Should I Save My Second Molar with Root Canal Treatment? - Dentistry

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When faced with the dilemma of whether to save a second molar through root canal treatment or to extract it, there are several factors to consider. Your situation, where the dentist has indicated that the cavity has reached the nerve, suggests that the tooth is at risk of infection and may not have much functional value left. However, it is important to weigh the options carefully.

Root canal treatment (RCT) is a procedure designed to save a tooth that is badly decayed or infected. During RCT, the dentist removes the infected or damaged pulp from inside the tooth, cleans and disinfects the root canals, and then fills and seals the space. After the procedure, a crown is usually placed on the tooth to restore its function and protect it from further damage. If done correctly, RCT can be very successful, allowing you to keep your tooth for many years.

In your case, since you mentioned that the left lower second molar still appears to be in good condition visually and that your third molar (wisdom tooth) is present and healthy, it may be worth considering RCT. The presence of the third molar does not necessarily mean that the second molar is redundant; they serve different functions in chewing and maintaining the structure of your mouth. If the second molar is extracted, you may experience changes in your bite and jaw alignment over time, which could lead to further dental issues.

However, there are some important considerations to keep in mind:
1. Infection Risk: If the tooth is indeed infected, it may lead to further complications, including abscess formation, which can affect surrounding teeth and tissues. If the infection is severe, extraction may be the only viable option.

2. Long-term Viability: If the tooth has already undergone significant decay and damage, even after RCT, it may not last as long as a healthy tooth. You should discuss with your dentist the prognosis for the tooth after treatment.

3. Cost and Time: Root canal treatment followed by a crown can be more expensive and time-consuming than extraction. If finances are a concern, you should discuss this with your dentist to explore your options.

4. Future Dental Work: If you choose to extract the second molar, you may need to consider future options like dental implants or bridges to replace the missing tooth, which can also be costly.

5. Consultation with Specialists: If you are uncertain about the diagnosis or treatment plan, seeking a second opinion from an endodontist (a specialist in root canal treatment) may provide you with more clarity on whether RCT is a viable option for your second molar.

In conclusion, while your dentist has suggested extraction, it is essential to consider the potential benefits of saving the tooth through root canal treatment. If the tooth can be successfully treated and restored, it may serve you well for many years. However, if the risks of infection and complications are too high, extraction may be the more prudent choice. Ultimately, the decision should be made in consultation with your dentist, considering your specific dental health, financial situation, and personal preferences.