In January 2026, I had a root canal performed on tooth #14, followed by a crown placement. Before going through with the procedure, I was very hesitant because I had read conflicting information online about whether root canals are reliable long-term or if they can eventually lead to infection and require extraction anyway.
For the first couple of months after the procedure, everything seemed fine. However, I then noticed that my bite had changed. When I close my mouth, the left side makes contact before the right, making my bite feel uneven. Since then, I’ve also experienced increased jaw discomfort.
More recently, I’ve been getting an aching, pressure-like pain about once a month in the lower tooth directly beneath tooth #14. The pain usually appears suddenly, lasts for about two days, and then goes away. Around the same time, I noticed that this lower tooth seems to have shifted inward, which makes me wonder if my bite is contributing to the problem.
At this point, I’ve spent a significant amount of money on dental work, and I’m honestly considering having tooth #14 extracted instead of investing even more into it. However, I’ve also read that removing an upper first molar (#14) without replacing it with an implant can lead to bone loss, shifting of the surrounding teeth, changes in the bite, and possibly changes in facial or jaw structure. I don’t have any desire to get an implant.
Given everything I’ve described, would it make more sense to:
Keep tooth #14 and have the crown or bite adjusted to correct the uneven bite, or
Have tooth #14 extracted and accept the long-term consequences of not replacing it?
I’m looking for guidance on which option is generally the better long-term decision.