Cavity in right lower wisdom tooth and adjacent 7 no molar. Check OPG and physical images. Problem is dentists told that risk of parasthesia during extraction of wisdom tooth due to nerve being near. Right now no pain but sensitivity and food lodgement. Is it possible to do only RCT of exposed area and delay extraction of wisdom tooth right now for 1-2 years? Can't do CBCT as already I have had many exposures to radiation of CT,xrays and barium meal. So tell me any way to delay extraction or avoid parasthesia during extraction
Answers (8)
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The OPG is a 2D representation of a 3D object. Even though the nerve is seen to be impinging on the tooth, the tooth is clinically visible and can be extracted surgically without much fuss.
You can't delay infection because in your case the source of infection is decay caused by food lodgement - an inevitable happening given the angulation of your tooth.
Next Steps
Kinldy have your wisdom tooth extracted by an Oral Maxillofacial Surgeon (preferably a confident one who doesn't shun away from extraction just because of the proximity to nerve as it is a common occuy).
Health Tips
Follow the post op care as mentioned by the surgeon diligently after extraction and you'll be fine in no time!
Already wisdom teeth is more decayed ,so it is better to go for extraction of wisdom teeth,and Rootcanal for adjacent teeth,no need to worry about paresthesia it is just risk factor .
Do not delay it…if you have any doubt then get this extraction done by a maxillofacial surgeon and dont worry parasthesia is not going to happen in thos case
RCT of 7 is not possible as Crown cannot be done due to extent of caries below gum line... There is no chances of parasthesia on Extraction of impacted tooth.. As 8 is much higher than the nerve canal ...
Next Steps
get both the Extraction s done.. the roots of 8 are conical.. it will come out with a little bone guttering..
Health Tips
get it extracted or pus Or facial abscess will occur. .. that can lead to Parasthesia..
Consult your Dentist for the same .There is a procedure called as Coronectomy, where its removal of just the crown or the top portion of the tooth or you can say just the chewing portion . So your dentist will remove the crown leaving behind the roots , this can have almost the same benefits of wisdom tooth removal and then we can proceed with your rct of adjacent molar. Dental Galaxy clinic pune
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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.
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