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Medical Forum / General / Dentistry / February 2007root canal
Hi, I have had the root canal procedure twice on a tooth over the past two years. I only had temporary filling both the times. The last time I lost the temporary filling was about 18 months ago and the tooth has been open ever since. Now I am having pain and not sure whether it is because this open tooth or any other tooth. Do you think I need the root canal procedure again for the same tooth? If I see a dentist and if he thinks I need the root canal procedure again on the same tooth, should I always belive him? What if he is trying to sell the procedure just to make more money? Please help me with these two questions. Thanks. > Hi, I have had the root canal procedure twice on a tooth over the past > two years. I only had temporary filling both the times. The last time > I lost the temporary filling was about 18 months ago and the tooth has > been open ever since. Now I am having pain and not sure whether it is > because this open tooth or any other tooth. Do you think I need the > root canal procedure again for the same tooth? A tooth that has been open to the mouth for 18 months? In general, a long-term *very, very* guarded prognosis. Please understand this when speaking to your dentist. J Suljak DDS >> Hi, I have had the root canal procedure twice on a tooth over the past >> two years. I only had temporary filling both the times. The last time [quoted text clipped - 8 lines] > >J Suljak DDS IIRC it's 30 days and you will have bacteria to the apex with GP and conventional sealers. I say re-treat ! and be sure to get the crown soon ! > IIRC it's 30 days and you will have bacteria to the apex > with GP and conventional sealers. > > I say re-treat ! and be sure to get the crown soon ! Even with retreatment and a crown, it still has a very guarded prognosis, in my opinion. J Suljak DDS >> IIRC it's 30 days and you will have bacteria to the apex >> with GP and conventional sealers. [quoted text clipped - 5 lines] > >J Suljak DDS Would like to see a radiograph before making that judgement. > Would like to see a radiograph before making that judgement. I'm not sure how much more info it will give you. If the apex does not show widening or a radiolucency, does that make the prognosis better? I don't believe so. In my opinion, 18 months of bacteria all the way to the apex says it all. Sure, go ahead and try the root canal (if the tooth is even restorable or endodontics actually possible), but best the patient know the odds...this situation is not like the average endo. J Suljak DDS >> Would like to see a radiograph before making that judgement. > [quoted text clipped - 6 lines] > >J Suljak DDS Am not the average endo operator. >>Would like to see a radiograph before making that judgement. > [quoted text clipped - 6 lines] > > J Suljak DDS I've done endos on non-vital teeth where the reported provocative incident was 12 years before (a baseball bat). The area was the size of Kansas and the smell on opening was indescribably. I'm with Newbie--if the tooth is restorable, the duration of bacterial percolation should not be the deciding factor. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >>>Would like to see a radiograph before making that judgement. >> [quoted text clipped - 14 lines] > >Steve Have retreated endos before a crown replacement that were a bit funky on the inside. If after removing the crown and any build up material the GP looks stained and has an odor --> retreat. Afterall a crown failure is usually due to leakage and/or recurrent decay. Duration of infection is no contraindication to RCT. |
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