I have a molar with root canal and cap. It's rotting away under the cap. when the tooth goes, do the roots have to be pulled or will they be fine when the gums cover them?

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  • Dr.Ritz

    Dr.Ritz 06 - January - 2012, at 02:38 AM

  • Decay of root canal treated tooth with dental crown should not occur. If oral hygiene of the patient is inadequate or in case of root canal treatment not done properly, rotting of the tooth can occur. In such cases, dentist will remove the dental crown to treat the underlying tooth decay. Re-root canal treatment or Apicoectomy can be done for decayed tooth. If not much of tooth structure is left around, then post and core procedure is also done after re-root canal treatment. Post is made of fiber or metal and is usually prefabricated and is inserted in the root of the tooth to provide support. Prognosis of root canal re-treatment is not as good as root canal treatment done for the first time. If prognosis of tooth is poor, then tooth extraction may also be required. Whole of the tooth including roots is removed to eliminate infection. Infection will not go if roots are not taken out. It is the focus of infection and whole tooth needs to be removed.  If extraction of tooth is done, then it can be replaced with dental implants or dental bridges. Dental implants are best option for missing teeth replacement. Without clinical examination, it is difficult to give definite diagnosis. Visit your dentist for treatment. Infected tooth if not treated can lead to pain and other complications later on. For more info on problems after crown placement, refer to…..   http://www.identalhub.com/article_problems-after-crown-placement-272.aspx

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