I had a root canal last October that failed and a apico was done (this was on #25). Now I am having odd sensations and discomfort where the work was done. Is it possible that the apico has failed, and if so, what happens now?
i agree w the forum doc. apicos are not my favored treatment anymore--- especially on molars and especially since implant technology has become so reliable. there may be a small fracture in the root(s) somewhere, or there may be acessory (extra) canals. Not all root canals work. If it were my tooth I'd prefer to have it extractd and have an implant placed if he root canal treatment is deemed to be a failure.
if the infection clears up, it may come back again depending on how well (or poorly) the root canal was done, whether ot not there are any fractures or accessory (extra) canals, or other resons why root canals failed. I certianly would not allow any more treatment on this tooth until you've been asymptomatic for a moth or two while NOT on any antibiotics. If it does flare up again, insist on seeing an endodontist (root canal specialist) who uses an endodontic microscope. In my humble opinion ALL root canals should be done in this manner becasue they have the best equipment and therefore patients have the best chance at successs.
I'm in a similar situation with a tooth that was closed after an unsuccessful RCT.
The doctor tried to clean the root but each time root still have bad smell.
Finally he closed explaining that are good chances to heal if is properly closed.
So the tooth is now cemented with a post inside.
I'm taking cephalexine.
I still have pain when I press the root with my finger.
The question is, it is possible for the root to heal in time or the infection will remain painless destroying the jaw bone?
an apicoectomy involves removing what is though to be the cause of the infection by going through the gum and bone and removing the end of the root and placing a filling in the end of the root. The main reason NOT to do an apico is that they do not have a justifiably high success rate (in my opiniion and the opinion of many). They are even more difficlult and less likely to work on molars. they are also quite expensive. the thought process is twofold: 1. not to try to be a hero--- if it continually causes problems and expense, just remove it and place an implant, which may very well be needed anyway (after the apico has failed). 2. implants have become the most reliable, and best way handle these cases.
More food for thought--- apicos require removing bone. implants are placed into bone. If an apico does not work and the infection grows ("dissolving" even more bone) you are left with a situation that is NOT ideal for the placement of an implant. In other words, doing an apico can compromise the success or even the ability to place an implant later on if needed.
With apicoectomies, what are some reasons against doing them? I just hate to lose this tooth and would prefer to do (almost) anything to save it. Thanks.
I would think that if the endodontist didn't give you the option of an apico then he thinks it would not be an effective treatment for this tooth. Over the years I have been more apt to extract the tooth rather than refer the patient for an apico. In the long run I do not think they are very successful.