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Any dentists able to advise me please?

2 replies

Froggyjam · 16/07/2025 21:58

Front tooth (top left) became abscessed around 2 and a half weeks ago. Had no dentist, managed to find a practice about an hour's drive away who took me on as an NHS patient. I was prescribed antibiotics for 5 days. That didn't fully clear the infection, I'm not in pain but still have a lump above gum behind my nose and if I press it sends a 'shock' so antibiotics didn't fully clear it. I had to go back yesterday to discuss options, I was told when I went last they could save tooth.
Yesterday I was told that they could try root canal, but also would need an apicoectomy as the infection is in the bone. This apparently has to be done in hospital, with a 2 year wait on the NHS. I was offered to pay private at £1000. I have been told there is a 50% chance of success.
Option 2 was extraction and a denture, which I don't want £450 Option 3 was a bridge, no price given. Option 4 dental implant which is their recommendation. Around £3600-4000.
Obviously I was t expecting this, I thought I'd be able to go NHS now I'm a patient but they were pushing for private and as it's a front tooth im panicking. Absolutely terrified of all options and I also can't really afford it!

OP posts:
MillyMollyMardy · 16/07/2025 23:11

Right this is a complete generalisation As I can't see your tooth or your xrays. I am breaking your choices down and the decision will depend on your finances and personal choices.

Unless there is a cyst above the root, root canal treatment can maybe heal the infection. Most hospitals won't accept referral for an apicectomy unless root canal treatment has been done already. You have what sounds like a sinus so the tooth is unlikely to get really infected as infection can drain.

Usually a specialist ie endodontist will have a much higher success rate than a general dentist. Is the £1000 root canal treatment a specialist? if so, if you can pay for it that would be worth considering.

If you can only afford the NHS root canal treatment that is worth trying, if it doesn't heal completely, you are no worse off and the other options of a denture, bridge or implant are still available.

Froggyjam · 17/07/2025 06:50

MillyMollyMardy · 16/07/2025 23:11

Right this is a complete generalisation As I can't see your tooth or your xrays. I am breaking your choices down and the decision will depend on your finances and personal choices.

Unless there is a cyst above the root, root canal treatment can maybe heal the infection. Most hospitals won't accept referral for an apicectomy unless root canal treatment has been done already. You have what sounds like a sinus so the tooth is unlikely to get really infected as infection can drain.

Usually a specialist ie endodontist will have a much higher success rate than a general dentist. Is the £1000 root canal treatment a specialist? if so, if you can pay for it that would be worth considering.

If you can only afford the NHS root canal treatment that is worth trying, if it doesn't heal completely, you are no worse off and the other options of a denture, bridge or implant are still available.

Thank you for replying!
As far as I'm aware, the £1000 is just for them doing the procedure and I think they are just a standard dentist rather than a specialist.
Perhaps I will give them a call and ask about the root canal on NHS. They told me that by the time I got to the waiting list for the other, it would probably just need extraction by then.

Thank you!

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