HomeAnswersDentistrydental abscessWhy am I having dental abscess after three rounds of root canal treatment?

What can be done for dental abscess after three rounds of root canal treatment?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At March 24, 2019
Reviewed AtSeptember 22, 2023

Patient's Query

Hello doctor,

I had three sessions of a root canal, but I am still having a dental abscess. The treated tooth does not hurt and the root canal seems to be properly done but the abscess keeps coming back even after taking antibiotics. Why is this happening? Also, how can I know what type of abscess it is (periodontal, gingival, or periapical)?

Answered by Dr. Sandeep Menon

Hi,

Welcome to icliniq.com.

An X-ray would be required. Mostly, such cases have to go for a treatment known as apicoectomy which is draining the abscess by making a passage through bone. Some abscesses are recurrent which cause necrosis of bone at the root level. Such conditions make root canal treatment unfavorable. In such situations, extraction and replacement of the tooth will be the best option going forward.

Patient's Query

Thank you doctor,

Here is the X-ray before the root canal. How would I know if it is not a cyst yet?

Answered by Dr. Sandeep Menon

Hi,

Welcome back to icliniq.com.

It is a huge abscess (attachment removed to protect patient identity). No point doing a root canal. Even if apicoectomy is done, the success rate seems low and infection might occur again. So going forward, I would advise extraction followed by replacement after the infection is gone completely.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sandeep Menon
Dr. Sandeep Menon

Dentistry

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