The xray that the oral surgeon took is called a panoramic film or panorex for short. Most surgeons, some general dentists, take this type of xray routinely because it shows a variety of areas at one time .... the upper and lower teeth, jaw bone, jaw joints, a portion of the nasal cavity, and more.
I'm glad he opted to not do the apicoectomy. That procedure is barbaric and it does not cure the problem. The extraction is the only way to remove the infection as it removes the source of the infection... the tooth!
With regard to having an implant in that area.... dental implants require healthy, substantial bone to be successful. Anything less than that is very risky for failure. In your case, the real complication is not just the loss of bone but the long term infection in the bone. This means that the remaining bone may not be healthy enough to handle an implant.
The replacement alternative is a partial denture. If you are missing any other teeth on the lower arch that have not already been replaced, the partial will have teeth on it to fill in those gaps. If you are just missing teeth only on the lower right, then you could have a unilateral partial denture...which looks like this....
My opinion of replacement of this tooth since you asked......
I am not a proponent of dental implants replacing teeth that have had a long standing infection because the health of the bone is questionable even after the extraction. The removable partial denture can be made to fit precisely so that it is comfortable making it a reasonable replacement option.
There definitely are ways to build your immune system both pre and post op surgery. Keep in mind that processed foods, those covered in pesticides and chemicals will slow down the immune response.
#1... Eat nutritiously, all organic if possible. Variety of fruits and veggies. Limit processed foods as the nutritional value is not up to par in most cases.
#2... Consume little to no sugar. Avoid "diet" labeled foods or drinks. Use stevia or xylitol as a sweetener.
#3... Drink several glasses of filtered water throughout the day to keep hydrated and continuously remove toxins. Drink green or white tea... kombucha tea is awesome for the immune system in many ways and it tastes great!
#4... Take a probiotic supplement daily to encourage the growth of healthy intestinal bacteria.
#5... Make healthy soups with organic, free range chicken/vegetable broth and add a variety of vegetables... chicken, beef... to your liking. These are great post op oral surgery.
#6... Supplementing with vitamin C also a good immune booster and great for healing from surgery. Just avoid vitamin C for 24 hours prior to surgery as it could interfere with the anesthetic. But definitely resume taking it right after the surgery.
#7... The B complex also helpful....
Those are just a few things that would be recommended for most people. If you have certain diet restrictions or take medications, you'll have to be mindful of consuming anything that would be contraindicated.
I know this is a bit scary but you will feel so much better when this tooth is removed ...and your body.... will thank you :>
Keep in touch....feel free to ask questions or just vent if you want to!!
Originally Posted by Marcy Dorfman
Hi Bryanna, Thank you for your previous reply. I am back again, having seen the oral surgeon now. The oral surgeon took a very in-depth x-ray (camera went all around my head), and has concluded that an Apicoectomy would be ineffective in my case (too much bone loss!), so we are going ahead with the extraction. Unfortunately, when this tooth is gone, I will no longer have any molars on my lower right! I understand that my options are either: (1) an implant (...and only if bone loss is not too great...I need to get the opinion of an implant specialist for this), or a small metal denture which will be fitted to the gap. Wondering if you had any opinion on these, Bryanna...? Also, is there any way I can boost my immune system in preparation for the extraction, and/or the recovery period after? I'm a bit worried about the whole thing...! Many thanks...your advice has been invaluable! (By the way, I don't know if I mentioned...I am American, but live in the UK...I don't know if they do things entirely different here compared to the US!)