Root Canal
How many times can a root canal tooth be retreated?
I had a root canal done on this tooth many years ago. I then had a retreatment done last year. In the last 3 months I have had two abcesses which cleared with antibiotics. Can this tooth be retreated again and if so what is the success rate. I know there is something called an api but I don’t think I would want to have that done.
if the tooth didn’t get fixed up by the retret chances are that another one won’t help it. The next step is an apicoectomy. Basically they move your gums back, make a small hole over the tip of the root so they can remove the root tip and then seal the root canal from the bottom with a substance called MTA. These have a relatively high success rate but can fail also. The reason they work is because root canal failure usually results from incomplete cleaning of the root canal, this can be because the main canal usually breaks off into multiple smaller ones right at the end of the root. THe apico cuts off the root tip and all of these small accessory canals so there is a good chance of it healing. The only other option is to have the tooth removed and then have a dental implant placed after everything heals up.
Root Canal
What to Do after Root Canal Treatment?
When the nerve of a tooth becomes infected, root canal treatment can save the tooth. How do you know if you have an infected tooth? Some of the signs are heat and cold sensitivity, swelling and pain, or a bad taste in your mouth. Or, you may experience no symptoms at all and not realize that you have a dental problem.
To get at the infection, he makes an opening through the top of the tooth down into the pulp chamber. With a dental file, your dentist (or endodontist) carefully cleans out the infected tissue and shapes the canals to receive the filling material. X-rays are taken to make sure that all of the infected pulp is removed.
Root canal therapy often takes two or more appointments to complete. A temporary filling or crown is placed to protect the tooth between appointments.
After each appointment when anesthetic has been used, your lips, teeth and tongue may be numb for several hours. Avoid any chewing until the numbness has completely worn off.
Between appointments, it’s common (and not a problem) for a small portion of your temporary filling to wear away or break off. If the entire filling falls out, or if a temporary crown comes off, call your dentist so it can be replaced.
It’s normal to experience some discomfort for several days after a root canal appointment, especially when chewing. To control discomfort, take pain medication as recommended. If antibiotics are prescribed, continue to take them for the indicated length of time, even if all symptoms and signs of infection are gone.
To further reduce pain and swelling, rinse three times a day with warm salt water; dissolve a teaspoon of salt in a cup of warm water, then rinse, swish, and spit.
To protect the tooth and help keep your temporary in place:
• Avoid chewing sticky foods (especially gum).
• Avoid hard foods and hard substances, such as ice, fingernails and pencils.
• If possible, chew only on the opposite side of your mouth.
It’s important to continue to brush and floss normally. Usually, the last step after root canal treatment is the placement of a crown on the tooth. A crown covers and protects the tooth from breaking in the future.
If your bite feels uneven, you have persistent pain, swelling, bleeding (bruising) or you have any other questions or concerns, call your dentist right away.
If after root canal treatment has been performed a tooth still harbors bacteria or irritants which keep the tissues surrounding the root of the tooth from being healthy (inflamed), then the treatment has not been successful. Some signs of failed root canal treatment can include tooth pain (ranging from very mild to extreme) and tenderness or swelling in the gums in the area near the tooth (ranging from very slight to pronounced). These signs can either:
• Persist from the time of the root canal treatment.
• Be transient (varying week to week or month to month.
• Appear even though the tooth has been asymptomatic for years.
In other cases a tooth may have been, and continues to be, without symptoms but the tissues surrounding the tooth are identified as having the presence of persistent inflammation by way of a x-ray examination by a dentist. In these cases, if retreatment is not a possibility, then the tooth should be extracted.
About the Author
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SoftDental,(
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Root canal?
I asked a question on here a couple of days ago about a toothache and was told by two dentists that I probably need a root canal based on my symptoms…..the tooth doesn’t really hurt all that much at the minute, only after I’ve eaten something cold it aches for a while. What would happen if I left the tooth and didn’t get it fixed right away? I don’t have a dentist and can’t afford to go private until September. Would it be OK to wait until then?
And what’s it like having a root canal done? Does it hurt?
How much worse is getting a root canal compared to getting a filling? I’ve had quite a lot of fillings before and they were quite sore. Is getting a root canal much worse?
Just did a root canal yesterday on a young man. 24 yrs old. He was very surprised it did not hurt. the shots hurt at the beginning of the visit. He started to fall asleep during the procedure he told his wife. Generally, however, Root canal pain get worse the longer you wait. If you wait till there is constant pain the complicaitons are worse and hence more tendency to have PAIN. The most common length of pain following a root canal is 3 days we tell our patient after that your’e good. You need to know, also, once you get a root canal you have a limited time to have a crown done on the same tooth. As far as waiting it could be OK, but if the pain starts to become constant and random last longer than 30 seconds with no stimulus. You better get it done sooner. Officially, were trained to say got get it taken care of. In reality many patients wait for job insurance to kick in. Hope it helps. . .
Root Canal Treatment
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