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Cracked tooth- to extract or get root canal treatment?

User Level:
Posted by: visualdecay  (10 years ago)
Hi all,

Five months ago, I began to get horrible pain in the upper left side of my jaw. It would last for 30 minutes to one hour then go away completely. After a few weeks, the pain became unbearable and would last all day. I went to the dentist who said I needed a root canal on my upper left first molar. He put me on antibiotics.

After one week, I went back to him to have the root canal treatment. The night later, I got pressure pain and headaches. I called the dentist the next day. He instructed me to take the antibiotics for ten days and go back to him after ten days.

When I went back to him, he took x-rays and found out that second premolar tooth beside the root canalled tooth was badly abscessed. Why didn’t he see this when he first took x-ray during my first visit?

Anyway, he scheduled me for a root canal treatment on this tooth but I decided to go to an endodontist for a second opinion. The endodontist said the second premolar tooth was cracked and it can no longer be saved and should be pulled. I am confused now. What should I do? Do I need to go back to my regular dentist and have a root canal done or extract the tooth as advised by the endodontist? Please advise me! I really do not know what to do now. Any information would be great!

User Level:
Posted by: ghnane  (10 years ago)
Hello. First of all are you ok with the tooth that underwent the RCT? Are you pain free? As to your question whether you should extract the premolar or have a RCT done the chances are the endodontist who is a specialist in the field would know better if the tooth can be saved or not.

I wonder whether the abscess in the premolar formed post RCT treatment of the first molar. You should ask your dentist whether he saw anything wrong with the premolar on the radiographs before he treated the first molar. If you decide to extract the tooth you next option would be to look into getting an implant in the extracted site not to have visible space. An implant would also prevent any shifting in your teeth. I hope this helps.
User Level:
Posted by: visualdecay  (10 years ago)

After the root canal treatment on my first molar, I started to have pressure pain and headaches. When I went back to the dentist, he took x-ray and said my second premolar tooth was abscessed. He did not mention this when he took x-ray during the first time I went to him. He just said the premolar tooth may have been this way for some time but I did not feel any pain from this tooth. I also feel that the pain comes from the root canaled tooth, not on the second premolar tooth. Could it be that he just doesn't want to admit that there is something wrong with his work?
User Level:
Posted by: ghnane  (10 years ago)
It is possible and there is a solution if you believe you were mistreated you can seek a second opinion to obtain a definite diagnoses. You can also request copies of your radiographs. Dental pain is tricky and hard to localize even muscle pain sometimes will radiate toward the teeth and people will complain of toothache not muscle ache. It may also be due to the fact that the RCT tooth is still healing thus you continue to experience pain.