Post-Root Canal Treatment: Do You Still Need a Dentist? - Dentistry

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After root canal treatment


Hello, Doctor! I would like to ask about my situation.
A week ago, I went to the dentist because of tooth pain.
The dentist said that the cavity was close to the nerve, and since he was an old practitioner who had been treating me since childhood, he didn't perform a root canal.
Instead, he cleaned it out and filled it.
He mentioned that if the pain persisted, I should seek a second opinion.
After returning home, the pain suddenly became much worse, so I went to a large hospital for an X-ray.
The doctor looked at the results and said that the filling was close to the nerve, so I would need a root canal followed by a crown.
Later, the doctor administered two injections of anesthesia and filled the tooth.
He said I would need to come back for further treatment.
However, after returning home, I felt completely pain-free.
The doctor advised me to return for a follow-up, but since the large hospital is far and making an appointment is troublesome, I found a nearby clinic.
After explaining my treatment history to the clinic doctor, he examined me and said that my tooth was completely filled.
What is going on? Since I am no longer in pain, do I still need to see a doctor? Can you help me answer my questions? Thank you.

Xiao Yu, 30~39 year old female. Ask Date: 2018/11/10

Dr. Huang Tingfang reply Dentistry


Dear Miss Hsiao-Yu: After root canal treatment, if there is no pain for one month, you can proceed with getting a dental prosthesis (crown) to protect the tooth! Please communicate more with your dentist! Thank you! Wishing you safety! Sincerely, Dr.
Huang Ting-Fang, Dentistry.

Reply Date: 2018/11/10

More Info


Hello! Thank you for your question regarding post-root canal treatment and whether you still need to see a dentist. It's great to hear that your pain has subsided after your recent dental visits. However, there are several important considerations to keep in mind regarding your dental health and the need for follow-up care.

Firstly, root canal treatment is performed to save a tooth that has become infected or has significant decay that has reached the pulp (the innermost part of the tooth containing nerves and blood vessels). The procedure involves removing the infected or damaged pulp, cleaning the inside of the tooth, and then sealing it to prevent further infection. After a root canal, it is crucial to protect the tooth with a crown or other restoration, as the tooth can become brittle and more susceptible to fracture.

In your case, it seems that the initial treatment involved cleaning and filling the cavity, but the dentist did not perform a root canal. If the filling material is close to the nerve and you experienced pain afterward, it indicates that the tooth may still be at risk for further complications. The fact that you are currently pain-free is a positive sign, but it does not necessarily mean that the underlying issue has been resolved.

Here are some key points to consider:
1. Follow-Up Care: Even if you are not experiencing pain, it is essential to follow up with your dentist. Pain can sometimes subside temporarily, but that does not mean the problem is resolved. A dentist can perform an examination and possibly take X-rays to assess the condition of the tooth and surrounding tissues.

2. Potential for Infection: If the tooth was close to the nerve and there was a risk of infection, it is crucial to monitor for any signs of reinfection, such as swelling, increased sensitivity, or pain. If any of these symptoms return, you should seek dental care immediately.

3. Need for Root Canal Treatment: If the dentist at the hospital suggested that a root canal is necessary, it may still be the best course of action to prevent future complications. A root canal can help remove any remaining infected tissue and alleviate the risk of further issues.

4. Restoration: After a root canal, a crown is often recommended to protect the tooth. If you have not yet had a crown placed, this is an important step to ensure the longevity of the tooth.

5. Consultation with a Specialist: If you are unsure about the treatment you received or the next steps, consider consulting an endodontist (a specialist in root canal treatment). They can provide a more in-depth evaluation and treatment plan tailored to your specific situation.

In summary, while you may currently be pain-free, it is advisable to see a dentist for a follow-up appointment to ensure that the tooth is healthy and that no further treatment is needed. Dental health is crucial, and proactive care can prevent more significant issues down the line. If you have any doubts or concerns, don't hesitate to seek a second opinion from another dental professional. Your oral health is worth the effort!

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