Re: Help - root canal still hurts... is this normal???

From: Joel M. Eichen, D.D.S. (joeleichen_at_yahoo.com)
Date: 06/22/04 

Date: Tue, 22 Jun 2004 06:07:30 -0400

On 21 Jun 2004 17:50:53 -0700, mtaylor@pepalum.com (autocrat) wrote:

>Joel -
>
>What is a apicoectomy?

After standard root canal therapy, a ball of pus (dead bacteria, plus
white blood cells) sometimes remains encapsulated (a thick, fibrous
sac) around the root tip (suggesting the prefix, apico- from the word
apex).

Apico-

THE SUFFIX:

-ectomy suggesting "cutting," as in tomography, tomogram (a sliced
x-ray or CAT scan) , or a tome meaning a book. Originally written
material was formed into a scroll. When someone figured out that
cutting it into convenient sheets and binding it would be better, the
word, tome (cutting) stuck.

JOEL

Apicoecotmy - a surgical procedure that involves drilling through the
bone at the level of the root tip and removing that fibrous sac so the
bone can heal.

>
>Also, what are the warning signs that either (a) the root canal did
>not cure the problem, (b) an apicoectomy is needed, or (c) additional
>treatment should be sought?
>
>- autocrat
>
>"Joel M. Eichen, D.D.S." <joeleichen@yahoo.com> wrote in message news:<ogadd09ahb4og2eea07tcb4lflgse1lq5a@4ax.com>...
>> On 20 Jun 2004 16:55:37 -0700, mtaylor@pepalum.com (autocrat) wrote:
>>
>> >Hi -
>> >
>> >Can someone provide some insight??? Last Wednesday (6/16) I had a root
>> >canal on tooth #18. As of today, Sunday (6/20), I still can not chew
>> >on that tooth and it hurts when pressure is applied - even when I
>> >clinch my teeth.
>>
>> Normal.
>>
>> The body is resolving (healing) the periapical abscess on the tip of
>> the root. Hence pain with pressure.
>>
>>
>> JOEL
>>
>>
>> >A series of questions;
>> >Is this normal?
>> >How long until I can chew on that tooth?
>>
>> Varies ,,, ,from a week to one year.
>>
>>
>> >How long should I wait until I think that there may be a problem?
>> >If the root canal is not successful what will be the symptoms? How
>> >long before I notice these symptoms?
>>
>> If these symptoms do not go away, then apicoectomy is indicated ~
>> surgical intervention.
>>
>> No biggie though.
>>
>>
>> >
>> >On Friday when I told the Endodontist that there was pain when
>> >pressure was applied he indicated that the pain may be from the
>> >ligaments? Can someone explain this to me - how long does it take
>> >ligaments to heal?
>>
>> Periodontal ligament is what holds the tooth in place. The
>> endodontist's description is vague and misleading at best.
>>
>> JOEL
>>
>> >
>> >Thanks in advance.

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