If you don't have the money for the recommended grafting, don't worry about it. Your body is well equipped to regenerate bone without the graft. I started grafting after extractions 17 years ago and found very little difference (if any) in bone quality and density whether or not I grafted. So I don't graft very often now.

On a side note- You are 19 you can still allow the other molar to move and if you have a wisdom tooth there, you can allow it to move in place (assisted by ortho) in most cases. Or you can place an implant. But upper molars slide forward very nicely to fill gaps with the 3rd molar (wisdom tooth) pushing.

Best of luck, Brian

You can have the tooth extracted anh the surgeon put you under antibiotics and this will take care of any infection ,bone graft doesn't heal or remove infection it just help your body to build bone again to the same level it was .

If there is already an infection that enters or extends to your sinus, the priority is to clear up the infection and remove the source (the tooth). If the tooth is restorable a root canal might be another option.

As far as bone grafting, I would generally advise against this if the infection truly does extend to the sinus. There is the chance that there could be further infection and extension into the sinus. When the tooth is removed there should be care to attempt to remove as much or all of the infected tissue as possible while hopefully not creating an opening through the sinus if it doesn't already exist. This may require careful evaluation and meticulous surgery in experienced hands. If there is a perforation, it is important to know how to handle it and hopefully treat it promptly. Assuming all is cleaned out thoroughly and there is no evidence of residual infection, I would then reserve tooth socket bone grafting here where it is not possible to maintain width due to missing or loss of the bony socket wall, especially the outside (buccal). Even with this width reconstruction bone graft, there may still not be enough bone height for an implant due to the level of the sinus. If this is the case, I would not graft the sinus area (sinus lift) in the face of infection. This can be done later when all is healthy and sometimes in conjunction with implant placement. It is important to do the right thing based on science and your health and not be overly influenced by insurance coverage and profit. This goes for the doctor and the patient. I always recommend for the doctor to be a patient advocate, be ethical, educated, and not motivated by greed. My 2 cents!

Sorry you have this problem.

Get the infection resolved, extraction if it can not be saved via endodontist, root canal specialist.

If it's non restorable, get it extracted.

Bone fillers are great if you can get an implant later on.

You need enough bone to support the implant.

If you have teeth on either side, a bridge can be an option

or a unilateral partial until you decide what you want and can afford.

Without a film X-ray it is difficult to give you exact answer.

A second opinion would be a good idea if you are still in doubt.

Certainly antibiotic coverage is indicated clindamycin,

Or one that you can tolerate, should you have allergies.

Good luck,

Daniel Sena DDS

Taking the tooth out may clear up the sinus infection with a course of antibiotics. If it does not, I would recommend seeing a ENT physician. By the way, a bone graft has no bearing on a sinus infection. We do add bone to an extraction site so that the ridge of bone does not shrink in height and width.

Whether or not you do the bone graft, the extraction and an antibiotics course should resolve the infection. However, if a bone graft can be included as an option and done carefully in conjunction with thorough irrigation of the infected sinus area, it would be more ideal since that sets a stage for good bone health, dimensions, soft tissue health and eventually a nice implant site. As a healthy person with a normal immune system, the sinus infection should resolve itself .

Taken the tooth out will completely end the infection of course with the combination of an antibiotic. To do the bone graft is also optional if you intend to do an implant at a later date. It should not exceed more than a regular extraction that we do everyday on a regular basis.

You sound confused with conflicting facts so I suggest you go to your trusted general dentist for an examination and follow his advice. If you do not trust him, then seek out help from another dentist. If you cannot make up your mind what to do, simply take some antibiotics to relieve the infection now and stall until you locate a trusted dentist. I agree with previous answers, a thorough physical exam is required. You need good explanations. Right now, you are too confused to make treatment decisions.

Seek to understand the condition you have, the consequences of the condition, the benefits of treatment and then the actual treatment choices. You need to understand all of this to make an informed decision.

Good luck!

The extraction and an antibiotics course should treat the infection. I think it would be best if you get the bone graft, for future implant placement, since you are so young to have a missing tooth for the rest of your life.