Hello,
I have a crown on my upper central incisor. This tooth has hurt several times, or rather it has been sensitive. Twice a pus-filled bump appeared above it — so twice in approximately 9 years.
When it appeared in December 2011, I went to the dentist and he told me that it was nothing serious, just inflammation. When I mentioned apicoectomy, he said he might not recommend it yet. He said that if it was causing me such psychological distress I could have it done, otherwise I should rather tolerate the small swelling and keep the tooth, which might have to be extracted after apicoectomy if they found that it was vertically fractured.
Then I discussed this with my former dentist, who had a different opinion and said that I should have the apicoectomy performed. She warned me that the bone could also be dissolving and frightened me quite a lot.
I then obtained a referral; below I will describe what is written on it. I am interested in your opinion. At present the tooth does not hurt at all and I have absolutely no problems with it, and this has been the case since December. In this situation I really do not want the tooth to be opened and apicoectomised... I cannot even imagine what would happen if the tooth were extracted. It is my upper central incisor, I am young and I have nice teeth, and their appearance means a great deal to me. My dentist believes that all of this could only bring even more problems.
Please help me, because I already have an appointment with the surgeon on Wednesday 23 March at 10 in the morning and I do not know what to do.
On the referral – description – chronic apical periodontitis
21 periodontal condition, fractura verticalis radicis dentis? ...the question mark was added by the dentist
- occasional pain, mild swelling apically at 21
- mucosa unchanged, palpable swelling in the region of the apex of 21
...please answer me. I would also make an appointment with you in the future, but right now I need your opinion as well.
Sincere thanks and all the best, Diana