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Medical Forum / General / Dentistry / October 2004Infection in Tooth with Root Canal and Apicoectomy
Hi, I have a tooth which had root canal about twenty years ago and an apicoectomy about five years afterwards. I now seem to have developed a new infection in that tooth and my dentist says he can't do anything further than prescribe anti-biotics. I am not sure if they are helping. Any other options? Thanks. This is only my experience but I doubt anything can be done. Same thing happened to me. I had a Root canal 20 years ago, apico followed a few years later. Two years ago, after complaining to my dentist for over a year that the tooth felt "funny" and nothing done, I got a second opinion from an oral surgeon. He spotted the infection right away and a few days later, I had no option but to have the tooth pulled. It was cracked. I suspect it was the post in the canal that did it as this was the root which was cracked (he showed it to me). I did it with only a local anesthetic, I was nervous but it didn't hurt at all and saved me $300 because I was awake as opposed to asleep. Good luck. Sounds like a repeat of your situation.  Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > This is only my experience but I doubt anything can be done. Same > thing happened to me. I had a Root canal 20 years ago, apico followed [quoted text clipped - 8 lines] > > Good luck. > Hi, > [quoted text clipped - 3 lines] > further than prescribe anti-biotics. I am not sure if they are > helping. I have _exactly_ the same history. Only my dentist sent me to an expert to ask for a second/repeat apicoectomy. In my case the expert looks at the same x-ray and says he can't do it again because the tooth is also split. Says tooth must now be removed. Back home my dentist says he can't see the split on the x-ray but expert knows best. After some thought I agree to let him extract it and it turns out the tooth is indeed split. I'm currently waiting for it to heal so bridge can be fitted. After a while, we learn to sniff those out and can tell they are fractured even though the x-ray image does not reveal the fracture. Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > >> Hi, [quoted text clipped - 16 lines] > is indeed split. I'm currently waiting for it to heal so bridge can be > fitted. Pardon me folks...I'm not a dentist, just a reluctant patient... please tell me what an "Apicoectomy" is? Heard a guest on Letterman tonight refer to one she had... she said it was terribly painful... This will be my first Root Canal..it's a molar..and the filling fell out... have seen 3 dentists for opinions.. the predictions and prices get more dire, confusing and I'm getting MORE scared and reluctant. The tooth doesn't hurt that much ... I'd like to keep smiling... ruby. > Pardon me folks...I'm not a dentist, just a reluctant patient... please > tell me what an "Apicoectomy" is? http://www.qualitydentistry.com/dental/endo/apicoectomy.html > The tooth doesn't hurt that much ... The problems start when a tooth decays so much that it stops hurting. Best get it done. I've had both a root canal and an Apicoectomy. The root canal was painless. I had the Apicoectomy under a general 20 years ago. > The tooth doesn't hurt that much ... > > I'd like to keep smiling... > > ruby. See an Endodontist (root canal specialist) and see what he/she thinks. Apico is removing the sick root tip(s) and often necessiatates re-doing the RCT as well, if one wants to be sure. Don't get all worked up: most RCT don't need apicos, just as most Extreme Makovers don't last 2 years. Remember: they usually work Cheeahs SP SignatureNot a real Addy, yet Thank you for your help.. The photos you posted helped a lot, too... Can anyone recommend an Endodentist in Suffolk Cty, LI with a compassionate personality? (I had horrible prior Othodentic eps. as a child, and 1 Dentist I saw 15 yrs. ago pointed to the roots on my x-rays, claimed they were cavities and wanted to pull ALL! Since the samething had happened to my mother at another Dentists..I said I'd go for a 2nd opinion and ran like..H! Does this explain my hesitation??? ruby. Shamul John W DDS 678 Deer Park Avenue Babylon, NY 11702 631-587-8493 > Thank you for your help.. > [quoted text clipped - 10 lines] > > ruby. > Shamul John W DDS > 678 Deer Park Avenue [quoted text clipped - 14 lines] >> Does this explain my hesitation??? >> ruby. I'd recommend Dr. Anthony Fragola--he's on Montauk Hwy. in W. Islip. Steve > I'd recommend Dr. Anthony Fragola--he's on Montauk Hwy. in W. Islip. > >Steve Been there ! -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE >> I'd recommend Dr. Anthony Fragola--he's on Montauk Hwy. in W. Islip. >> [quoted text clipped - 4 lines] > -- > W_B He was president of our dental school class the first 2 years, and a super guy. Steve > wubbabubbazG@RBAGEyahoo.com > Take out the G'RBAGE >>> I'd recommend Dr. Anthony Fragola--he's on Montauk Hwy. in W. Islip. >>> [quoted text clipped - 9 lines] > >Steve Have an aunt who used to live in Islip, L.I. moved to -->FLA go figure. Still have some relatives on L.I. