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

Hello. I would like to ask for your opinion. I had my upper left central incisor left open for two years, and after two years I finally found the courage, because I have an abnormal fear of dentists, and went to a dentist. He started cleaning the canals; he also had an X-ray of the tooth and decided that we would try to save it so that I could keep my own tooth. When he started cleaning it hurt a little, but when he reached the root tip the pain was terrible... somehow I endured it. He put in medication and, just in case, prescribed antibiotics in the event of swelling. And indeed, from Thursday to Friday a swelling developed above the tooth which was very painful to touch but otherwise not. From Friday to Saturday the swelling spread to the entire left half of my face, my eye closed, etc. I went to the emergency dentist, who reopened the tooth and made an incision above it so the pus could drain. I have now been going for a week to have the strips changed and I am taking antibiotics. The diagnosis is a dental abscess, and a truly terrible abscess... the swelling is gone but there is still a hard lump above the root that hurts unbearably even when I touch it just slightly. And the tooth is completely black or very dark, while my right central incisor is nice and white. Now my dentist has decided, or told me, that the solution is extraction of the tooth — to have it extracted and later get a replacement or implant. I would like to know whether you would perhaps make the same decision or advise extraction given my condition. I would be very grateful for an answer. Thank you very much. Kind regards.

Dentist Tomaž Rotar answers:

Dear Sir/Madam!

Given that the tooth was left open for two years, its prognosis is very poor. It is always worth trying, but in view of the clinical picture you describe, I believe it would be best to remove the tooth. A final decision can only be made after examining the X-ray, which is also essential for root-canal treatment itself.

Have a nice day!

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