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HiCustomer Thank you for asking your question on JustAnswer. The other Experts and I are working on your answer. By the way, it would help us to know:
Has a dentist told you why the root is loose? Is the root cracked? Is there periodontal bone loss?Thank you again for trusting us with your problem. Please reply as soon as possible so that we can finish answering your question.
I have not had an xray taken yet and don't know if there is bone loss. Probably the xray would help with the ultimate answer. I was interested in knowing alternatives as I plan to visit a dentist in R.I. soon as I'm here for 5 weeks. My home city is Manhattan. I wanted to be prepared to question the R.I. dentist and know what potential options may be.
The crown is at least 8 years old. I am also on the post breast cancer drug Femara that I think may be contributing to this problem. I have dental cleanings every 2 months by a periodontist in NYC who noted that the tooth was slightly loose last week when I visited her. I can feel sensation (not pain) there now and ask this question as my husband and I are going on a European anniversary cruise the end of June and I don't want to have problems at that time.
If you are having cleanings every two months by a periodontist, you have had or still have periodontal disease and the most likely reason your tooth is loose is from bone loss.
If there simply isn't enough bone left to hold the tooth in place about the only solution to keeping the tooth is to have a bone graft, but these only work in specific areas of the mouth and for certain types of bone loss. Even if this tooth is a good candidate for grafting, you would have to act now in order to have the area stable before you go on your cruise.
Sometimes we can splint the tooth to the adjacent teeth, essentially gluing it to it's partners, but this only works if you have a natural tooth and yours is crowned, so that makes things more difficult.
Another option, if your dentist thinks there is enough bone left, is to splint this tooth to its adjacent partners by crowning it and its partners together. That is, remove the existing crown, prepare the adjacent teeth for crowns and have all three crowns fused together and cemented as a unit. This is rather expensive however.
These are about the only ways to save a periodontally compromised tooth.
I hope this answers your question. If you would like to discuss this further or have any additional questions, please reply to my answer and I will get right back to you.
Sincerely, XXXXX XXXXX DDS
Yes, the techniques I outlined above are compromises at best. You are really better off going for an implant after the tooth is removed. In the interim, your dentist can make you a small removable acrylic tooth that clips into the empty space and gives you something to chew with and looks good as well. These are removable so you have to take it out to clean when you brush your teeth. I hope this helps.
Dear Dr. McKee,
Thank you so much for all your advice and help. I have placed a call to my periodontist for her opinion on whether I should go ahead and have the tooth pulled now.It's difficult for me to assess the status of the tooth for the short term. I may just go to NYC for the day to have it done, as I called the recommended RI dentist and I can't get an appointment until June 10th! Manhattan doctors and dentists are incredible when you have a problem that needs to be addressed ,and I now realize that I'd be able to have this resolved much sooner there if necessary.
Your input helped me think clearly , minimize costs, and most of all minimize discomfort as I have a very small mouth. The most direct root is the best!!! (pardon the pun)!!!
Thank you for your time and attention.
You are most welcome. I wish you well.