This question is more than six months old, so the information in the answer may no longer be accurate.
Visitor asks:

I have visited the dentist regularly since my teenage years, so I have managed to keep my teeth, although apart from the front ones they all have fillings (some quite extensively), but I think this is common for my 50+ generation. A month and a half ago I began to feel pain, still tolerable, in a lower tooth 4 that had never been treated. A few days later, an X-ray and opening of the tooth showed that the tooth beneath the filling was already dead. The filling was already slightly chipped, but only six months earlier the dentist had said that because the damage was minor there was no point replacing it yet.
After the first visit I also took antibiotic tablets, followed by two more visits two weeks apart. At the last visit the treatment was completed and the tooth was filled. I remember feeling that one needle or file passing through the canal gave me a slight prick at the bottom of the canal, as if it had gone through it.
That same evening after the filling, the tooth seemed a little more sensitive when I was in a cold room. By the following evening the tooth clearly hurt when touched, and for the next two days I had to take Lekadol. For the last two days the tooth itself no longer hurts to touch, but the gum underneath it and the jawbone do.
Should I have another X-ray, and will the tooth need to be opened and treated again? What is the best way to make sure the tooth is preserved?

Dentist Tomaž Rotar answers:

Dear Sir/Madam!

You have described a very common complication following root canal treatment. The symptoms described (pain on touch, spontaneous pain, a periapical area sensitive to pressure...) are the result of inflammation of the periodontal tissues (periodontal ligament, periapical bone) around the root tip. The inflammation can be caused by bacteria that may still be present in the root canal after treatment, or by the effect of filling materials on the periodontal ligament or bone. The options are as follows (individually or in combination):
-repeat root canal treatment
-apicoectomy or removal of the root tip
-administration of systemic antibiotics.
X-ray diagnostics are always useful in this case.

Have a nice day!

✦ This content was translated from the original with the assistance of an AI translation system.
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