A) If #31 is asymptomatic, take another Xray of #31 after approx. 10 days-2 weeks and let it decide whether or not to proceed w/ root canal

B) The 2nd endodontist''''s opinion seems reasonable but might be able to salvage front tooth of the old bridge (#20) w/o treatment and just plan 2 implants. The replacement bridge option involving periodontal treatment might be less predictable but doable.

Good luck

Thanks,

Mason Darvishian

703-995-4440

Again, an opinion about #31 would depend upon records. You should expect each dentist to explain why they recommended what they did and the pros and cons of the decisions.

re patient #A: If there is an abscess evident on the x-ray it should be treated even if there is no clinical symptoms. Although, I would have to look at the x-ray and evaluate patient for the ultimate recommendation

re patient #B: Dental implants are certainly the beneficial over bridges in many ways. Current tooth replacement therapy involves implants in majority of cases. Bridges, although an option, have many disadvantages and rarely meet patients'''' desires and needs. Again, I recommend a consultation for proper diagnosis and recommendations.

You may call our office at (301) 654-7070 for assistance

Dr. kazemi

Oral & Maxillofacial Surgeon