Dental Health Expert Forum
Root canal infection under post and crown
About This Forum:

Questions in the Dental Health forum are answered by Dr. Jerome Tsang. Topics covered include bridges, cavities, crowns, and x-rays.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Root canal infection under post and crown

I have an infection in the base of a root canal that was filled about a year ago.  The tooth also has a post and crown that supports a bridge, and there is some swelling of gum tissue surrounding the bridge.  What are the options for dealing with this situation, other than redoing the root canal (and post/crown/bridge) and hoping the canal does not become infected again.  I am concerned about the prevalence of root canal infections and their potential as source of other problems throughout the body.  Also, should I expect the original dentist to discount the work, or accept that root canal is a tricky business and that a dentist cannot be held responsible for infections that appear soon after a root is filled?  (By the way, based on a recent x-ray, it doesn't appear that the root canal procedure was incomplete...)

Related Discussions
Avatar_dr_m_tn
My first option would be to retreat the rct. If that is not successful you will lose the bridge and that sets up a whole different scenario.The dentist can not be held responsible for a recurrent infection on a root canal tooth.I might consider seeing an endodontist for the retreatment.There is also the option of doing surgery(apicoectomy)but I do not feel the percentage of success is worth it.
3 Comments
Blank
Avatar_n_tn
Go to an endodontist for your root canal. Believe me, it will be quicker and more thorough. Any time a root canal is required on a tooth that has either a crown or bridge, an endodontist is necessary. You've got some expensive pontics in your mouth and an endodontist has the equipment to work through it.
Blank
Avatar_n_tn
I had a root canal and it became infected under the crown.  The canal then became abcessed and spread to my neck and jaw.  I let a dental surgeon pull the tooth and have been on antibiotics 3 times now to clear up the infection. Please don't let it go....Go to a specialist and they can prescribe the correct anitbiotics for you.  My infection was in my tooth for over 2 years and I'm probably still going to have to go and have the canal where the post and crown were AND the jaw bone scraped!!  Don't wait!!
Blank
Continue discussion Blank
This Forum's Experts
540545_tn?1377626518
Jerome Tsang, DDSBlank
Irvine Modern Dentistry
Irvine, CA
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating: What Your Closet ...
Jul 09 by Roger Gould, M.D.Blank