Dear Sir/Madam,
I have a question regarding a procedure on a treated tooth (35). In my case, an X-ray after filling showed that the apical part of the root was not filled completely (a small, narrow part of the root canal).
I was offered the possibility of removing the root tip.
I would like to know whether checking the filling of the remaining root (and correcting it if necessary) is standard practice during this procedure among your colleagues as well, or whether this is something done only at your clinic.
After the filling had already been carried out (with an approach that was not of the best quality), I changed dentists for precisely this reason. The new dentist is now afraid to interfere with the filling again because of the risk of losing the tooth. For this reason he suggested this procedure.
I would also like to know how soon after the final (incomplete) filling the procedure should be carried out, and whether the cut part of the root is then sealed, or whether the tooth is less stable and more prone to loss because the root is shorter.
And finally, how long does the procedure take, can it be performed at your clinic with a referral, and what is the waiting time?
Thank you sincerely for your answers and help, and kind regards.
Dentist Tomaž Rotar answers:
Dear Sir/Madam!
All dentists perform X-ray checks of root fillings; if not immediately, then after a certain period (we aim to minimize exposure to radiation). We perform an apicoectomy when conventional root canal treatment is not feasible (a curved canal, obstructions, apical ramifications...). If the problem is only underfilling of the canal without the causes mentioned above, I recommend repeat root canal treatment because the statistical reliability of this procedure is better. Root length is one of the main factors affecting the choice of treatment. The ratio between the length of the clinical crown and the length of the remaining root should remain 1:2. At our clinic the procedure costs 90 Eur. The procedure takes approx. 20 min.
Have a nice day!