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Old 12-29-2008, 03:47 PM
 
373 posts, read 872,115 times
Reputation: 97
Default need dental advice, regarding failed root canal

I need a second opinion on the following from a dentist.

I had a root canal done on an upper front tooth after damaging the tooth during a touch football game in 1992. During the game, I ran into another player and banged my tooth against his head. This cause the tooth to basically die.

The root canal help up fine for many years and I was able to use the tooth fine, but something happened about 4 years ago where I had some swelling around the gum on that tooth. During the swelling period, I remeber I could press down on that swelling with my finger and I could taste some kind of fluid oozing out of it (I know, it was discusting). Eventually, after about a week, the swelling went away, but I can feel something was not right with the tooth after that.

After this swelling incident, the tooth started to shake, and it felt weaker. Over the last 4 years, I've always had to be careful when biting down on something hard, like an apple. But I've been able to live with it, and it hasn't gotten preogressively worse.

Unfortunately, I haven't been going to the dentist on a regular basis, and I didn't see a dentist about it until recently. During the recent visit, my dentist told me that I will eventually need an implant, because the tooth is basically dead inside and only the outter shell is what is keeping it in place. I told him it hasn't gotten any worse since the swelling incident, but he said, according to the x-ray, a large part of the tooth is decaying inside and that it will get worse and eventually the tooth will break off.

For any experienced dentists out there, does this sound like something you've seen in your other clients who's had a root canal? And does this require a new implant? Too late now, but is this something I could've prevented with a regular visit?
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Old 12-29-2008, 06:36 PM
 
69 posts, read 257,222 times
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Endodontic Surgery Procedure Toronto Dentistry Dental Root Canal Tooth Infection If you look at this web page, it explains endodontic treatment on diseased pulp of a tooth and different forms of treatment. When my son was little and sitting on my lap, facing away from me, he took the back of his head, swung it back, and as hard as he could hit me full force in my front teeth with the back of his head. I saw stars and thought he knocked my front teeth out. The pain went away after a few days as did the lip swelling from the busted lip, but when I went to a regular dentist visit, on an x-ray he saw that there were problems with the pulp of the tooth and that it was dying. When I explained what happened with my son, he said this kind of injury happens very often. I had to see an Endodontist every 2-3 months where he would open the tooth and clean the dying or diseased pulp out. After going through this for over one year, I eventually chose to have the tooth pulled because the endodontist could not get the tooth to regenerate. I am sorry I made that decision because even though I have a crown, no tooth is like your own. You should be glad to eat apples, but I sure would stop until you know more about the tooth. You may take a bite and wind up spitting out or swallowing your front teeth. Stay goodbye to sticky apples if you like them as well as Snickers Bars. Good luck. Go see an Endodontist.
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Old 12-29-2008, 06:44 PM
 
Location: Fredericksburg, Va
2,393 posts, read 6,409,056 times
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You probably should have crowned the tooth after the root canal. Once the root is dead, the tooth isn't strong enough to last very long. Now, you're looking at either an implant or a bridge.
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Old 12-29-2008, 06:53 PM
 
16,658 posts, read 15,699,619 times
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Not a dentist but I play one on tv. I am just speaking of my personal root canal exp. It started out with being just a cavity. Ok, no biggie, got it filled. One day I bit down on something that wasn't even hard and the filling fell out partially. I made an appt with the dentist and he said root canal. I started whining and asking if I had to. He filled it once again.

Not long after, I started exp serious pain and went back in. I got the root canal. Wasn't a bad ordeal, did just fine. My dentist told me I needed to take care of getting the tooth crowned not long after.

Did I do it? Nope. Cost too much. After about 6 months the temporary crown fell out and I was back to square one and guess what? I had to end up with the tooth being pulled.

So strange, I just had this same convo with my sister yesterday.

So, what cb said. Once the root is dead, the tooth isn't strong enough to last very long...
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Old 12-29-2008, 07:06 PM
 
4 posts, read 11,932 times
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I asked my husband,who is a dentist what he thought.He said in some instances like this micro fractures occur on the root system which allow re-infection to occur(swelling) if you took an antibiotic and it cleared up but soon returned after you stopped medication.That would confirm it assuming the x-ray did not show it.In any event,extraction followed by implant retained crown will likely occur.Good luck
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Old 12-30-2008, 06:59 AM
 
Location: NJ
7,106 posts, read 12,891,783 times
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Sounds like what happened to me. Top backish tooth, no clue when I had the root canal/post/crown done; my teeth have always given me problems. I've been having pain in various teeth, went to 2/3 dentists, couldn't figure it out since the sinus is there. They all said the same thing, I was probably getting referred pain (or something like that) since teeth would or wouldn't hurt when they tapped on them.

