Download FREE Practo app
Get ₹200 HealthCash
Dental OPG
Based on the OPG, my dentist advised that an implant may be the preferred option. He mentioned RCT could be considered but suggested a second opinion for prognosis. I also want to know whether my capped tooth needs extraction or if it can be cleaned, treated, and securely preserved.
Answers (8)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
For RCT this tooth prognosis is poor due to huge lesion/infection under the root region and also look like broken file in the apical third region
Next Steps
Go for Extraction and after that replacement for tooth
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced dentist online and get your health questions answered in just 5 minutes.
+107
Thank you for sharing your OPG.
On the radiograph, the capped tooth appears to have a significant infection around the root (periapical area). When a previously treated tooth shows such changes, the long-term prognosis depends on factors like remaining tooth structure, bone support, and whether retreatment can adequately eliminate the infection.
In some cases, a re-root canal (retreatment) may be attempted to save the tooth. However, if the infection is extensive or the tooth is structurally weak, extraction followed by replacement (such as an implant or bridge) can provide a more predictable outcome.
An OPG gives a general overview, but the final decision requires clinical examination, symptoms, and sometimes a small intra-oral X-ray or CBCT.
I would recommend getting it evaluated in person so the tooth can be assessed for save vs replace in a predictable and safe manner.
If you want, you may share:
• whether you currently have pain/swelling
• when the RCT/crown was done
• any history of repeated infection
I can then guide you more specifically about the best option.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Implant maybe an option in the future but due to big carious lesion currently it will be an option in few months
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
According to your xray, there is huge infection beneath the root of the tooth, and probably a file separation is also seen. Prognosis of the tooth is not very good. It is better to go for replacement of the teeth
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Hello
From the OPG x-ray seems like there is tooth infection
You need extraction because root canal treatment will not help it
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
From the OPG image, there appears to be significant damage around the capped tooth, likely involving the root or surrounding bone.
If there is:
• Large infection at the root tip
• Severe bone loss
• Root fracture
Then extraction and implant may be the more predictable option.
If the root structure is intact and bone support is adequate, retreatment with RCT and a new crown can sometimes save the tooth.
An OPG alone is not always sufficient for final decision. A clinical exam and possibly an IOPA or CBCT give better clarity.
If long-term prognosis is doubtful, implant is more reliable. If the tooth is structurally sound, saving it is always preferred.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
In case of moderate prognosis for particular tooth, implant can be preferred
Next Steps
You can go for implant for both the teeth as the second tooth is having abscess (pus) and again a poor prognosis for ReRct
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Sharwari Pawale
Dental Surgeon
5 yrs exp
Pune
Hello
The capped tooth shows infection,better to get it extracted and get an implant done
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.