The lower first premolar was treated and filled. The roots are slightly curved, so the instruments could not reach all the way to the end and bacteria apparently penetrated beyond the filling, which became painful. My dentist advised me to have the tooth extracted, but I would still like to look for another option — perhaps surgery (cutting off the roots). Do you also perform this? Under the public concession? What is your opinion?
Thank you for your answer and kind regards,
Mrak Helena

It is very difficult to discuss the method of treatment without an appropriate X-ray. If the lesion in the bone around the root apex is not too large, I would certainly try to preserve the tooth. If the root canal is not negotiable, it would be worth attempting root canal retreatment and, of course, thermoplastic filling as far as the canal is negotiable. If the X-ray findings were not favourable, I would also try surgery on the root tip, or apicoectomy, although without prior repeat root canal treatment it would not be as successful. The success rate of apicoectomy with prior root canal treatment is almost 80%. The use of operating microscopes, apex locators and digital X-ray equipment in root canal treatment greatly increases its success rate.
We provide all of the listed services in our practice. We also have a public concession. You can make an appointment by phone or by e-mail. We look forward to your visit.
Trust your dentist.

Have a nice day!