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Antibiotics prophylactically should likely be given to someone of this age before extraction, and certainly to kill infection. She isn't going to miss this tooth. Just get it done; will be easiest and fastest healing. Don't allow everyone and every internet site to cause you to question the expert here, your dentist.
Just my humble opinion as an old retired RN.
Since reading everyone's response, should I even bother with a second opinion?
The tooth has been loose for about a year.
Best of luck to you both..
30 minutes, a tooth gap, bill $250.
Job done. No regrets.
He later went back & got a little denture plate thing with one tooth on it (reasonable cost).
For someone 104yrs old?? Gosh! I'd ask for the quickest solution as just being in the dentist chair may be a hardship.
To me this is a no brainer. I mean your mother is 104 years old.
And since I've had both a back tooth pulled and several root canals over the years, I would say BY FAR the root canals are much more traumatic than having a tooth pulled, plus you have to keep your mouth open for at least a good hour once you get good and numb.
Your mother deserves the simplest procedure done now, as she doesn't need the aggravation of a root canal. Not at 104 anyway.
First, the tooth is drilled out to remove all the infected pulp interior...down to the ROOT. An Endodontist (specialist) is required, and it runs well over $1,500. The cavity is packed with gutta percha, a special filler. Then the remaining tooth ground down to prep for a crown, which will be another $1,400. A temp crown is applied to keep it sealed, so the infection fully heals.
Two weeks later, her regular dentist drills out the gutta percha, refills the tooth with specialized cement, and puts the new crown on. It takes 3 visits to complete, each one an hour to 90 minutes of holding her mouth open (after several injections). Also taking antibiotics during the 2 weeks of procedures.
The alternative? Pull the damn tooth for $150. Be done with the infection and instant relief! Then get a single "flipper tooth" for a few hundred to pop in to look nice.
I was in my late 50s and still working, with excellent insurance. I was totally concerned about my looks, since I faced the wealthy public every day, so couldn't go to work with a blank space in front.
It's going to run $3,000 for a root canal/crown. Versus extraction and a flipper tooth in 2 easy visits, running about $500. Those prices were in 2015, and could be much higher now.
Good luck!