Root Canal Treatment: When to Seek Further Dental Care - Dentistry

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Root canal treatment


Hello, I went to the dentist today and explained that I previously had a root canal treatment.
I changed dentists because the previous one kept insisting that I needed a crown, while he said that the adjacent tooth with a cavity was not a concern, which made me hesitant to go back.
So, I switched to a new dentist who has already filled the cavity with silver amalgam and told me that I need to get a crown next time! Did he complete the root canal properly?
My tooth usually doesn't bother me, but sometimes it feels strange, particularly the one that had the root canal (but not the one I saw today).
I wanted him to check it, but he said it was impossible! He didn't examine it and mentioned that my gums are inflamed, which might be causing the discomfort.
However, I want to know if the tooth that had the root canal is the problem.
Can I directly ask him for an X-ray? Or should I switch to another dentist?
He told me that if there’s nothing serious, I could come back in 4 to 5 months for a check-up, but I’m concerned that delaying could make things worse.
What should I do now? Can you advise me? I'm still very young, and I need my teeth for a long time.

Xiao Mai, 20~29 year old female. Ask Date: 2013/01/17

Dr. Zhang Xiangyuan reply Dentistry


Dear user, regarding your question, here is the response: Concerning the management of teeth after root canal treatment, you may refer to the previous discussions from other users, which suggest monitoring or considering other interventions.
It is advisable to communicate patiently with your dentist, or if necessary, consult a specialist in endodontics for diagnosis and treatment.
Thank you.

Reply Date: 2013/01/17

More Info


It sounds like you're dealing with a complex dental situation, especially concerning your previously treated root canal tooth. It's understandable to have concerns about the health of your teeth, particularly after undergoing root canal therapy. Let's break down your situation and provide some guidance on what steps you should consider taking next.

Firstly, it's important to understand that root canal treatment (RCT) is designed to remove infected or damaged tissue from inside the tooth, specifically the pulp. After the procedure, the tooth is often filled and sealed to prevent further infection. However, the success of RCT can depend on several factors, including the thoroughness of the procedure, the condition of the tooth before treatment, and how well the tooth is protected afterward.

In your case, you mentioned that the tooth has been treated with a temporary filling (silver powder) and that your new dentist has suggested placing a crown on it. This is a common recommendation because a tooth that has undergone RCT is often more fragile and at risk of fracture. A crown provides necessary support and protection, which is crucial for the longevity of the tooth.

You expressed concerns about whether the previous dentist completed the root canal properly. If you are experiencing unusual sensations or discomfort in that tooth, it could indicate that there is still some infection or that the root canal was not entirely successful. It's essential to have this evaluated, as untreated issues can lead to more severe complications, including abscess formation or the need for further treatment.

Regarding your question about X-rays, yes, you can certainly request your current dentist to take X-rays of the tooth in question. X-rays are a valuable diagnostic tool that can help visualize the condition of the tooth's roots and surrounding bone. They can reveal any signs of infection, the quality of the root canal filling, and whether there are any additional issues that need to be addressed.

If your current dentist is hesitant to take X-rays or examine the tooth further, it may be worth seeking a second opinion from another dental professional. Your dental health is important, and you deserve to have your concerns addressed thoroughly. If you feel that your current dentist is not providing the level of care you need, don’t hesitate to explore other options.

In the meantime, it’s crucial to maintain good oral hygiene practices, including regular brushing and flossing, to help manage any inflammation in your gums. If you notice any swelling, increased pain, or other concerning symptoms, you should seek dental care promptly, as these could be signs of a more serious issue.

Lastly, remember that dental health is a long-term commitment, and it's great to see that you are proactive about your care at a young age. Regular dental check-ups and being attentive to any changes in your oral health are key to maintaining a healthy smile for years to come. If you have any further questions or concerns, don’t hesitate to reach out to your dentist or seek another opinion. Your health and comfort should always come first.

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