It is possible your tooth did not heal as expected or develops new problems. This can happen months or years after successful treatment. Several reasons the tooth needs retreatment: complicated anatomy, restoration not placed soon enough after the procedure, restoration did not prevent saliva from contaminating the inside of the tooth, broken/loose crown, and new decay.
Endodontist will remove the canal filling, carefully examine the inside for additional canals or unusual anatomy. After cleaning the canals the endodontist will fill and seal the canals then place a temporary filling.
Apicoectomy – Root Canal Surgery
Endodontic surgery may be needed in addition to the retreatment or as an alternative. In this procedure, the endodontist reflects the gum tissue near the tooth to see the underlying bone and remove any inflamed or infected tissue. The very end of the root is also removed and a small filling is placed to seal the end of the root canal. A few stitches are placed in the gum to aid in proper tissue healing.
Cracked tooth pain is often a result of damage to the soft tissue of the tooth. Chewing can cause movement of the pieces that will irritate the pulp. Eventually the pulp will become damaged and can lead to infection. Treatment and outcome for the tooth depends on the type, location and severity of the crack.
Most traumatic dental injuries occur in children, but adults can be affected as well.
A tooth may be pushed into its socket or pushed partially out of the socket during an injury. Repositioning and stabilization of the tooth are usually necessary. This may be done by your general dentist or endodontist. If the pulp remains healthy, no additional treatment will be necessary. If the pulp is damaged or becomes infected, root canal treatment will be required.
If injury causes the tooth to become completely knocked out of your mouth, immediate treatment is required. It is important to keep the tooth moist. If possible put it back into the socket. You can also put the tooth in milk or a glass of water with a pinch of salt. Your tooth may be stabilized with a splint. Root canal treatment may be initiated depending on the stage of root development.