For the last year or 2, I could feel a tooth move when I ate but couldn't figure out which it was. I was eating Cheetoes 2 months ago, whatever was left of the tooth disintegrated, fell off leaving a huge hole in my gum. They were not able to save anything at this point and pulled what was left. I've had a lot of teeth pulled, this has to be the worst.

A month after pulling the tooth they did gum surgery and was able to close the hole some. I have no clue what they're going to do, implant wasn't even mentioned.

If I was you, I wouldn't wait for problems to happen like with me. You know what tooth it is, have it taken care of before it gets that far.

Quote:
Originally Posted by LightningMcQueen View Post
I need a second opinion on the following from a dentist.

I had a root canal done on an upper front tooth after damaging the tooth during a touch football game in 1992. During the game, I ran into another player and banged my tooth against his head. This cause the tooth to basically die.

The root canal help up fine for many years and I was able to use the tooth fine, but something happened about 4 years ago where I had some swelling around the gum on that tooth. During the swelling period, I remeber I could press down on that swelling with my finger and I could taste some kind of fluid oozing out of it (I know, it was discusting). Eventually, after about a week, the swelling went away, but I can feel something was not right with the tooth after that.

After this swelling incident, the tooth started to shake, and it felt weaker. Over the last 4 years, I've always had to be careful when biting down on something hard, like an apple. But I've been able to live with it, and it hasn't gotten preogressively worse.

Unfortunately, I haven't been going to the dentist on a regular basis, and I didn't see a dentist about it until recently. During the recent visit, my dentist told me that I will eventually need an implant, because the tooth is basically dead inside and only the outter shell is what is keeping it in place. I told him it hasn't gotten any worse since the swelling incident, but he said, according to the x-ray, a large part of the tooth is decaying inside and that it will get worse and eventually the tooth will break off.

For any experienced dentists out there, does this sound like something you've seen in your other clients who's had a root canal? And does this require a new implant? Too late now, but is this something I could've prevented with a regular visit?
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Old 12-30-2008, 07:29 AM
 
373 posts, read 872,115 times
Reputation: 97
Thank you for the many replies... Some of you said that once the root is dead, then the tooth won't last very long, which is what my dentist bascially said. So, I'm leaning towards getting the implant done, but is there any harm in waiting until I absolutely need to? As I indicated, it's been like this for about 4 years and it hasn't gotten any worse. There's no pain in the tooth, but it feels weak and shekes a bit so I just need to be careful when I bite down.
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Old 12-30-2008, 08:09 AM
 
2,839 posts, read 6,221,854 times
Reputation: 2729
You could see an endodontist and also a periodontist to see if a bone graft and apicoectomy/retrograde filling might help. I worked for an endo and we did these periodically, sometimes in conjunction with the friendly periodontist who happened to have an office next door. The bone graft could stabilize the tooth (assuming there is enough bone loss to warrant one) and the retrograde filling could re-fill the top of the root, along with any "cavities" in the root itself. Just a possibility to consider asking about... don't know if it would work!
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Old 12-30-2008, 08:16 AM
 
373 posts, read 872,115 times
Reputation: 97
Quote:
Originally Posted by beanandpumpkin View Post
You could see an endodontist and also a periodontist to see if a bone graft and apicoectomy/retrograde filling might help. I worked for an endo and we did these periodically, sometimes in conjunction with the friendly periodontist who happened to have an office next door. The bone graft could stabilize the tooth (assuming there is enough bone loss to warrant one) and the retrograde filling could re-fill the top of the root, along with any "cavities" in the root itself. Just a possibility to consider asking about... don't know if it would work!
I wonder why my dentist didn't mention these options. I will ask him. He is a family dentist and although he said he has done root canals and implants, I think I should see a specialist about my situtation... would you agree?
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Old 12-30-2008, 08:19 AM
 
2,839 posts, read 6,221,854 times
Reputation: 2729
I personally would see a specialist for their opinion before having a front tooth pulled and an implant placed. If you do need an implant, I highly recommend having a periodontist or oral surgeon do it, as opposed to a general dentist.
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