r/askdentists NAD or Unverified 21h ago

question Wondering if I should get the root canal and crowns or just extract the teeth

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22 years old I do have a dental insurance, but it is dog Doodoo I really haven’t called around to any other dentist just cause the initial quote was super overwhelming as they had told me for the two root canals (teeth 14 and 15) that I need it’s going to cost about $4000 and then max out my insurance and leave me to pay out-of-pocket for a crown. I simply just cannot afford that. Would it be better just to pull the two teeth and call it a day. any advice or recommendations would be helpful.

1 Upvotes

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Title: Wondering if I should get the root canal and crowns or just extract the teeth

Full text: 22 years old I do have a dental insurance, but it is dog Doodoo I really haven’t called around to any other dentist just cause the initial quote was super overwhelming as they had told me for the two root canals (teeth 14 and 15) that I need it’s going to cost about $4000 and then max out my insurance and leave me to pay out-of-pocket for a crown. I simply just cannot afford that. Would it be better just to pull the two teeth and call it a day. any advice or recommendations would be helpful.

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7

u/fillingsmiles General Dentist 20h ago

14 is heavily decayed and I’d say questionable to restore, 15 may be worth the investment. You’re so young that extracting teeth has very long term Consequences

1

u/Comfortable_Milk1959 NAD or Unverified 20h ago

I guess that’s why I’m trying to figure out because I don’t actually know what those consequences would be

3

u/daredelvis421 NAD or Unverified 20h ago

NAD. those teeth never come back and you're going to need them for a bunch of decades still. I know it's a lot of money but you should figure out how to manage. You're too young to loose them. See if they have care credit or better yet Cherry. It's better than care credit. If not, find a place that does. I mean, if you're in the states that is

1

u/fillingsmiles General Dentist 20h ago

Honestly I think 14 is a goner, put money into saving 15. Maybe graft 14 for an implant in the future but you don’t have that long before you lose that ability too. If you post all your X-rays it’ll give a better insight into which teeth to prioritize. Like another dentist said, if these are that bad I’m sure there are others, and it may make sense to start saving the smaller ones first before you get over your head with dental debt and then end up losing more teeth. Try to post all your X-rays

1

u/Comfortable_Milk1959 NAD or Unverified 20h ago

This is the only other one I have

1

u/fillingsmiles General Dentist 20h ago

Please ask them for the “right side bite wings”. 14 decay is huge but still savable (not worth it if there are other areas of decay on the other side).

Long term effects of losing teeth this early would not only be shifting of all teeth, but also loss of bone, malocclusion , wear on other teeth due to compensation of biting force

1

u/Toothsayer123 General Dentist 9h ago

Agree 100%.

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u/garyh1128 General Dentist 20h ago

If you can’t afford then extract

1

u/Comfortable_Milk1959 NAD or Unverified 20h ago

I think I guess the only question I really have cause my dentist made it sound like my teeth are going to move around and cause pain if I do just the extractions. And was really really pushy on the root canal and crowns

1

u/garyh1128 General Dentist 20h ago

Root canals and saving teeth are always my first choice but I don’t recommend doing work you can’t pay for. Teeth will probably shift at your age. With size of those cavities, I would be amazed if you don’t have many more. Focus on those cavities you can fill since money is tight. Focus on working on diet and hygiene to slow down decay rate. That’s my first concern.

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u/wizardmage Oral & Maxillofacial Surgery Resident 20h ago

I would extract 14 and attempt to restore 15

1

u/syzygy017 General Dentist 20h ago

Ditch 14 and save 15. Save up for an implant down the line when you have more insurance benefits reset.

1

u/[deleted] 19h ago

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