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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,
I am 28 years old and I still have a primary second premolar on the lower left. There is no permanent tooth bud. The primary tooth has an amalgam filling. A few weeks ago the tooth began to hurt when I bite (it does not hurt on its own). The root area also hurts if I touch it with my finger. I visited my dentist, who took an X-ray. He says there is nothing serious visible, so he ground the filling down slightly because the tooth may be overloaded (I am not exactly sure what that means). He said that if the situation does not improve, he recommends having the tooth removed because it cannot be treated.
I would like to know your opinion. Is there any other solution that could somehow allow this tooth to be treated? Please advise me how to proceed. Thank you in advance for your answer.
Dentist Tomaž Rotar answers:
Dear Sir/Madam!
Root canal treatment of any tooth depends on anatomical and pathological factors. If the primary tooth has well-developed, non-resorbed roots, if the root canals are patent, if the tooth has sufficient strength, if the crown is relatively intact, ... then it could still be treated endodontically. To make a decision I would need to see the X-ray; otherwise, I believe you should trust the decision of your dentist.
Have a nice day!
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