A tooth that has had endodontics (root canal treatment) and a post and core buildup can fracture, leaving no alternative but extraction.

1. A removable appliance, which can create problems for the gum and adjacent teeth
2. A fixed bridge - not always the best choice; especially if the supporting teeth are in good condition. A bridge would require good teeth be cut down for crowns to support the bridge. A patient may also be decay prone. Decay under a crown can cause the loss of an entire bridge, now involving two or more teeth rather than one.
3. An implant, however, serves as a replacement for the tooth, and is most like the original tooth. It also provides proper stimulation to preserve bone and aids in a youthful appearance.

		When the patient was first seen, a fistula* was noted.  The X-ray showed a radiolucent area* around the root.
		The involved first bicuspid was extracted, all the infection removed, and an implant placed.