Re: More Dumb Questions: Do Root Canals Go Bad?

On Thu, 13 Oct 2005 13:52:55 GMT, Steven Bornfeld <dentaltwinnospam@xxxxxxxxxxxxx> wrote:

>
>
>REP wrote:
>>
>>
>> In the broadest general terms, are there any warning signs that the
>> tooth owner would notice, or is this something that, in general terms,
>> is usually noticed by a professional upon examination?
>
> Either or both. Right now, my wife is getting discomfort around one
>root of an upper molar treated by an endodontist almost a year ago.
>She's had the discomfort all that time, more or less unchanged. There
>is tenderness over the tip of the root. At this point that is clear
>evidence that something isn't right. When the root canal was done,
>there was a clear area of bone resorption at the tip of one root. Over
>the months it has diminished slightly on x-ray. Shrinking of such a
>periapical radiolucency is usually a good sign, but with the discomfort
>something will have to be done.

Missed canal, MB2 ?

MB root fracture ?

Send me a film or post it here.

> Often I see the reverse--no discomfort, but clear expansion of a
>radiolucency. You've got to use all the information you've got, and try
>to make the best decision open to you.
>
>
>
>>
>>
>>> Would having the tip of the canal not being filled with
>>>
>>>>the canal filling material cause problems?
>>>
>>> Not necessarily. My old professor Dr. Kedeshian told me (in his
>>>charming Armenian accent) "It is not important what you put into the
>>>canal. It is important what you take out".
>>> This may be a bit of an overstatement. Leaving a canal unfilled means
>>>that tissue fluid can flow back into the canal space, where it can
>>>decompose and become an irritant. However, I have seen many, many
>>>underfilled canals with no apparent problems afterward.
>>
>>
>> I wondered, since the last time I had dental insurance, I was told in
>> tones of doom that that crown, post and canal would cost me even more
>> money in the future due to the space at the end of the tip. It *is* a
>> lousy crown, and when it didn't fit, the tech ground down one of my few
>> intact natural teeth to get my mouth to close around the crown until I
>> suggested she take down the back of the crown. Should have been my
>> signal to say thank you and leave, but I didn't know any better then.
>> But I digress.
>>
>>
>>
>>> Would a tooth with a bad root
>>>
>>>>canal hurt like hell for a day or so and then stop hurting?
>>>
>>>\
>>>
>>> The only rule is that there are no rules. You may have a chronic
>>>low-grade infection with no perceptable pain ever. Or you may have mild
>>
>>
>> This is not mild. The pain is worse than passing a kidney stone (which I
>> do with regularity) and prevents sleep.
>
> This is somewhat unusual for a failed root canal. Usually a tenderness
>to pressure, maybe pain to biting pressure. I hope that root fracture
>can be ruled out.
>
>Steve
>
>>
>>
>>>discomfort with no other evidence clinically or radiographically that
>>>there is any problem.
>>
>>
>> Thank you for your reply and information. I have been treating like a
>> sinus infection (since I do have cheekbone pain when the tooth hurts)
>> and see my internist, and it seems to respond well to antibiotics.
>>

--

W_B
Take out the G'RBAGE
wubbabubbazG@xxxxxxxxxxxxxx
.

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