I found out recently that I apparently need to have a root canal tooth extracted (a bottom molar; tooth 30). It is not infected, but the crown became loose and caused some slight decay underneath. When my dentist went to remove the decay, the tooth was so thin and fragile that it fractured below the gumline. I am bedridden with severe ME, so this of course creates some issues for me. My dentist is willing to do the extraction at home, but also wants to do a bone graft (an allograft using freeze dried cadaver bones... ew) prior to building a bridge to replace the tooth. This will all, of course, cost me a substantial amount of money. My main concern is that my naturopathic MD does not feel I should get the bone graft due to potential immune system issues. He apparently knows someone who had a bad reaction. Meanwhile, my dentist says if I don't have a bone graft, I risk bone loss and having a large dip in that area of my mouth, which could lead to problems in the future. So, I don't know what to do. I would love to save the tooth, but I don't know if it's possible. Being bedridden, it's difficult to get a second opinion. I do not have an x-ray of the tooth to send to another dentist, as my dentist did not take one after it fractured. Anyway, my question in all this mess is, has anyone here with severe ME had both a molar extraction and bone graft, and if so, how did you hold up? Any negative reactions to the graft (rejection, infection, worsening of symptoms, etc.)? Has anyone had a molar extraction without then getting a bone graft? If so, did you have any issues as a result (such as bone loss or collapse of adjacent teeth)? Thanks for any input.