to be made at a later date.
David C. Furnari DDS
