Do You Need the Same Dentist for Root Canal Treatment?

Does root canal treatment need to be performed by the same doctor?

Hello Doctor: Recently, after eating, I experienced pain in the last tooth on the lower right side.
During the holiday, I went to see a dentist, who said I needed a root canal treatment.
I thought, fine! At least it will stop hurting afterward (I had previously undergone three root canals).
After the procedure, once the anesthesia wore off, I felt some swelling and pain, so I took the painkillers prescribed by the doctor, who advised me to take them every six hours.
However, after six hours, I was still in pain, so I took another pill.
The next day at work, since I am in sales and need to talk constantly, my tooth was still very swollen and uncomfortable, so I took more painkillers.
I finished all four pills the doctor prescribed.
The following day was another holiday, and I was worried I wouldn't be able to tolerate the pain, so I called the clinic.
The nurse suggested that it might be gas buildup and advised me to poke a hole with a toothpick.
No matter how I tried, I couldn't break through, and the pain kept increasing.
I then called the clinic to schedule an appointment for that day.
When I arrived, the doctor examined me, packed the tooth with cotton, and placed a white filling on it, but this time there was an additional hole.
After returning home, I felt much better, but it still hurt when I closed my mouth.
I have been hesitant about whether to return to the original clinic because I had never experienced pain after previous root canal treatments, and this time the pain has lasted so long.
The attitude of the doctor and nurse was also somewhat unacceptable to me; they treated me while discussing the news, and when the doctor was cleaning after administering anesthesia, I still felt a lot of pain.
When I expressed this, the doctor told me to endure it.
I held back my tears until I couldn't anymore, and tears streamed down my face.
The doctor told me not to cry.
I was just shedding tears, not crying out loud.
I would appreciate any advice you could give me.
Thank you.

Dora, 20~29 year old female. Ask Date: 2016/04/18

Dr. Zeng Guanghui reply Dentistry

The above situation may be due to inflammatory and purulent substances remaining in the root canal that have not been completely cleaned out, while the opening for the dental treatment has been sealed with medication.
If the opening is not completely sealed and cotton and a white temporary filling material are placed, it can allow the inflammatory and purulent substances in the root canal to gradually drain out, which would alleviate discomfort.
It is recommended to continue treatment until the area is thoroughly disinfected, after which it can be filled with permanent material.

Reply Date: 2016/04/18

More Info

When it comes to root canal treatment, the question of whether to use the same dentist for the procedure is a common concern among patients. In your case, it seems you have had a challenging experience with your recent dental treatment, which has understandably left you feeling uncertain about your care options.
First and foremost, it is essential to understand that root canal treatment is a complex procedure that requires a thorough understanding of dental anatomy, infection control, and pain management. Ideally, the same dentist should perform both the root canal treatment and any subsequent procedures, such as placing a crown or bridge. This continuity allows for better communication and understanding of your specific dental history and needs. The dentist who performs the root canal is familiar with the condition of the tooth and can make informed decisions about the next steps in your treatment plan.

However, if you are experiencing significant discomfort or dissatisfaction with your current dentist's approach, it is entirely reasonable to seek a second opinion. A different dentist may offer a fresh perspective on your situation and potentially provide a different treatment approach that could alleviate your pain more effectively. It is crucial to feel comfortable and confident in your dental care provider, especially when undergoing procedures that can be as sensitive and painful as root canal therapy.

In your case, it sounds like there may have been some miscommunication regarding your pain management and the expectations following the procedure. If you are still experiencing pain after the initial treatment, it is essential to return to the dentist for a follow-up appointment. Persistent pain can indicate that the root canal was not entirely successful, or there may be other underlying issues, such as an infection or a fracture in the tooth. Your dentist should be willing to investigate further and provide you with appropriate care.

If you decide to switch dentists, ensure that the new provider has experience with root canal treatments and is willing to review your previous dental records. This information will help them understand your dental history and tailor their approach to your specific needs. Additionally, it might be beneficial to ask for recommendations from friends or family or to read reviews about potential new dentists to find someone who aligns with your expectations for care and communication.

In summary, while it is generally advisable to have the same dentist perform your root canal treatment and any subsequent procedures, your comfort and confidence in your dental care are paramount. If you feel that your current dentist is not meeting your needs, seeking a second opinion is a valid option. Remember, effective communication with your dental provider is key to ensuring that your concerns are addressed and that you receive the best possible care.

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