Crack in Tooth: Should I Get an Implant?

Larry asks:

My wife has a crack in tooth no. 37. It has been suggested by her dentist that she have it removed and an implant done.

She has very good dental health and is 60 years old.

We are worried about the possibility of nerve damage and other complications. Should we be worried? We also would like to know the possible problems of not having the procedure. Does she really need an implant?

Answered by: Dr. Jeffrey Brook

Massapequa, NY

Dear Larry:

If the tooth needs to be removed and replaced, the best option would be to have a dental implant placed, if the right conditions for safe placement exist.

There is indeed a nerve that is located beneath that tooth. It is imperative that a suitable periapical x-ray, panoramic x-ray, Cat Scan, or Cone Beam study radiograph be obtained to precisely identify the position of the nerve. This will allow your dentist to choose an implant that can be safely placed.

The only usual problem associated with losing the lower left second molar is the possible downward drift of her molars above or the forward tilting of the wisdom teeth behind it if any of those teeth are still present in her mouth.

I hope this answers your question and good luck with your wife's dental work.

Dr. Jeffrey Brook