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This question is more than six months old, so the information in the answer may no longer be accurate.
Visitor asks:
Dear Sir/Madam,
last summer, half of a tooth on the lower left (the second-to-last tooth) broke off. My dentist told me that I had had deep caries and already then “predicted” that it was uncertain whether the tooth would be all right. Because of pain, I visited her at the beginning of May. She removed the filling and found inflammation. She placed Toxavit, but because of the pain I went to the emergency dentist, who reopened the tooth and placed medication again. My dentist has now already started cleaning the canals (three of them); two could be cleaned, but the third could not, so she placed medication again and scheduled me for another appointment. I would like to know whether every such inflammation already means a granuloma, or when can we say that it is one? I have read that most people have an X-ray taken, but I did not, so perhaps the dentist already assessed that it was not necessary? Otherwise my teeth are healthy; until now I really have not had problems, and I am 28 years old.
Thank you very much for your answer and kind regards.
Dentist Tomaž Rotar answers:
Dear Sir/Madam!
Root canal treatment of a tooth means in every case that after the procedure is completed the tooth will be dead, while the root canal (where before treatment there was soft pulp tissue or its remnants) will be filled with a synthetic material (gutta-percha). The quality of the filling of this canal determines whether the periodontal tissue in the area of the root tip (where the canal opens outward, into the bone) will be inflamed or not. After some time, chronic inflammation at the root tip is also visible on an X-ray as a radiolucency or dark shadow, which may be called a granuloma.
Have a nice day!
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