Root canal or extraction?

This is not all entirely true.

An Infection of an upper tooth, yes can spread to the brain via the facial Venus plexus but it’s not super common. But who wants to take that risk?

Pulling the tooth yea does get rid of the infection (so does a root canal). Yes the other teeth do pick up the slack but all will be fine without any further problems is not always the case. What is the health of the remaining teeth? Are there large fillings in the remaining teeth? Are those fillings silver? Are there cracks or fractures on the remaining teeth?

When you pull the biggest teeth in the back you rely on smaller teeth to do the job of those larger teeth. Those smaller teeth break down and literally break much quicker especially if they have large fillings. Then you pull more teeth… then more. And eventually you have no back teeth and all your chewing is done with front teeth and or partials or dentures. Which is ok, I understand everyone’s finances and interests are different. I just want people to have the full understanding of their choices which include the long term health of their remaining teeth and mouth.

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In my case I do have a gap in top
Big enough to get my tongue started in. I had four teeth pulled in the 60’s when I got braces