Generally, not all of the upper posterior teeth are in the sinuses. Perhaps a tooth or two, but not all of them. Unless you have abnormally large sinuses and/or abnormally long rooted teeth...... were you told they are ALL in the sinuses? Could you be speaking about one tooth in particular?
It is totally unfair, unwarranted and illegal to tell a patient that they must have a root canal. First of all, a root canal does nothing to cure a fractured tooth. The fractured area will remain fractured and microscopically open to bacteria. A fractured tooth is not salvagable, not even temporarily with a root canal.
Secondly, teeth do tend to shift in an unnatural pattern when there is a missing tooth next to it. However, this depends on where the tooth is in your mouth. Which tooth are you referring to?
Thirdly, you may be a candidate for a removable partial denture. Are you missing any teeth on the other side in the top of your mouth? A fixed bridge is not a good idea in most cases when there are two teeth missing side by side. This would be called a 4 unit bridge..... the teeth on both sides of the spaces would be crowned and 2 fake crowns would be sodered to the anchor crowns. The reasons this type of 4 unit bridge is not a great idea is because first..... the span is too long in the middle which puts alot of pressure on the anchor teeth. Secondly, if anything goes wrong with either anchor tooth, then the entire bridge would have to be remade and additional teeth would have to be crowned to hold yet another longer span bridge.
Even if you are not missing teeth on the other upper side of your mouth, there is an appliance called a Nesbitt that may work in your case. This is a small removable partial denture that just snaps into the space where the missing teeth are. It has gum colored clasps that snap along the gumline on the "anchor" teeth and 2 white false teeth adhered in a gum colored acrylic in the space. It is meant to hold the space open and prevent the "anchor" teeth from shifting. If your dentist is not familiar with this type of appliance, then I would seek someone else who is. You could do that by calling different dental offices and specifically asking if they make Nesbitt's that replace 2 missing teeth side by side.
The experience that you had with your previous root canal treatment is horrible! When that happens, it means that there is still alot of bacteria in that tooth and the pain is from the pressure of the inflammation. The only way this pain subsides is either the tooth is removed or the bacteria has managed to find a temporary escape out of the tooth. However, the bacteria is still harboring in the tooth and the escape route is something that does not resolve, the bacteria is always draining there. By any chance is this root canaled tooth in your upper jaw...... near a sinus?
You have every right to not feel pressured into doing any particular thing. There are usually options and you should be told what they are and how they can affect your other teeth and your overall health. It sounds to me like this dentist just wants you to do what she says and ask no questions. I would seek another dentist ..............
I'm sorry you are having this trouble... I wish I could help you make it all better. But you really should seek some options and weigh out the pros and cons of all of them so you can decide what is best for you.
Please keep us posted on what's going on........ we're here if you have any questions!
Originally Posted by deborahann24
I began reading this thread because i am experiencing something quite similar. I just learned The roots of my teeth are in my sinus cavaty, which now makes it clear to me why I am so miserbale when i have sinusitus, which is often. Having said this, my dentist told me I absolutley needed a root canal dfor a fractured tooth because removing the tooth would cause the rest of my teeth to begin to drift. The problem is, the only other time I've had a root canal(two years ago) I was in so much pain afterweards I was in bed for three days , with towels and scarves wrapped around my head tightly in order to alieviate the pain. I dread going through this again, as the entire procedure(done in two parts) was absolutley terrible. The surgeon had to stop every few minutes because my motuh, being so small, kept giving him problems as I could'nt keep it open long or wide enough without choking.
The dentist tells me that the root canal is a must because I have one tooth already missing next to the tooth in question, and having two teeth missing, according to her, is unnacceptable due to drifting of teeth. But if i have it removed couldn't I get a bridge or some sort of other procedure to replace the two missing teeth? She told me no, but perhaps I misunderstood her?
Any help would be appreciated so very much. I guess I'm asking is it wrong for me to ask the tooth be removed? I've been made to feel it is. But, the thought of another root canal, after what I went through is making me absolutley frightened.