The previous questions I have asked are in reference to the following matter. I will submit this as another Just Answer inquiry if that is more proper. Please let me know.
I have a tooth, molar
#3, for which root canal therapy
is being recommended but with reservations. Following x-rays that showed a tooth infection, the nerve was tested by applying a cold gas spray to which I did not respond positively. That is being interpreted as evidence of a compromised nerve from the infection, thus, the recommendation for root canal therapy. The reservation is that there is significant bone loss on one side of the tooth also from bacterial infection and that Insurance
would deny authorization for treatment because of that condition. My understanding is that, once a healthy oral environment is created, the gum and bone tissue will be able to undergo healing and regeneration, however, it is unclear to me how much bone tissue regeneration will take place and over what time frame. I can appreciate that Insurance would be reluctant to authorize the root canal therapy because of the uncertain survivability of the tooth due to the bone loss that has been suffered but this seems to be a "catch 22". The nerve treatment is needed to cleanse the tooth of bacteria and infection which would allow the tooth environment to heal and bone tissue to regenerate which would help ensure the survivability of the tooth. However, because of the present state of bone loss, the survivability of the tooth remains uncertain and Insurance will deny authorization for treatment.
Insurance will approve extraction for this tooth but that is not a consideration for me. To replace the tooth with a dental implant
that is not covered by Insurance and is 3x as costly as the root canal procedure seems quite foolish, especially when the extraction is unnecessary. How might this situation be presented to Insurance such that they would look favorably on the request for the recommended nerve treatment and be inclined to authorize root canal therapy?