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

Hello!
One month ago my dentist treated my lower right first premolar, filled the root canals and then closed the tooth with a white temporary filling. Just 2 days later I went back because the tooth was hurting badly; the dentist removed the filling and then went into both canals again with a file. In both I had the feeling as if he had pierced through them. After that everything was fine for 25 days. Today I went back because of pain I had last weekend; he repeated the procedure and said that it had become infected with pus. About an hour later a thick red discharge came out of these roots (about 10 drops in total), as if it were thick blood. I would like to know whether this is dangerous and whether it was thick dark-red blood or whether there was also some pus in it. And why do the tooth roots become purulent when the tooth is "open"?
Thank you and kind regards!

Dentist Tomaž Rotar answers:

Dear Sir/Madam!

Based on what you have written, I believe this is a chronic pathological process occurring around the root tips. When the inflammation flares up acutely, the pressure of fluid (serous, purulent, bloody) increases and the fluid drains outward through the root canals, as you also observed. The problem is treated with root-canal treatment, which, as I understand it, is already being carried out. The prognosis of a tooth treated in this way is very difficult to predict even when we already have an X-ray.

Have a nice day!

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