there's an infection in an old root canal in one of the two teeth which support a bridge on lower right. I was sent to an oral surgeon for an apicoectomy but panicked and asked for some time to think. am now on antibiotics and am treating the area with strong solultion of salt water which has pain under control. Why couldn't we just removed the bridge and treat the infection directly?

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  • Dr.Ritz

    Dr.Ritz 30 - January - 2012, at 02:27 AM

  • Infection can occur in root canal treated tooth in case of poor case selection or if root canal treatment was not done properly previously. In case of root canal failure, root canal re-treatment can be done to remove the infection from the tooth. To perform re-root canal treatment, bridge needs to be removed and procedure will be done. After re-root canal treatment, you might need to get a new dental bridge. Prognosis of root canal re-treatment is not as good as root canal treatment done for the first time. If prognosis of tooth for re-root canal treatment is bad, then Apicoectomy procedure is done. Apicoectomy is surgical removal of apical portion of the tooth. Procedure will be done under local anesthesia and there will be no pain. Dentist will numb you and will give an incision on gums. After retraction of flap, bone removal will be done and apical portion of the tooth is removed. Wound closure is done after infection is removed. You can discuss with your dentist that whether re-root canal treatment can be done or not. Only antibiotics intake will not treat the infection. You need to get treatment done for infected tooth. By the time you get treatment done, you can continue with warm saline rinses and maintain good oral hygiene. Avoid eating from side of infected tooth. For more info on root canal failure, refer to……    http://www.identalhub.com/article_what-if-root-canal-treatment-fails-303.aspx

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