Can I Continue Root Canal Treatment After Two Years? - Dentistry

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Root canal treatment


Hello, doctor.
I had a root canal treatment about two years ago, but I couldn't continue the treatment because I was in the military.
Now that more than two years have passed, can I still continue the treatment, or is it too late? Thank you.

Yong Cheng, 20~29 year old female. Ask Date: 2021/11/07

Dr. Lin Jiayong reply Dentistry


Hello: An X-ray can be taken for confirmation.
It is not uncommon for root canal treatments to be interrupted and then redone, so there is no need to worry excessively.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/11/07

More Info


Yes, you can continue root canal treatment even after a two-year hiatus. It is not uncommon for patients to interrupt their dental treatments for various reasons, including military service, personal circumstances, or other commitments. The first step you should take is to schedule an appointment with your dentist or an endodontist (a specialist in root canal treatments) for a thorough evaluation.

During this appointment, your dentist will likely take X-rays to assess the current condition of the tooth and the surrounding tissues. This imaging will help determine if there are any signs of infection, inflammation, or other complications that may have developed during the time the treatment was paused. It is crucial to understand that the success of root canal therapy largely depends on the timely removal of infected tissue and proper sealing of the tooth.

If the tooth was left partially treated, there is a possibility that bacteria could have re-entered the root canal system, leading to reinfection. However, even in such cases, it is often possible to continue treatment. The dentist may need to clean out the existing filling material, disinfect the canal, and then proceed with the necessary steps to complete the root canal procedure.
In some instances, if significant time has passed, the dentist may recommend additional treatments, such as a new round of cleaning and disinfection, before sealing the tooth. This is to ensure that any bacteria present are effectively eliminated, which is critical for the long-term success of the treatment.

It is also important to note that if the tooth has developed significant complications, such as an abscess or severe bone loss, further interventions may be required. This could include surgical options like apicoectomy (removal of the tip of the root) or even extraction if the tooth is deemed non-restorable.

In summary, while it is generally possible to continue root canal treatment after a two-year gap, the specific approach will depend on the current condition of your tooth and surrounding tissues. Regular follow-up appointments and open communication with your dental care provider are essential to ensure the best outcome for your dental health. Don't hesitate to reach out to your dentist to discuss your concerns and the next steps in your treatment plan.

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