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Root canal overfill

User Level:
Patient
Posted by: PiaNVic  (9 years ago)
Dear Doctor,

I had a root canal done on my lower right molar about a month ago. Five days later, my lower lip and chin were still numb. The dentist said, it was due to the injection, it was normal and that I should give it a time.

After two weeks, I had a terrible pain in my chin and felt a lot of pressure in my gums and bottom teeth. I went to the dentist and he prescribed antibiotics then sent me home. Two days later, I was in the worst pain of my entire life. I decided to see another dentist for a second opinion. The new dentist took x-rays and showed me that the tooth had a significant overfill. He suggested waiting to see if the problem would improve on its own. The pain only got worse after seeing him, so he suggested removal of the tooth. He said I should get an implant put in. He referred me to an oral surgeon whom I have yet to see.

Do you know of any other alternative to extraction to treat overfill? I would like to save this tooth as much as possible. Please help! I would be very grateful for any insight you can provide.
User Level:
Student
Posted by: mdhola  (9 years ago)
There are couple of options to treat overfilled canal.
1) re-treatment of root canal
2) Periapical Surgery, which is basically small surgery in which dentist put small incision on affected tooth's root, drill small hole through bone, and excised diseased part of root. However, most of dentist prefer to do these surgery with front teeth as it provide more visibility and less bone to drill.

Each case is unique and success rate of re-treatment or periapical surgery depends on disease progress, nearby vital structure, importance of that tooth and overall general health.

My recommendation would be to visit Endodontist and get his recommendation regarding these two options as well restorability of that tooth after completing either of treatment.
Hope this will help you.
User Level:
Dentist

Dear Doctor,

I had a root canal done on my lower right upper molar about a month ago. Five days later, my lower lip and chin were still numb. The dentist said, it was due to the injection, it was normal and that I should give it a time.

After two weeks, I had a terrible pain in my chin and felt a lot of pressure in my gums and bottom teeth. I went to the dentist and he prescribed antibiotics then sent me home. Two days later, I was in the worst pain of my entire life. I decided to see another dentist for a second opinion. The new dentist too x-rays and showed me that the tooth had a significant overfill. He suggested waiting to see if the problem would improve on its own. The pain only got worse after seeing him, so he suggested removal of the tooth. He said I should get an implant put in. He referred me to an oral surgeon whom I have yet to see.

Do you know of any other alternative to extraction to treat overfill? I would like to save this tooth as much as possible. Please help! I would be very grateful for any insight you can provide.


Never heard of a lower right upper molar.

Yeah, overfills can do this. One time I extracted a premolar, clipped off the overfill, and replanted it. But this was a last resort.

On a molar you cannot do this. Apical surgery is an option, but it sure isn't easy when the root end is close to the nerve. Forget retreatment. No retreatment will undo an overfill. Extraction bone graft, and implant is a less risky option, although it costs quite a lot.
Posted 9 years ago
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