I was in a car accident about 10 years ago, and had to have root
canals done for my 2 front teeth. I have already had an apicoectomy done for tooth #8, but
x-rays are showing a black area around the surgical area. I was told by my endodontist
that I will have to have it extracted. I do not want to proceed further until I can find a
second opinion or more information on the options that are available to me. Are there any
other options besides extraction? Is a second surgery possible?
As your dentist probably discussed with you, root canal procedures are usually, but not
always, a success. There are a number of factors involved with such failures. One of the
most common reasons involving front teeth which have been traumatized is the existence of
micro-fractures through the tooth. Such fractures prevent us from ever completely sealing
the tooth from bacteria and infection. The dark shadow on your x-ray likely means that
there is a new or chronic infection around the tooth and that leaving the tooth in place
will allow the infection to grow. Your are certainly always welcome to seek a 2nd opinion,
and if you do so, I recommend visiting an Endodontist. It is important to remember that in
situations such as yours in which the 1st two treatments have failed, the likelihood of
ever attaining a successful result with saving your tooth is minimized. If and when you
have your tooth extracted, you may have several options for replacing it, including an
implant, fixed bridge, and partial denture. Good luck! |
