Hi, I had a root canal for tooth # 30 few years ago. 6 months ago, I noticed pain and Xray showed infection. Endodentist claimed there might be a missing root and recommended RCT re-treatment. 3 months after retreatment, pain returned and the attached Xray shows no improvemt. my question: is there any chance for it to heal by itself? I mean shall I leave it as it is and take a course of antibiotic once in a while? or save my time and proceed to Apiceotomy or maybe dental implant? Thank you
October 26, 2017
Answer: Infected root canal tooth Hi:Unfortunately with root canal infection the infection will not go away with antibiotic in the long term. The source of the infection has to be treated in order to make sure the infection goes away. If the tooth is not cracked, Apicoectomy might be your best option at this point.Best,Dr. Maddahi
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October 26, 2017
Answer: Infected root canal tooth Hi:Unfortunately with root canal infection the infection will not go away with antibiotic in the long term. The source of the infection has to be treated in order to make sure the infection goes away. If the tooth is not cracked, Apicoectomy might be your best option at this point.Best,Dr. Maddahi
Helpful 1 person found this helpful
September 8, 2017
Answer: RCT failure, Apico or implant? It would be great if your endodontist utilized a CBCT scan and if they did what did they find that was untreated or was a potential crack found. They most likely "scoped" the internal of the tooth as well.Apico's have AT BEST a 50/50 chance of success in my experience.The last thing I would do is, if possible, remove ALL the root canal filling and place 3-Mix MP or some other antibiotic-like paste into the canals and leave it alone. If it goes back to normal.....after 6-12 months of happiness, I would fill with a bio-ceramic material.This tooth will always have a guarded prognosis, if it is a stress crack in the root, nothing will work for very long and thus removal, then either 1) osseous graft/membrane/implant/abutment/implant crown or 2) 3-unit bridge as the adjacent teeth seem to have large fillings which usually means weaker supporting tooth structure. Has the tooth in front of this had endodontic treatment? It looks unusual and may have a "radiolucency" and should have vitality testing.
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September 8, 2017
Answer: RCT failure, Apico or implant? It would be great if your endodontist utilized a CBCT scan and if they did what did they find that was untreated or was a potential crack found. They most likely "scoped" the internal of the tooth as well.Apico's have AT BEST a 50/50 chance of success in my experience.The last thing I would do is, if possible, remove ALL the root canal filling and place 3-Mix MP or some other antibiotic-like paste into the canals and leave it alone. If it goes back to normal.....after 6-12 months of happiness, I would fill with a bio-ceramic material.This tooth will always have a guarded prognosis, if it is a stress crack in the root, nothing will work for very long and thus removal, then either 1) osseous graft/membrane/implant/abutment/implant crown or 2) 3-unit bridge as the adjacent teeth seem to have large fillings which usually means weaker supporting tooth structure. Has the tooth in front of this had endodontic treatment? It looks unusual and may have a "radiolucency" and should have vitality testing.
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