I'll treat the infection by putting medication in the tooth with a temporary filling until your next appointment.
Will the tooth be alright?
Your tooth may be uncomfortable for a while.
I'll write you a prescription for it. You might need it.
What do you do after that, Doctor?
After the infection is gone I'll fill the canal with either a silver point or gutta-percha.
The filling will seal the canal and prevent it from becoming infected again. .
It may take three or more appointments to finish the treatment
If that's what has to be done to save the tooth, please go ahead. I don't want to lose it.
That's a very wise decision.
There are also other things you should know before I begin.
A tooth with a root canal filling isn't as strong as an ordinary tooth.
It incomes brittle, and the tooth enamel is more likely to fracture.
Has this happened to my tooth?
A large Part of your tooth has already been lost because of decay.
It will be necessary to make a gold crown for the tooth to give it strength.
It will also be necessary to insert a gold post (dowel) into the tooth.
Why do you put a gold post into my tooth?
The gold post will build up enough of the tooth to hold the gold crown securely.
This plastic model will show you how it will be done.
Is there anything else I should know about this treatment?
There's one more thing that you should know. Sometimes endodontic treatment isn't successful.
With the best possible treatment, the tooth may become infected again.
I wouldn't worry about it. Chances for success are better than 95%.
Maybe it would be better to extract the tooth.
I can't make this decision for you. You'll have to decide for yourself.
I don't know which is better. What do you recommend?
I don't recommend extraction.
You should do everything possible to save the tooth. If the tooth is extracted a bridge will be needed.
What does that entail?
Gold crowns would have to be made for the teeth next to the space to hold the bridge.
It would be necessary to "grind down" the size of these abutment teeth to prepare them for crowns.
A bridge would be very expensive. I don't think that it's necessary.
I'll take your advice, Doctor. Please try to save the tooth.