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Tooth reabsorption

 
Tooth reabsorption
Added: October 18, 2008 - 11:03 AM
By: Patient Email Withheld, Somerset, MA
Need Dentist / Specialist: Yes  
Provide Cost Estimate: No  
X-rays Available: Yes  
Case Summary
Exam & Consultation
Teeth: 20 
Last Full Mouth X-Ray: 10/2007
Last Cleaning: 10/17/08
Case Description
I was told, ~ 1year ago, that my premolar showed signs of tooth reabsorption on x-ray. Now I am experiencing some sensitivity arond that tooth but there is no sign of decay of the tooth or gum. I have not been able to find any information on-line as to the causes and long term effects/prognosis. If anyone has any information, I would greatly appreciated it.




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Reply: Tooth reabsorption
added: October 18, 2008 - 2:24 PM

I have experience with this issue. It is not possible to diagnose the condition or elucidate the cause without a health history, first hand examination, and radiographs.

If you are having pain in a tooth that previously was correctly diagnosed with internal resorption, the tooth is probably hopeless. If the tooth has external resorption, it may be a different story.

My office is not close to you. Please see an Endodontist (root canal specialist) for a proper diagnosis.

Dr Leader

 
Reply: Tooth reabsorption
added: October 22, 2008 - 6:01 AM

Hello

There are two possible sites of resorption, internal and external. Internal, if treated early with root canal treatment, can be stopped. Both result in the loss of the tooth if letf untreated. Advanced resorption can either be inflamatory or ankylotic - The first type resorbs the tooth and leaves soft tissue which cannot support implants (requires bone graft if left unchecked), and the second replaces the tooth with bone that can support an implant.

Ultimately you will likely need a root canal filling, or an implant to replace the tooth. The timing and the exact sequence of procedures should depend on the process that is affecting your tooth. Early diagnosis is always better than one a day too late.

George W Kay, DMD, MMSc, DABOI/ID

 
Reply: Tooth reabsorption
added: October 23, 2008 - 3:05 AM
The cause of root resorption is a mystery.....The prognosis is questionable and the longer you wait the poorer it will become.

treatment is usually a root canal and crown. If the prognosis is a question the predictability of implants now might be a better option

 
Reply: Tooth reabsorption
added: October 28, 2008 - 4:28 AM

Hello,

tooth resorption is thought to be the result of trauma. The prognosis is poor. Your likely solution is a bridge or an implant.

I would be happy to provide a free consultation.

Good Luck,

Dr Robert Girschek

781-899-3700

   

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