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Root canal vs tooth extraction

[Deleted User][Deleted User] Posts: 173
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Hi all, was wondering whether someone could give me some advice.
I've been having issues with one of my lower molars the past 10 days. I had a filling put in a couple of years ago after a very deep cavity, 10 days ago it became very painful and even more sensitive to hot and cold things, to cut a long story short, Dentist thought maybe filling was leaking so this was replaced, didn't work and pain seemed to worsen. Had another xray, which shown some infection between roots, have been on two types of antibiotics in last 10 days, initially seem to help but then pain returns even with a variety of pain relievers and home remedies. I'm booked in for root canal treatment on Thursday, but at this moment I'm unsure what is going to be best, root canal or just to have te tooth completely removed, what is everyone else's opinions? Would prefer to keep my tooth but I just hope the pain subsides after a root canal! The thought of having my tooth out terrifies me!
Thanks x
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    DinkyDooDinkyDoo Posts: 3,588
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    Hi all, was wondering whether someone could give me some advice.
    I've been having issues with one of my lower molars the past 10 days. I had a filling put in a couple of years ago after a very deep cavity, 10 days ago it became very painful and even more sensitive to hot and cold things, to cut a long story short, Dentist thought maybe filling was leaking so this was replaced, didn't work and pain seemed to worsen. Had another xray, which shown some infection between roots, have been on two types of antibiotics in last 10 days, initially seem to help but then pain returns even with a variety of pain relievers and home remedies. I'm booked in for root canal treatment on Thursday, but at this moment I'm unsure what is going to be best, root canal or just to have te tooth completely removed, what is everyone else's opinions? Would prefer to keep my tooth but I just hope the pain subsides after a root canal!
    Thanks x

    I had a root canal done and didnt feel any pain in the tooth at all after, I never have. I cracked the side off it and still didnt feel any pain. I understand when they do a root canal they kill the nerves in the root? My root canal filled tooth feels quite dead when I tap it compared to the other teeth (mind you it is almost 80% filling now:blush:)
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    wenchwench Posts: 8,928
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    Root canal first, extraction is your last resort and should only be for teeth that can't be saved.

    The root canal will remove all the nerves in the tooth which should prevent any further pain.
    It will be initially sore after the work is done but that will subside after a few days.
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    shantomshantom Posts: 2,264
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    I had repeated abscesses and the option was a root canal or take the tooth out - I wanted the tooth out but the dentist wanted to try the root canal first.

    I'm glad I listened to her as I've had no problems since (touch wood).
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    MartinPickeringMartinPickering Posts: 3,711
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    I've had three root canals so far and no problems. I would add that, here in Greece, they are half the price of treatment in the UK. If you need more than one, it's worth taking a holiday!
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    [Deleted User][Deleted User] Posts: 382
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    I am 60 go for root canal the tooth will last for years pain free
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    TyrTyr Posts: 625
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    A couple of years back I opted to have an extraction over a root canal, for financial reasons above all else. Big mistake, the extraction itself was one of the single most excruciating experiences of my life. Turns out, local anaesthetic isn't very effective on me. Wish I had known that before......
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    StressMonkeyStressMonkey Posts: 13,347
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    Although I had an extraction I would strongly suggest you try the root canal frst.

    Extraction was quick, low pain and easy. But I have been left with a gap that has affected my speech even though it is a molar.
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    [Deleted User][Deleted User] Posts: 3,234
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    Always try to save any teeth you can, because even the loss of a single tooth can affect the look of your face.

    I have an upper molar missing on the right side of my face and my face is a bit saggier and older looking on that side. It's not dramatic but you can still see it. It lacks the healthy-looking plump smoothness of the opposite side of my face. I know if I had the tooth I'd look younger, and if I lost the opposite molar, and both sides of my face were the same, I'd look three to five years older.

    I tried the root canal on it, but it failed and I couldn't afford another one.

    My mum however had a root canal 50 years ago in a molar and it's still going strong - never a bit of trouble with it since.
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    [Deleted User][Deleted User] Posts: 32,379
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    shantom wrote: »
    I had repeated abscesses and the option was a root canal or take the tooth out - I wanted the tooth out but the dentist wanted to try the root canal first.

    I'm glad I listened to her as I've had no problems since (touch wood).

