11 June, 2026Does a Pulpless Tooth with Only One Wall Left Need to Be Pulled?
Join Nhu Ngoc Dental Clinic as we look back at the journey of “preserving natural teeth at all costs,” which helped Mr. Ho Anh Sang escape severe toothaches and fully restore his chewing function.
When Meals Become a “Nightmare”
Prolonged toothaches, extreme sensitivity, or sharp, throbbing pains that shoot up to the brain are experiences nobody ever wants to go through. For Mr. Ho Anh Sang, severe dental deterioration had turned what should have been enjoyable meals into a literal nightmare.
When he arrived at Nhu Ngoc Dental Clinic, Mr. Sang carried a lot of anxiety along with a mouthful of complex dental issues. However, driven by our core philosophy of “maximum natural tooth preservation,” our team of specialists worked a miracle for his smile.
Red Alert: Severe Pulpal Necrosis and the Risk of Permanent Tooth Loss
Through a clinical examination and detailed X-rays, the doctors at Nhu Ngoc Dental Clinic evaluated Mr. Sang’s condition as highly complex:
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Tooth 36 (LOWER LEFT FIRST MOLAR): The pulp was completely necrotic (dead), the crown was severely fractured, and only a single, fragile wall remained. The risk of extraction was extremely high.
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Tooth 46 (LOWER RIGHT FIRST MOLAR): Irreversible pulpitis, causing severe and persistent throbbing pain.
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Tooth 47 (LOWER RIGHT SECOND MOLAR): Deep decay with structural damage.
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Other Issues: Thick tartar buildup (Grade 2) causing inflammation, combined with tooth crowding that made proper oral hygiene difficult.
These issues did more than just physical damage—they directly stripped away his quality of life. Mr. Sang constantly endured severe sensitivity, struggled to chew and swallow, and suffered from sharp pains that disrupted both his work and his sleep.
Before-treatment image of the client at Nhu Ngoc Dental Clinic.
A Personalized Treatment Plan: Determined to “Save the Natural Teeth at All Costs”
Faced with Tooth 36, which conventional wisdom might deem “beyond saving,” the specialists at Nhu Ngoc Dental Clinic stood firm on their goal: Preserve the client’s natural teeth to the maximum extent. A specialized treatment plan combining multiple advanced restorative dental techniques was meticulously mapped out and executed:
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Saving the Necrotic Teeth (Tooth 36 & Tooth 46): The doctors performed thorough root canal therapy using modern equipment to completely eliminate the infection. Specially for Tooth 36 (which had only one wall left), the dentist skillfully placed a post into the root canal to rebuild a sturdy core, followed by a porcelain crown encapsulation to protect the natural root inside, successfully restoring both chewing function and aesthetics.
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Restoring the Decayed Tooth (Tooth 47): The decay was thoroughly cleaned out and restored with a tooth-colored cosmetic filling, stopping bacteria from invading deeper.
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Comprehensive Periodontal Care: Grade 2 tartar was removed using a gentle ultrasonic scaler, followed by a Fluoride Varnish application to remineralize the enamel, reduce sensitivity, and protect the tooth structure long-term.
The Sweet Fruit of the Journey: A Radiant Smile and Comfortable Chewing
Meticulous care at every single step delivered results that exceeded expectations. Today, Mr. Ho Anh Sang can comfortably enjoy his favorite foods—something he previously wouldn’t have dared to think about. The sensitivity and pain are entirely gone, and his chewing function has been remarkably restored. Most importantly, he got to keep his priceless natural teeth.
Sharing his heartfelt thoughts with Nhu Ngoc Dental Clinic, Mr. H.A. Sang expressed:
“Before coming to the clinic, I was very anxious because, to be honest, I’m quite afraid of pain. But once I stepped into Nhu Ngoc, I was pleasantly surprised by how caring and attentive everyone was. Throughout the entire treatment, I felt absolutely no pain and was completely comfortable. Now that the treatment is over, I am incredibly happy with the results. Thank you so much, Nhu Ngoc Dental Clinic, for helping me save my natural teeth without having to pull them!”
Mr. Ho Anh Sang’s story is clear proof that even severely damaged teeth with dead pulp can still be saved if treated at the right time, with the right method, and by highly skilled doctors.
Don’t give up on your natural teeth just yet! If you are experiencing pulpitis, tooth decay, or chipped teeth, contact Nhu Ngoc Dental Clinic immediately to get examined by leading specialists and receive the best tooth-preservation plan.
