Evaluation needed

[mari]

Hello,
I was having pain in the tooth number 30. It was a tooth with a root canal and a subsequent retreatment of the root canal.
My dentist sad that it was an inflamation and she could disinfect the tooth and do the root canal a 3rd time in order to save the teeth.
So, my dentist disinfected and puted medicine in the root of my tooth. 2 weeks later than she did the roots of the tooth. I still have to go back to her to get my permanent filling.
Now, I've noticed a bump on the gum area of the tooth. This bump appeared on the Day she filled the roots of the tooth, it wasn't present before that. It does't hurt but, I do feel some pressure on the tooth while biting. I also, fell a verry, verry slight tension in the area.
My questions are: is it an abcess? If so what is the pressigure to get rid of it? Will I need to extract the tooth? And, if so will the abcese go away on its own? Could it be just inflamation of the gum tissue.
I'm asking all thise questions because, Dentistry isn't of the highest quality in the country where I live, so I wanted to know what would be the way to go about a tooth in a condition like mine. I'm also quite young (22) so, I'm worried about the possible future health issues this might leave Me with if treated not appropriately.


The x ray shows the condition of my tooth before the 3rd root canal treatment. And in the picture you can see the condition of my tooth right now. (The extra filling material at the tip of the root on the x ray picture was some medicine left there from the 2nd retreatement, according to my dentist)

 

[Dr M]

Okay, based on all the information given here, there is a few things I could comment on:

• The x-ray taken after the 2nd re-treatment, clearly shows peri-apical abscesses on both roots.
• It is not medicine '' left behind '', but GP material that is used to finish the root canal, that was pushed beyond the apex of the root. This could lead to chronic irritation of the surrounding tissues.
• The x-ray also appears to show inter-radicular bone loss, which means there is a loss of bone between the roots of the tooth. This is not a good sign.
• The photo shows what appears to be a draining sinus next to the tooth, which is indeed a sign of infection.

In my opinion, you have two choices:

1. Get the tooth evaluated by a specialist endodontist. The specialist might be able to do a better job at re-treating the existing root canal. This is only possible if the tooth can still be saved though, and might be costly.
2. If you don't have access to this, rather take out the tooth. The infection should clear up on its own, but sometimes you would need some antibiotic assistance. Consider replacing the missing tooth, with something else, once the area has healed.

 

[Dental cure and care]

Hello,
I was having pain in the tooth number 30. It was a tooth with a root canal and a subsequent retreatment of the root canal.
My dentist sad that it was an inflamation and she could disinfect the tooth and do the root canal a 3rd time in order to save the teeth.
So, my dentist disinfected and puted medicine in the root of my tooth. 2 weeks later than she did the roots of the tooth. I still have to go back to her to get my permanent filling.
Now, I've noticed a bump on the gum area of the tooth. This bump appeared on the Day she filled the roots of the tooth, it wasn't present before that. It does't hurt but, I do feel some pressure on the tooth while biting. I also, fell a verry, verry slight tension in the area.
My questions are: is it an abcess? If so what is the pressigure to get rid of it? Will I need to extract the tooth? And, if so will the abcese go away on its own? Could it be just inflamation of the gum tissue.
I'm asking all thise questions because, Dentistry isn't of the highest quality in the country where I live, so I wanted to know what would be the way to go about a tooth in a condition like mine. I'm also quite young (22) so, I'm worried about the possible future health issues this might leave Me with if treated not appropriately.


The x ray shows the condition of my tooth before the 3rd root canal treatment. And in the picture you can see the condition of my tooth right now. (The extra filling material at the tip of the root on the x ray picture was some medicine left there from the 2nd retreatement, according to my dentist) View attachment 7413
View attachment 7418

To determine whether the bump is an abscess or just inflammation, further evaluation by your dentist is necessary. They may perform diagnostic imaging (such as X-rays) to assess for any signs of infection at the root tip or within the bone surrounding the tooth.
If it is confirmed that there is an abscess:

1. Your dentist may prescribe antibiotics to help clear any infection
2. If there is a significant accumulation of pus, drainage may be required either through incision or via endodontic treatment.
3. Since you have already undergone retreatment, further intervention might be needed depending on how well the tooth responds to initial treatments.

If it is indeed an abscess, it generally will not resolve on its own without treatment; rather, it may worsen over time. Conversely, if it’s just gum tissue inflammation related to recent dental work, it might improve with time and proper care.

If possible, consult another dentist or an endodontist (a specialist in root canal treatment) who can evaluate your situation more thoroughly. They may provide insights into whether further treatment is necessary or if extraction is warranted. Keep track of any changes in symptoms—such as increased pain, swelling, or changes in bite—so you can report these accurately during consultations.

Your young age and concerns about future health implication regarding this dental issue, it is critical to address any potential complications promptly. Ensuring that you receive high-quality care will help mitigate risks associated with untreated infections or poorly managed dental conditions.

 

[MattKW]

Agree with Dr M.

1. Excess GP through apex, difficult to recover, needs endodontist assessment.
2. Retreatment may not be worth it.
3. Also looks as if you don't have a lot of natural tooth structure left, so even if re-endo worked, you will then be left with a very weak tooth. If the final restoration (crown) can't be achieved, then there is no point redoing the endo.