r/Dentistry • u/indigoplateau10 • 20h ago

Dental Professional How would you treat this tooth? Extraction or something else?

Post image
18 Upvotes

85% Upvoted

53 comments sorted by

92

u/Rough_Drop6 20h ago

Just how would you plan on saving this tooth?

30

u/stefan_urquelle-DMD 18h ago

By doing something else DUH!

55

u/sshannxnn 18h ago

have you considered whitening?

19

u/WellHelloThere-- 18h ago

No need to be that invasive, just flossing could fix this

15

u/ManuelNoriegaUK 18h ago

Before Invisalign? Are you crazy!

2

u/Low_Librarian_2741 8h ago

This is clearly a hemisection followed by a bridge

14

u/donlesnar 19h ago

Options: 1. Hemi section and use distal half of the tooth as abutment. It has enough bone support.

  1. Extraction + implant

I would present both options to patient and let them make the informed decision.

-2

u/[deleted] 17h ago

[deleted]

5

u/floatingsaltmine 16h ago

U sure that's a lesion?

1

u/Worldly_Nobody_2088 13h ago

I thought it was a PARL but judging by the downvotes I'll go with the majority. Never too late to learn

21

u/Toothlegit 19h ago

The only other option would be hemisection of mesial portion and maintaining distal root for cantilever crown

7

u/N4n45h1 General Dentist 19h ago

Just judging on this radiograph, this tooth is fubar and there's no saving it lol

7

u/MiddleBodyInjury General Dentist 19h ago

Is this rage bait?

6

u/DriveSlowSitLow 19h ago

Maybe you missed the root caries? This thing is way, way beyond gone.

If you’re new you’ll soon learn that it would be impossible to get matrix or anything that far down

6

u/Majestic-Spirit4116 13h ago

Thought this was a legit troll of a question lmao

6

u/bueschwd General Dentist 11h ago

Looks like the textbook definition of nonrestorable to me. What could be done otherwise? Hemisection and a bridge?

10

u/tosiewk 19h ago

Sealant and whiten…… or put your crown margin on the apex of the mesial root. 

5

u/No_Independence8611 19h ago

Root amputation could save the rest

10

u/Ok_Teacher_6834 19h ago

That would be the only way. It’s old school method that docs used before implants, but you really have to ask why though now with implants

5

u/No_Independence8611 19h ago

Just an alternative. If Patients age, systemic conditions, preferences and financial status matter then it can be considered a potential alternative. 

1

u/ACFiguresOutLife 16h ago

With modern guided implants, why would this be a cheaper alternative? Sounds like a more complex procedure.. obviously NAD

3

u/Aenescan94 13h ago

It’s cheaper , obviously

1

u/Prosso 14h ago

Just reality

5

u/drpericak 14h ago

There has to be some biologic douchebag on here that would place a biomimetic onlay with deep margin elevation.

3

u/Fit_Performance9260 18h ago

It’s literally a zombie

4

u/aarrtee 17h ago

as someone said... root amp... and then a crown on the d root... with a pontic connected to the premolar with bonded wing and rest seat. that is the way we did it in the 1980s

but...then Dr Branemark changed everything

3

u/Buchey 14h ago

that's ridiculous. Extract & Implant. or just Extract.

5

u/aarrtee 14h ago

i agree its ridiculous.... i was simply following up on another comment

2

u/WhoDoYouKnowHereB 19h ago

Just do an occlusal, it’ll be fine

2

u/Water-Unlikely 18h ago

Definitely just redo the RCT and place core
/s

2

u/Then_Impression_2254 13h ago

With some extraction forceps

2

u/Bronalsky 11h ago

Bulk fill GIC, bleach, post & crown, then extract, graft, implant and don't forget SRP.

2

u/Dentigma 9h ago

AI training

2

u/Buchey 14h ago

this is why GP should learn to do implants. so that the most obvious answer is the one that you wanted anyways. EXT & Implant is much easier and better than trying to save this tooth. that M root decay is non-restorable.

1

u/peripheralmaverick 13h ago

How would one start without ridiculous money spent on courses?

2

u/safeDate4U 11h ago

It’s much more than spending 10k plus on a few courses.
Instrumentation, CBCT, etc

-1

u/Bronalsky 11h ago

YouTube and online books yo 🏴‍☠️ Then Alibaba equipment.

1

u/Buchey 18h ago

ext & implant

1

u/UglyAndTired9 17h ago

Deep root caries, exo

1

u/inquisitorthegreat 14h ago

hemisection of mesial roots and a bridge from 29 to 30.......

Lol jk, implant all day

0

u/[deleted] 13h ago

[removed] — view removed comment

1

u/Dentistry-ModTeam 12h ago

This subreddit is for dental professionals. Any posts or comments by non-professionals may be removed. If you are seeking help with a dental problem, please consider posting to r/askdentists. https://www.reddit.com/r/Dentistry/about/rules

1

u/rubbertoe_93 11h ago

Just a small MO should take care of it

1

u/loconacho 7h ago

Send it to the tooth fairy bro. It aint looking pretty

0

u/littlebear330 18h ago

Expose mesial Root, place braces on mesial Root for forced extrusion, then filling to rejoin the two halves