    I had root canal for the same reason. It lasted about 5 years before I decided to have it out. It never worked for me.
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    [Deleted User][Deleted User] Posts: 32,379
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    Dolls wrote: »
    Always try to save any teeth you can, because even the loss of a single tooth can affect the look of your face.

    I have an upper molar missing on the right side of my face and my face is a bit saggier and older looking on that side. It's not dramatic but you can still see it. It lacks the healthy-looking plump smoothness of the opposite side of my face. I know if I had the tooth I'd look younger, and if I lost the opposite molar, and both sides of my face were the same, I'd look three to five years older.

    I tried the root canal on it, but it failed and I couldn't afford another one.

    My mum however had a root canal 50 years ago in a molar and it's still going strong - never a bit of trouble with it since.

    Never noticed any difference in my face (ugly anyway:)) i've had one molar and two wisdom teeth removed.
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    elliecatelliecat Posts: 9,890
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    Dolls wrote: »
    Always try to save any teeth you can, because even the loss of a single tooth can affect the look of your face.

    I have an upper molar missing on the right side of my face and my face is a bit saggier and older looking on that side. It's not dramatic but you can still see it. It lacks the healthy-looking plump smoothness of the opposite side of my face. I know if I had the tooth I'd look younger, and if I lost the opposite molar, and both sides of my face were the same, I'd look three to five years older.

    I tried the root canal on it, but it failed and I couldn't afford another one.

    My mum however had a root canal 50 years ago in a molar and it's still going strong - never a bit of trouble with it since.


    I have never noticed that in my face and I am missing molar's on both sides on the upper and lower jaws (1 on each side on the Upper and Lower were taken out for a brace when I was younger, another one was taken out before Christmas and I had a wisdom tooth out in January) I am also missing other teeth as they were never there in the first place, at least my wisdom teeth had space though. Maybe it's because my jaw is small but I notice no difference in how I look and I don't look older either.
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    paralaxparalax Posts: 12,127
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    A no brainer for me, root canal. More expensive, and tedious to sit through, (take some music) but you get to keep the tooth, and with nerve left, no more pain. It can be a bit sore for a couple of days afterwards due to the inflammation from the treatment, but nothing paracetamol can't deal with. Then you should get it crowned.
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    BoselectaBoselecta Posts: 1,640
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    I had my bottom front molar out last year after months of grief with it... it was quite a small tooth compared to rest of my teeth and I thought I'd barely miss it. However, it's made a surprising difference to my ability to chew and I now take twice as long to finish my meals. In hindsight I maybe should have gone for the root canal work the dentist was offering. I should say that any major work I've had in the past has always gone wrong in the longrun and that influenced me to just say "take it out and no fannying around please"!
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    Galaxy266Galaxy266 Posts: 7,049
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    It's got to be a root canal treatment every time. All teeth should be saved wherever possible, and if a root canal treatment will make this possible, then so be it.

    I've had this treatment a couple of times during my lifetime. I didn't feel any pain but the worse thing about it is having to keep your mouth open for such a long time. It's a really long proceedure time-wise. I would think something like one hour in total. The dentist may do the whole thing in one go, or he may complete it over a couple of appointments.
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    [Deleted User][Deleted User] Posts: 173
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    Thanks for all your replies, much appreciated! I'm still going to stick with my root canal treatment on Thursday. Is there any special aftercare for it the days after? I'm sure my dentist will go over everything with me but would just like to know in advance.

    Your replies are all so much appreciated - thankyou!
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    Lou KellyLou Kelly Posts: 2,778
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    OP, if you don't mind me asking, how much is your root canal costing? I've been told I might need it on Saturday if the nerve gets exposed during a procedure I'm booked in for and she's quoted me £390, as opposed to the £90 for a filling.
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    Bedlam_maidBedlam_maid Posts: 5,922
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    Root canal. It sounds painful but it's not.
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    [Deleted User][Deleted User] Posts: 173
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    Don't worry Lou Kelly, having it done on the NHS not private, so £48 for procedure itself, unsure of any further costs thou? Unsure whether that will be for the whole procedure or whether that will be for each appointment I have for the root canal work x
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    lemonbunlemonbun Posts: 5,371
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    Lou Kelly wrote: »
    OP, if you don't mind me asking, how much is your root canal costing? I've been told I might need it on Saturday if the nerve gets exposed during a procedure I'm booked in for and she's quoted me £390, as opposed to the £90 for a filling.

