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Is there a possibility to save a molar tooth?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am 18 years old. A few days ago, I had a toothache on my molar teeth, and have mobility when touched. I have a big hole in that tooth from my childhood. I guess the black circle is the vein of the tooth. I could not afford to get an implant tooth. I had pain in that tooth a year back and then now. Is it possible to cure by rebuilding this tooth instead of removing it? Here is the picture for your reference.

Please help.
Answered by Dr. Prerna Jain

Education:

MDS Orthodontics and Dentofacial Orthopaedics

Professional Bio:

Dr. Prerna Jain is a passionate Orthodontist with 12 years of clinical experience. She completed her BDS from the Manipal Academy of Higher Education in 2011. She then completed her MDS in Orthodontics from the Manipal Academy of Higher Education in 2015. She is well-specialized in treating all malaligned teeth and malocclusion for aesthetic and functional purposes. She is currently working in Mumbai.

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Hi,

Welcome to icliniq.com.

From your attached pictures (attachment removed to protect patient identity), it is clear that this tooth is decayed with the loss of a large crown structure. The decay has also spread to the roots. As you have mentioned, there is some mobility in touching the tooth and some loss of bone. The tooth can be restored with root canal therapy to remove infection and periodontal treatment to reduce its mobility. It is better to get treated soon. If allowed to progress, then it will need a molar extraction and replacement. After root canal treatment, there are cheaper replacement options for crowns or bridges. Hence, to know that this tooth can be restored, I suggest you a small radiograph called IOPA (intraoral periapical radiograph) of the area. You can get it done at any dental clinic and revert.

I hope this helps.

Thank you.

Medically reviewed by iCliniq medical review team
Published At September 10, 2016
Reviewed At October 8, 2024

Education:

MDS Orthodontics and Dentofacial Orthopaedics

Professional Bio:

Dr. Prerna Jain is a passionate Orthodontist with 12 years of clinical experience. She completed her BDS from the Manipal Academy of Higher Education in 2011. She then completed her MDS in Orthodontics from the Manipal Academy of Higher Education in 2015. She is well-specialized in treating all malaligned teeth and malocclusion for aesthetic and functional purposes. She is currently working in Mumbai.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Decision Helper
Molar Tooth Decay & Mobility Decision Helper

Can your molar tooth be saved?

Answer a few quick questions to understand the potential for saving your molar tooth versus needing extraction. This tool helps you prepare for a discussion with your dentist.

This tool provides educational information only and does not diagnose, treat, or replace professional medical advice. Consult a qualified healthcare professional for personalized medical guidance.
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Dr. Prerna Jain

Dentistry

Education:

MDS Orthodontics and Dentofacial Orthopaedics

Professional Bio:

Dr. Prerna Jain is a passionate Orthodontist with 12 years of clinical experience. She completed her BDS from the Manipal Academy of Higher Education in 2011. She then completed her MDS in Orthodontics from the Manipal Academy of Higher Education in 2015. She is well-specialized in treating all malaligned teeth and malocclusion for aesthetic and functional purposes. She is currently working in Mumbai.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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