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Possible infection. and treatment

User Level:
Patient
Posted by: KDXowner  (4 years ago)
I recently had a crown fitted to a molar. I also needed an extraction in preparation for an implant. I was referred to my oral surgeon by my regular dentist who was retiring in 2 weeks.

Oral surgeon took pan full mouth x ray, and commented about about dark area around root of molar recently crowned. Recommended followup with regular dentist due to appearance of infection there.

New dentist took another x ray and recommended root canal. Dark area was still there, but to me didn't look as dark as in first X ray. I do not have any symptoms from this that are bothering me. I have since had professional cleaning, and am scheduled for 2nd cleaning visit and other work as needed.

QUESTION: Is there any chance that this "infection" will improve with better cleaning and daily oral rinsing or other care?

Is a root canal warranted based on the description above?




User Level:
Dentist
I recently had a crown fitted to a molar. I also needed an extraction in preparation for an implant. I was referred to my oral surgeon by my regular dentist who was retiring in 2 weeks.

Oral surgeon took pan full mouth x ray, and commented about about dark area around root of molar recently crowned. Recommended followup with regular dentist due to appearance of infection there.

New dentist took another x ray and recommended root canal. Dark area was still there, but to me didn't look as dark as in first X ray. I do not have any symptoms from this that are bothering me. I have since had professional cleaning, and am scheduled for 2nd cleaning visit and other work as needed.

QUESTION: Is there any chance that this "infection" will improve with better cleaning and daily oral rinsing or other care?

Is a root canal warranted based on the description above



The question is: "Is the dark area really an indication of infection, or just an artifact?"

Diagnosis by x-ray alone can be difficult. Since you have doubt and no symptoms YET, it might be good for an endodontist to look at it to make a definitive diagnosis. Usually a dark spot indicates an abscess, but usually an abscessed tooth is sensitive to biting. But not ALWAYS!

Posted 4 years ago
User Level:
Patient
Posted by: KDXowner  (4 years ago)
Thank you for your reply. I will consider getting another opinion before going ahead with the root canal.
User Level:
Patient
Posted by: KDXowner  (4 years ago)
May I ask another question?

Would there be any possibility of long term negative consequences if I just went ahead with getting the root canal?
User Level:
Dentist
May I ask another question?

Would there be any possibility of long term negative consequences if I just went ahead with getting the root canal?


No, if it is well done, you will only be out the money you spend for the root canal and the filling through the crown. And your beautiful new crown will have a filling through it.

The success rate of roots canals is about 94%.
Posted 4 years ago
User Level:
Patient
Posted by: KDXowner  (4 years ago)
".......and your beautiful new crown will have a filling through it." A new gold crown with a filling in it. Oh well...
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