    I paid £400 for a root canal on a back molar with a specialist in root canals. My own dentist would have charged less, but she recommended the specialist as their success rate is better for 'difficult to get to' teeth. My dentist did the crown much later - that was about £300.

    Other dentists in the area charge much more.

    If you can afford it, pay to save your teeth - it really is worth it when you are older.
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    TyrTyr Posts: 625
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    Dolls wrote: »
    I have an upper molar missing on the right side of my face and my face is a bit saggier and older looking on that side. It's not dramatic but you can still see it. It lacks the healthy-looking plump smoothness of the opposite side of my face. I know if I had the tooth I'd look younger, and if I lost the opposite molar, and both sides of my face were the same, I'd look three to five years older.

    Are you sure thats not caused by chewing on one side of your mouth? Your cheeks are full of muscles, and if you don't use them they will wither and look less toned. I used to chew on the right hand side of my mouth exclusively and it made the cheek slightly larger than the other. So I switched sides and after a few months it all started to even out, now I try to chew on both sides evenly. I also have two molars missing on my left hand side, top and bottom.
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    michael37michael37 Posts: 2,622
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    Aftercare is the same as for a normal filing. It's really no big deal at all.
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    TomGrantTomGrant Posts: 4,251
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    Definitely go for root canal.

    I had one done a couple of weeks back on the NHS - £48 and literally no pain. You can feel the pressure of them inside your mouth, but that's it. Totally restored my faith in dentists and alleviated me of my phobia of them!

    Good luck today, you'll be fine :)
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    [Deleted User][Deleted User] Posts: 173
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    Hi all, had my 1st part of my root canal treatment today and it went fine, no where near as bad as I feared! Just can feel the pressure and is quite a weird sensation, and tooth pain seems to have vanished! What I found most difficult was swallowing and keeping my mouth open for 2 hours!
    Thank you all for all your help!
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    stvn758stvn758 Posts: 19,656
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    I'm having a back tooth extracted in a few days. Have no idea why they can't save it - it's below the gum line they said. Well a Dental Implant is below the gum line so why can't they just fill it in with some composite and save me the pain. Both a Private and NHS dentist said the same thing, but really it sounds an easy job to do, rebuilding a tooth. :(
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    [Deleted User][Deleted User] Posts: 3,234
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    elliecat wrote: »
    I have never noticed that in my face and I am missing molar's on both sides on the upper and lower jaws (1 on each side on the Upper and Lower were taken out for a brace when I was younger, another one was taken out before Christmas and I had a wisdom tooth out in January) I am also missing other teeth as they were never there in the first place, at least my wisdom teeth had space though. Maybe it's because my jaw is small but I notice no difference in how I look and I don't look older either.

    Elliecat :) and Woodbush :) I'm sure it depends on the person, and how their individual mouth is - that's why I said it can affect the appearance of your face - no certainties here. If you needed extractions for braces, I should think - though no dentist - your mouth was what they call overcrowded at the lower jaw anyway, which would mean that the loss of those molars wouldn't affect you in the way they would someone like me who would be left with huge gaps.

    It can also be attractive in some people to have missing back molars. It can emphasise the cheekbones and make them look higher. I have read that it was the fashion in the early 20th century to have your back teeth extracted for this reason, and that Joan Crawford was one who followed this trend to have all her back teeth extracted. I'm actually an admirer of the hollow cheeked look on the right person - it's romantically gothic - but it doesn't/wouldn't suit me, as I already have very high cheekbones.

    The thing about saving teeth from the science of it point of view, as I understand it, for anyone reading who's unaware of this, is that as soon as a tooth is lost, a person starts to loose the bone it was set in and this can wither the face and jaw down, and cause facial sagging - it almost certainly will, for anyone who looses a lot of teeth, and the more teeth you loose, the more strain on the remaining teeth, meaning they're at risk of being lost too.

    It doesn't actually help much to get a denture or bridgework, as with both of those the bone will still be lost, but dental implants do preserve bone. They're very expensive here but there are good bargains to be had for dental implants some places overseas.

    I probably should have said, always try to save your teeth unless for example you've decided that a higher cheek boned look is what you prefer to good chewing ability and your current appearance.
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