C-Type Root Canal Treatment: Do You Need to Continue? - Dentistry

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C-type nerve root canal treatment


Hello, I had a car accident and a part of my leftmost molar was broken.
The dentist initially filled it, but later I experienced pain.
The dentist recommended root canal treatment, and halfway through the procedure, it was discovered that my nerve is C-shaped.
I was then referred to a clinic that specializes in microscopic root canal treatment.
However, during the referral process, my tooth is no longer painful.
Should I continue to complete the root canal treatment? Thank you!

Xiao Zheng, 30~39 year old female. Ask Date: 2019/01/28

Dr. Huang Tingfang reply Dentistry


Hello: Once root canal treatment has begun, it is essential to complete the entire procedure and filling, even if there is no pain, to prevent bacterial infection.
Only then can it be considered finished.

Reply Date: 2019/01/28

More Info


When it comes to C-type root canal treatment, the decision to continue with the procedure after experiencing a reduction in pain can be nuanced. In your case, you initially sought treatment due to pain associated with a fractured tooth, which was diagnosed as needing root canal therapy. However, during the procedure, it was discovered that your tooth had a C-shaped canal system, which is more complex and often requires specialized treatment.

The fact that your pain has subsided is a positive sign, but it does not necessarily mean that the underlying issue has resolved. Here are several factors to consider when deciding whether to continue with the root canal treatment:
1. Underlying Infection: Root canal treatment is typically performed to remove infected or damaged pulp tissue from within the tooth. Even if you are currently pain-free, there could still be an infection present that could lead to future complications. If the infection is not addressed, it may result in more severe pain or even tooth loss down the line.

2. C-shaped Canals: C-shaped canals are known for their unique anatomy, which can make them more challenging to treat. These canals often have a higher risk of being inadequately cleaned and sealed, leading to persistent issues. Completing the root canal treatment with a specialist who is experienced in handling such cases is crucial to ensure that all canal systems are properly treated.

3. Long-term Prognosis: The long-term health of your tooth depends on the successful completion of the root canal treatment. If the treatment is not completed, you may face the risk of reinfection, which could necessitate further procedures, including possible extraction.

4. Consultation with Specialists: Since you were referred to a clinic that specializes in microscopic root canal treatment, it would be beneficial to consult with them regarding your current situation. They can provide insights based on their expertise and the specific anatomy of your tooth.

5. Monitoring and Follow-up: If you choose not to proceed with the root canal treatment, it is essential to have regular follow-ups with your dentist to monitor the tooth's condition. Any signs of pain, swelling, or other symptoms should prompt immediate evaluation.

In summary, while the absence of pain is a positive development, it is generally advisable to complete the root canal treatment, especially given the complexity of C-shaped canals. This will help ensure the long-term viability of your tooth and prevent potential complications. Discuss your concerns and options with your dental specialist to make an informed decision that prioritizes your oral health.

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