Do endodontists recommend root canal just for severe pain or only if the pulp is damaged or infected?

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I am going to have a tooth re-evaluated. Three weeks ago an endodontist told me there was no inflammation or infection in the tooth, but she failed to diagnose a crack in the ossilingual surface which was diagnosed by an emergency clinic. I had the crack bonded but I am not sure it was done properly as a small depression in the area remains and the tooth continues to hurt severely. Now I am going to a new endodontist but I don’t want to have root canal if the problem is that the crack wasn’t properly bonded. Do I have any reason to worry I will be told to have root canal even if I don’t really need it?
 

Dr M

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Based on the severity of the symptoms you are describing, there is a chance that the crack already caused irreversible pulpal inflammation. The chances are high that it will end up in a root canal treatment unfortunately.
 

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Joined
Sep 6, 2024
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I am going to have a tooth re-evaluated. Three weeks ago an endodontist told me there was no inflammation or infection in the tooth, but she failed to diagnose a crack in the ossilingual surface which was diagnosed by an emergency clinic. I had the crack bonded but I am not sure it was done properly as a small depression in the area remains and the tooth continues to hurt severely. Now I am going to a new endodontist but I don’t want to have root canal if the problem is that the crack wasn’t properly bonded. Do I have any reason to worry I will be told to have root canal even if I don’t really need it?

As you prepare for your appointment with a new endodontist, it’s important to communicate all your symptoms clearly. Explain your previous evaluations, treatments received (including bonding), and ongoing pain. If your new endodontist finds that the crack was not properly bonded and this is causing your pain, they may recommend re-evaluating or redoing the bonding rather than proceeding directly to a root canal.
There is always some level of uncertainty in medical diagnoses, clear communication with your new endodontist about your history and current symptoms will help ensure that you receive appropriate care tailored to your specific situation.
You should express any concerns regarding unnecessary procedures during your consultation. A thorough examination should clarify whether further intervention like a root canal is warranted based on objective findings rather than assumptions.
 

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