Hi mam I can understand that continuous dental procedures will be scary and irritating. As of now we need some time to check both abutment tooth conditions and regarding the implant procedure. Your dentist may have suggested an implant because of your age and also it is a better option as it will not involve other teeth.But you can take 3 months time  to decide meanwhile your extraction site will be healed and you will have adequate bone level also. On the opposite side wait for sometime to check the abutment condition. Sometimes RCT can fail due to unavoidable circumstances mam. But still every dentist try to save the tooth mam. Hope you can discuss with your dentist and continue your treatment mam.

Hi , I get that too many dental procedures can be scary but let’s just deal one procedure one at a time. U can just wait n watch with that abutment tooth. Let’s give it some time if the pain subsides then there no need for rct. And later on with proper X-ray of that tooth will get an idea whether that tooth actual needs a rct. Regarding the implant, as just now the extraction is done give it time to heal properly don’t have to rush for an implant now. But I would suggest don’t wait also for too long. It takes atleast 4 weeks to heal any extraction site then later u can decide for an implant in that area . Knowing your age implant is a very good option .

I understand why you’re feeling anxious, especially after having multiple dental procedures recently. From what you’ve described, it is important not to assume that you will definitely need another RCT or that the bridge has to be replaced immediately. Mild sensitivity and a dull ache after removal and re-cementation of a long-standing bridge can occur due to irritation of the supporting tooth/teeth, and sometimes it settles as the tooth and surrounding tissues recover. However, if the pain persists, worsens, occurs spontaneously, or becomes more pronounced with biting, the abutment tooth should be clinically examined and its vitality checked before deciding on RCT. Regarding the extraction gap, an implant is one good option, but it does not necessarily have to be placed immediately at 3 weeks in every case. The timing depends on the extraction site, bone healing, and your clinical examination. You can discuss the timing with your dentist after the area has healed appropriately. My suggestion would be to take one step at a time rather than worrying about all the treatments together. First allow the recently treated area some time to settle and have the painful tooth properly evaluated if the symptoms persist. An RCT should be recommended based on clinical and radiographic findings, not simply as a precaution. If you are uncomfortable with the proposed treatment, getting a second opinion from an endodontist before starting another RCT would also be reasonable.

I wouldn't rush into the RCT on the bridge abutment yet. The fact that you're still having sensitivity and a dull ache after the bridge was removed and re-cemented doesn't, by itself, prove that the tooth needs an RCT. Because that tooth has apparently been healthy for many years and has now been subjected to increased chewing forces after the recent extraction, bridge removal and recementation. Get an endodontist opinion before proceeding. Yes, missing teeth can eventually allow adjacent teeth to shift, which is one reason replacement is generally considered. Don't let the implant deadline scare you.