What could be done to save an infected RCT-treated tooth?

Hello,

Welcome to icliniq.com.

Your first query consult is on us!

According to your statement, you have a history of root canal treatment, but there is bone loss from the current infection, what could be done now?

Any kind of antibiotic can heal an infected tooth, but it is not able to prevent bone loss after a root canal treatment. The best treatment in this condition is retreatment. First of all, your endodontist should fill and seal the tooth with bone loss to protect its integrity, and then start antibiotics to prevent any infection. If this procedure is not successful, then a dental implant and apicectomy (retrograde root canal treatment) should be the next procedure to prevent the spread of an infection.

Any endodontist will give the same treatment protocol if you consult them. But you should start your treatment soon, otherwise, this infection can cause bone loss of the jaw and loss of other teeth. So be careful.

I hope that you get your answer.

Please let me know if you want some help.

Thank you.

Hi,

Welcome back to the icliniq.com family.

I appreciate the confidence you place in me for your healthcare consultation.

I have given my opinion according to your statement, and the CT (computerized tomography) scan report that is provided (attachments removed to protect patient identity).

I have already said that retreatment is the best option to prevent any infection. You should start treatment, whether it is filling and sealing before using antibiotics as antibiotics alone can not prevent the spread of the infection, or extraction and implant before using antibiotics. I am afraid that your antibiotics will fail to prevent the infection from spreading, and it will cause loss of jaw bone and the other tooth. So you should contact two or three odontologists for the proper treatment protocol.

If both of them agree with your previous odontologist that filling and sealing will not be the best option for your present condition, then you should go for the second option, which is extraction and implant. As there is still infection despite antibiotics, there is always a risk of spreading the infection to the jaw bone as well as other teeth. So you should stay now without starting any treatment.

I hope that you get your answer.

Please let me know if you want some help.

Thank you.

Hi,

Glad to have you back!

I am here to help you get the best medical advice.

In your case, at present antibiotics have no role in healing your tooth infection, or being able to prevent your bone loss. But it will be helpful to start treatment during your dental procedure, like filling and sealing, or extraction and implant, as this time your tooth becomes exposed to many dental instruments. So, using antibiotics before starting a dental procedure is really good for preventing any secondary infections due to dental instrument exposure. However, using antibiotics will not cure your present dental infection, jaw loss, or loss of another tooth.

Again, the odontologist can care, as well as treat the defective tooth. He can also care for and treat the oral cavity. The treatment and repair of jaw structures are their jobs. They try to find out the exact causes for which a tooth was extracted. They also find out the evidence to identify the victim and suspect.

On the other hand, an endodontist is good at performing dental canal treatments. They help to relieve your toothache and save your natural tooth.

I hope that you get your answer.

Please let me know if you want some help.

Thank you.

Hi,

Glad to have you back!

I am here to help you get the best medical advice.

In the naked eye, it can appear to be normal sometimes. But a CT (computerized tomography) scan never lies. A CT scan can find every little thing that can not be found by the naked eye. Again, a CT scan searches every nook and corner of a thing that is covered by many things, but the naked eye can not see that. A CT scan finds things that are impossible to visualize by the naked eye.

Your previous or first doctor looked at everything normal with the naked eye, as there may be no change in the outer part of your tooth. But, your doctor did a CT scan to detect any small in the inner parts of your tooth that are impossible to be seen by the naked eye. Changes that start to occur in the inner parts can be detected only by a CT scan. Moreover, every change usually occurs in the inner parts and then spreads to the outer parts, which then may be visualized by the naked eye.

For that reason, you can trust your CT scan report blindly. Now you should consult with two new dental surgeons, specialists, dentists, or odontologists for the treatment protocol for your present condition, and for preventing any further bone loss. I have already mentioned that it can be filled and sealed, if it is not possible, then extraction and implant.

I hope that you get your answer.

Please let me know if you want some help.

Thank you.