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Root Canal Done To Upper Left Teeth. Experiencing Pain And Temperature Extremes. Xray Showing Infection In Base. Advise?

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Posted on Tue, 22 Oct 2013
Question: My #14 tooth upper left had a root canal done on it and a crown in 2009. I always felt that the crown was not set even. I have been pulling food from between #15 & #14 every since. Now i am experiencing pain to temperature extremes. X-rays showed some infection near the base of the root. The crown has a screw that you can see on an x-ray that sets it. My regular dentist is referring me to an oral surgeon to do the extraction. I have to admit, I haven't had a tooth pulled in 20 years. Is this necessary? Last time I had an extraction done it was done by my regular dentist. Feels like I'm being set up for a BIG XXXXXXX Please advise. Thanks
doctor
Answered by Dr. Bibhu Dutt Nanda (2 days later)
Brief Answer:
Needs treatment

Detailed Answer:
Hello,
Thanks for writing to us.
I would like you to know that if the tooth is infected following root canal treatment, the first line of treatment is antibiotics followed by a re-RCT.
However, if the infection is severe and involves the root and surrounding bone of the tooth, then it is always better to extract the tooth rather than operating it.
I will recommend you to take a second opinion from an endodontist before going for an extraction. If extraction is needed, then be sure to see an oral surgeon.
Do not worry; you will be fine.
If you have any further questions, feel free to write back.
I hope i answered your query.
I wish you good health.
Take care
Note: Find out which dental treatment will work best for your teeth. Ask here.

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Bibhu Dutt Nanda

Dentist

Practicing since :2010

Answered : 393 Questions

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Root Canal Done To Upper Left Teeth. Experiencing Pain And Temperature Extremes. Xray Showing Infection In Base. Advise?

Brief Answer:
Needs treatment

Detailed Answer:
Hello,
Thanks for writing to us.
I would like you to know that if the tooth is infected following root canal treatment, the first line of treatment is antibiotics followed by a re-RCT.
However, if the infection is severe and involves the root and surrounding bone of the tooth, then it is always better to extract the tooth rather than operating it.
I will recommend you to take a second opinion from an endodontist before going for an extraction. If extraction is needed, then be sure to see an oral surgeon.
Do not worry; you will be fine.
If you have any further questions, feel free to write back.
I hope i answered your query.
I wish you good health.
Take care