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Molly Maloof, MD

Director of Clinical Content
@DoctorBase

1/2 back molar decayed away

It started with a little decay in the dentin due to gum recession after one to two years of not getting it taken care of. Only pain for two weeks and now tooth is almost gone. I'm concerned over my body and immune system. And most of all....Should I pull the tooth? Is it too late for root canal?
Poster
  • Complaint duration: 90 days

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Visit your local oral health care provider, have them exam the tooth and get an x-ray. If the tooth can be saved, you should try to save it. Long term your natural tooth structure (whatever remains) will be better than an extraction. Depending on your age, it would be a good idea to have a root canal, if needed, then have a crown placed on the tooth. It will save you money short term and long term. You should also get a cleaning and exam to determine if anything else is going on in your mouth. This will prevent this issue from arising again on other teeth.
Do whatever you can to save your tooth. You will end up paying more down the road if you pull it. You must have an X-ray and a Dentist or Endodontist (root canal doctor) evaluate your tooth ASAP.
No way to diagnose whether your tooth can be saved or not from a photo. See a dentist ASAP even if the pain is gone. The longer you wait the fewer options you will have.
Renae Roelofs
The tooth in front of it is not in very good condition also. See a dentist asap. You may be losing more than one tooth.
Only a dental exam and xrays will tell but it sounds as though the tooth is not repairable and needs to be removed. You are right to be concerned about your immune system and over all health.
you really need an xray to evaluate this, you may be able to have a root canal and a crown, but it depends on if the decay is below the bone or not, sounds like you need to follow up with your dentist to get a clearer picture
Depending upon how much tooth is left following decay removal, will determine whether the tooth can be saved. But if the decay is deep and under the gum chances are you may have to consider an extraction and possible dental implant to replace it. My recommendation is to get to a dentist ASAP for an X-ray and evaluation of this area before this tooth affects the adjacent teeth
James A. Vito
You need to see your dentist to perform diagnostic tests to determine if the damage to your tooth is irreversible and whether or not the tooth is restorable. The diagnostic tests will determine how much of the tooth is infected and affected by caries and whether the nerve is alive. Once the diagnosis and prognosis is assessed then restorability can be determined. Is there enough tooth left to hold a filling or retain a crown? You'll most likely have 3 options: 1) restore with a filling; 2) root canal and restore; or 3) extraction. You can only be sure after an evaluation by your dentist and maybe a referral to an endodontist. Good luck!
If I were you, I would try to save this tooth. Consult with your dentist or a root canal specialist (endodontist) to see if your tooth can be restored. Much cheaper than having to do an implant.
The tooth can be saved! I would consult with your local dentist to see if a root canal can save your tooth before deciding to pull it.