Endodontics (root canal treatment)
This question is more than six months old, so the information in the answer may no longer be accurate.
Visitor asks:
Dear Sir/Madam,
I would kindly ask for as quick an answer as possible to my question:
Four years ago I had pain in the upper left first molar and the tooth was treated, the nerve was removed and the root was filled. Ever since then the tooth has caused occasional more or less severe pain, about which I informed the dentist; his explanation was that the X-ray showed everything was normal and that my general resistance influenced it. In March this year the pain became unbearable. The dentist reopened the tooth and pus drained out; after retreatment and oral antibiotics he closed it again. The pain continued even after this procedure, so at the end of August I visited the dentist again; he said the X-ray showed everything was normal and that the situation would calm down. Last week the inflammation caused considerable swelling of the gum and cheek. I was given antibiotics again to reduce the swelling (it has not improved much up to today), and on Monday the dentist is supposed to reopen the tooth to see whether the root may be fractured. If so, he will have to extract the tooth. I would like your opinion on whether anything else can still be done in my case.
Kind regards and have a nice day!
Andreja
Dentist Tomaž Rotar answers:
Dear Sir/Madam!
An apicoectomy, that is, removal of the root tip, is very difficult to perform on the tooth in question. The only option is retreatment of the root canals if the canals are passable. If the involvement of the periodontal tissues around the root tip is too extensive, the prognosis of this treatment is poor. To decide, I would need to see the X-ray.
Have a nice day!
An apicoectomy, that is, removal of the root tip, is very difficult to perform on the tooth in question. The only option is retreatment of the root canals if the canals are passable. If the involvement of the periodontal tissues around the root tip is too extensive, the prognosis of this treatment is poor. To decide, I would need to see the X-ray.
Have a nice day!
✦ This content was translated from the original with the assistance of an AI translation system.
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