Root Canal Treatment: Concerns and Next Steps

excuse me?

Dear Dr.
Chen,
I recently underwent root canal treatment.
Previously, I had a tooth that was slightly overlapping next to my front tooth, so I decided to extract the misaligned tooth that was growing inside.
However, now there is a small gap between my front tooth and the adjacent tooth.
Following my dentist's advice, I decided to proceed with the root canal treatment.
During the first session, I felt it was not too painful and manageable.
However, during the second root canal session, the dentist seemed rushed and hastily completed the nerve extraction.
After returning home, once the anesthesia wore off, I experienced severe pain because the nerve was not fully removed.
When I returned for my next appointment, I mentioned this issue, but the dentist extracted the nerve again without anesthesia.

I am considering whether I should switch dentists to continue my dental treatment, as the original dentist mentioned that I would need four to five root canals.
I am still contemplating whether to continue the treatment.
If I interrupt the treatment, will there be any long-term consequences? The dentist only told me that after completing the root canal treatment, I would need to restore the tooth.
However, I have a question about how the restoration is done.
Is it done by grinding, or does it involve manipulating the bone to fit the tooth?
I would appreciate your help in resolving these concerns that have been troubling me.
Thank you!

Pei Jin, 20~29 year old female. Ask Date: 2004/09/16

Dr. Chen Yingfang reply Dentistry

1.
Currently, we do not fully understand your situation, so please come to the outpatient clinic for an evaluation.

2.
Pain after root canal treatment will gradually subside.

Reply Date: 2004/09/16

More Info

Root canal treatment (RCT) is a dental procedure aimed at treating infection or damage within the pulp of a tooth. It involves removing the infected or damaged pulp, cleaning and disinfecting the interior of the tooth, and then sealing it to prevent further infection. Your concerns regarding the treatment process, pain management, and potential next steps are valid and deserve thorough exploration.

Firstly, it’s important to address your experience during the root canal treatment. Pain during or after the procedure can occur for several reasons, including incomplete removal of the pulp, infection, or inflammation. If you felt that the dentist rushed the procedure, it’s understandable that you would have concerns about the quality of care you received. If you believe that the nerve was not completely removed, this could lead to persistent pain and the potential for further complications, such as reinfection. It is crucial to communicate your concerns with your dentist, as they may need to reassess the treatment and possibly perform additional procedures to ensure the tooth is properly treated.

If you are considering switching dentists, it is entirely within your rights as a patient to seek a second opinion. A different dentist may provide a fresh perspective on your treatment plan and address any lingering issues from the previous procedures. It is essential to find a dentist you trust and feel comfortable with, especially when undergoing multiple root canal treatments.

Regarding your question about the consequences of interrupting the treatment, it is generally advisable to complete the root canal procedure as recommended by your dentist. If you stop treatment midway, the tooth may remain vulnerable to infection, which could lead to more severe complications, including abscess formation or the need for extraction. If you are experiencing significant discomfort or have concerns about the treatment, it is crucial to discuss these with your dentist or a new dental professional before making a decision.

As for your question about what happens after the root canal is completed, the next step typically involves restoring the tooth. This usually means placing a crown or filling to protect the tooth and restore its function. The process of placing a crown involves shaping the tooth to accommodate the crown, which may include some drilling. However, it should not involve disturbing the bone unless there are underlying issues that need to be addressed. Your dentist will explain the specific steps involved in your case, including how they will ensure that the crown fits properly and securely.

In summary, your concerns about the root canal treatment process are valid. It is essential to communicate openly with your dental care provider about your experiences and any pain you are experiencing. If you feel uncomfortable with your current dentist, seeking a second opinion is a reasonable step. Completing the root canal treatment is crucial to avoid further complications, and understanding the restoration process will help alleviate any fears you may have. Always prioritize your comfort and understanding in your dental care journey.

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