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE >Pardon me folks...I'm not a dentist, just a reluctant patient... please >tell me what an "Apicoectomy" is? Apico- means apex or the tip of the root (or tip of the mountain). APEX def. The highest point (of something) -ecotomy means "to cut." TOME .root . def. A (usually) large and scholarly book Written material was formerly rolled into scrolls. After the development of papyrus, the material was "cut" into sheets, thus the relation of cut and "tome." (which means to cut). Similary "TOMOGRAPHY" is a series of slices or cuts, done through x-ray process. Cuneiform was also "cut" by inserting the stylus into the wet clay. Apico-ec-tomy. Means cutting off the diseased tip of the root. It can be done a little quicker than my description of the etymology of the word! Joel >Heard a guest on Letterman tonight refer to one she had... she said it >was terribly painful... [quoted text clipped - 8 lines] > >ruby. >Heard a guest on Letterman tonight refer to one she had... she said it >was terribly painful... NAH,, unless she opted for no xylocaine! >Hi, > [quoted text clipped - 7 lines] > >Thanks. See an endodontist for a consultation. You may have a fractured root. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com Thanks to all for the info. Will check with endodontist but most likely scenario will be to get it pulled. Quick follow-up question....at what point does such an infection pose a health risk to other parts of the body (i.e. heart). Is it risky to have infection ongoing for a week or so? Thanks again. George M. >Hi, > [quoted text clipped - 7 lines] > >Thanks. >Subject: Re: Infection in Tooth with Root Canal and Apicoectomy >From: anonymous anonymous@yahoo.com [quoted text clipped - 9 lines] > >George M http://dentistry-toothtruth.com/faq.htm#treatment A: While mercury is toxic and can do terrible things to nerve tissue, it does it slowly over decades. The treatment that can have the biggest and fastest impact on the body is root canal therapy. The idea of keeping a dead, infected organ in the body is only thought to be a good idea by dentists. A root canal-treated tooth always negatively affects your immune system. >>Subject: Re: Infection in Tooth with Root Canal and Apicoectomy >>From: anonymous anonymous@yahoo.com [quoted text clipped - 11 lines] > >http://dentistry-toothtruth.com/faq.htm#BOGUStreatment WELCOME JAN >A: While mercury is toxic and can do terrible things to nerve tissue, it does >it slowly over decades. The treatment that can have the biggest and fastest >impact on the body is root canal therapy. The idea of keeping a dead, infected >organ in the body is only thought to be a good idea by dentists. A root >canal-treated tooth always negatively affects your immune system. Okay,,,,,,,,,,,, everyone slide into the time machine for a trip back to 1918 and all the science that was known at that time. Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... "Jan" <jdrew63929@aol.com> wrote in message >> >>Thanks to all for the info. Will check with endodontist but most >>likely scenario will be to get it pulled. >> >>Quick follow-up question....at what point does such an infection pose >>a health risk to other parts of the body (i.e. heart). Is it risky to >>have infection ongoing for a week or so? Thanks again. > A: While mercury is toxic and can do terrible things to nerve tissue, it > does [quoted text clipped - 4 lines] > organ in the body is only thought to be a good idea by dentists. A root > canal-treated tooth always negatively affects your immune system. >Thanks to all for the info. Will check with endodontist but most >likely scenario will be to get it pulled. > >Quick follow-up question....at what point does such an infection pose >a health risk to other parts of the body (i.e. heart). Is it risky to >have infection ongoing for a week or so? Thanks again. Rarely does this happen as infections are encapsulated. Hygieinists will disagree, but that's why we are the doctors not them! Joel >George M. > [quoted text clipped - 9 lines] >> >>Thanks. >>Quick follow-up question....at what point does such an infection pose >>a health risk to other parts of the body (i.e. heart). The risk is when an infection becomes *chronic* Untreated infection is a risk to the entire body. > Is it risky to >>have infection ongoing for a week or so? Thanks again. One week ? No problem. Nt chronic. Months ? Yes that is a problem. >Rarely does this happen as infections are encapsulated. True for dental infections, mostly; however, once fistulation occurs the infection is deemed *chronic*. >Hygieinists will disagree, but that's why we are the doctors not them! Never have employed a hygienist. In my practice the doctor cleans your teeth. It is appreciated by all of my patients. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE >>>Quick follow-up question....at what point does such an infection pose >>>a health risk to other parts of the body (i.e. heart). > >The risk is when an infection becomes *chronic* >Untreated infection is a risk to the entire body. How so? Take a periapical abscess ..... >> Is it risky to >>>have infection ongoing for a week or so? Thanks again. [quoted text clipped - 11 lines] >In my practice the doctor cleans your teeth. >It is appreciated by all of my patients. |
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