General
This question is more than six months old, so the information in the answer may no longer be accurate.
Visitor asks:
For some time I have had problems with the upper left second premolar. When I pointed this out to my dentist, he X-rayed the tooth and said that I had exposed enamel, but otherwise there was nothing wrong with the tooth. Then, because of bleeding gums, I started seeing a periodontist, who performed the hygiene phase in May 2010 and then flap surgery in all four quadrants in August and September 2011. In May 2012 they cleaned dental calculus at the periodontist. After that this tooth became very sensitive and painful. I visited my dentist, who opened the tooth and replaced the filling, and said everything was fine with the tooth. After a few days severe pain developed. I visited the emergency dentist, who opened the tooth and cleaned the canals (25-trepanation; B-19, P-17; Calosept, Cavit). This was repeated several times until August 2012, when the dentist believed the tooth had healed and filled the canals and closed the tooth. A few days later severe pain started. I was given Amoksiklav 1000. It was fine for a while, then the pain returned. In November 2012 the filling was removed. In December 2012 the canals were cleaned again, medication was inserted and the tooth was temporarily closed. After a few days I developed swelling and the tooth hurt. They again removed the temporary closure and cleaned the canals — very painful. On 22 December 2012, pain again, swelling and a pus-filled bump above the tooth. Again Amoksiklav 1000, two boxes. Please give me your advice. Kind regards.
Dentist Tomaž Rotar answers:
Dear Sir/Madam!
For the diagnosis and prognosis of the tooth in question, an X-ray must first be taken. If it is possible to fill the root canals in a radiographically indisputable manner and the tooth nevertheless continues to cause symptoms (pain, swelling...), we usually resort to apicoectomy or root-end surgery. The reliability of this surgical procedure is relatively low (approx. 70%), but it is the first treatment of choice if the tooth cannot be adequately treated conservatively (root-canal treatment). If the apicoectomy is also unsuccessful, the tooth must be extracted.
Have a nice day!
✦ This content was translated from the original with the assistance of an AI translation system.
← Your questions