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Dentistry/Root Canals

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Question
Hi there,
I had a root canal on an upper back tooth (#14) in July. The pain never subsided, and after two months my dentist simply sent me away with some antibacterial mouthwash and said if it still hurt in 6 weeks, the root canal would have to be done again.  I have just had the root canal done again, and now the dentist tells me that one root is curved, so that they couldn't remove all of it, and that if this root canal doesn't work my only option is specialist treatment.  However, she also said that it is unlikely that will save my tooth either and I may have to get it removed and have an implant.

In your experience, do you think my tooth still has a chance, if part of one root has not been removed?
I would like to save it if I could, even though it is causing me so much grief...


Answer
Hi Clare

The success of root canal treatment depends on being able to remove all of the pulp tissue and disinfecting then sealing the root canal system. If your dentist has been unable to access part of a canal then this will always be a potential area for reinfection.

My advice would be to see a specialist - at least for an opinion. They often can successfully treat this sort of problem.

Regards

Tony Appleton

Dentistry

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Tony Appleton BDS DPDS

Expertise

I am an experienced general dental practitioner in private dental practice. I have worked for the past 25 or so years in the UK, and own a busy practice in Stratford upon Avon, Stratford Dental. From early 2012 my wife and I moved to Canberra, Australia, where I have taken up the position of Lead Dentist in a large city-centre practice. I will happily answer questions related to general practice, and have interests in endodontics (root canal), dental implants, CEREC/E4D cad-cam dentistry and cosmetic dentistry.

Experience

I have been a general dental practitioner for over 25 years, working initially under the NHS, but since 2001 have been solely in private practice. I run a busy practice with my wife, Lisa, who is also a dentist. I have also been closely involved in the training of young dentists, and have lectured to dentists on a variety of subjects, both clinical and managerial, related to general dental practice.

Organizations

Church Street Dental Practice

Stratford Dental

Modern Dentistry

British Dental Association



Publications

British Dental Journal

Cancer Treatment Reviews



Education/Credentials
BDS Sheffield 1986 DPDS Bristol 2001

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