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Has anyone had an infection under a root canal and crowned tooth

Started 1265062408 in Viewpoints | Last reply 1265165394 by Arie57
I do and the dentist said I'll have to get an implant or bridge for the infection to go away. I wonder it this is true. And how long I can actually wait to get this done. An endodontist said I could wait until it started to hurt but who knows. I'm afraid!

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BlueCollar­Babe126506263311594 PostsRegistered 9/26/2007
I had this happen about 2 years ago. My dentist put me on antibiotics for 5 days. Then he drilled through the crown and packed some stuff in that he left in with a temporary seal for about 3 days. Then I went back and he permanently sealed the crown. It's been fine ever since.
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TRAVELER126506267412078 PostsRegistered 12/14/2004Alaska
Dental infections can become dangerous when they enter the bloodstream. I do not know how long you can wait. I wouldn't because it'll just get worse. Be thankful you can afford it.
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chickenbutt126506280227080 PostsRegistered 1/16/2006chickentown
I had something going on, last year, under my one root canal. I went to my endo guy and he said that he would need to re-root canal it. Fortunately, he's a friend so he gave me a really great price (no dental ins) and said that if that doesn't work he will go in there and operate at no additional cost. But he said the re-root canal was the best avenue to take at that point. So far, so good (as far as I know). It was pretty painless.
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RooRoo1265063189150 PostsRegistered 5/4/2005
I also had a "re-root canal" with an endontist last May. So far, so good. Certainly not inexpensive but much less so than having an implant.
Good luck to you!

PinkyPetun­ia12650632034685 PostsRegistered 10/6/2004NJ
My husband recently went through this. It never did hurt him and he waited several months as he wasn't sure what to do. He wound up getting a bridge. It took a long time--lots of office visits--but it turned out nice looking and he chews comfortably on it.
It cost a lot of money and we don't have any dental insurance. The cheapest option would be just to have the tooth pulled, but the gap would have been visible.He asked about getting an implant but the dentist said it wouldn't work, I don't remember the reason he gave.
I wouldn't rush to do anything. Think about your options and get another opinion if you don't like what you are told. If you are on antibiotics it will get rid of the infection, but the infection will return unless the tooth is pulled as the root is probably cracked. Good luck, you will resolve this.

stl-laura12650637063153 PostsRegistered 5/24/2007st louis! - gateway to the west!!
Mayflowers - I'm not sure what your dentist meant by having to get the implant or bridge for the infection to go away, but one usually doesn't have anything to do with the other - I just had a similar problem about six months ago -
I had a bad toothache and knew that it was infected, so I called the dentist and he gave me a course of antibiotics to take - Well of course, the infection went away and so did the toothache, and instead of going to the dentist and having it taken care of, I put it off - bad move! About 6 weeks later, the infection comes back, worse than ever, den. gives me another course of antibiotics - if I promise to come in as soon as I finish them...I never got to...
The first week of July, I got what I thought was the flu, headache, chills, exhaustion - and it came on really fast - no upset stomach or anything, just chills, fever etc. - I went to the Urgent Care Center on Sunday at noon - I had a 104 temp, was sweating profusely and could hardly stand up...by 10pm that night they had admitted me, had me on IV antibiotics and it took 2 days before I felt human again...
The infection from the tooth got into my bloodstream and made me really sick - but it could have been worse - the Dr said if the infection had gotten into the sac around my heart it could have killed me - no kidding!
Long story short - toothaches and infections are nothing to let go - deal with it right away and you'll be a lot better off -
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Mayflowers1265065241130 PostsRegistered 1/7/2006
the endo said he didn't want to go back into the tooth.
there "may" be a crack and that is why I needed to get rid of the crown and have either a bridge or impant.
He siad the infection would clear up once the crown was removed. I have been on antibiotics for a week and he said there was a minor infection but it would stay contained...may have gone into the bone but bone would grow back.
I'm so confused. But he is the best in our area. I guess I'll see what my general dentist says.

doxiemom 4126506542627472 PostsRegistered 12/30/2008NJ-FL
The implant will not make the infection go away.You need to be on a anitbiotic ASAP. Just be careful............
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vickisok12650656151723 PostsRegistered 11/21/2005michigan
I can only tell you what I know. My father was a dentist until he died and now I have a cousin who is one, with my nephew in dental school.
If you have an infection, you need to be on some sort of antibiotics. Maybe you are and just didn't post that. When I was 16 we were on vacation and on the way home I started getting a terrible headache on just one side of my face. By the end of the 10 hour trip home I was in excrutiating pain. My dad took me straight to the office and did xrays and of course looked at all my teeth. He even did a pulp test on each tooth. The weird thing was that the pain wasn't in my teeth but exactly down one half of my face as if someone had drawn a line from top to bottom. After seeing all the results everything came back negative. Of course he had done a full panoramic xray and nothing showed up. There also was no swelling at all in my face. He then took me to the emergency room that night and I was given a pain medication injection. As soon as the morphine wore off the pain was right back.
Next morning my parents took me to our doctor who immediately gave me more morphine just so I could stand the pain. At one point during the morning I had begged my parents to just kill me. That is how bad this pain was. The doctor sent me to a specialist and more tests were run. Still being given morphine shots to keep the pain at bay. When the shots would begin to wear off I would start crying as I knew the pain was coming and by this time I was worn out. Of course my dad was giving me the shots, but he knew he couldn't give me too much.
On the third day, the specialist called and said that while they weren't sure, they thought I had a condition called tic-delarue, sp. This usually shows up in older people but because of the way the pain was coming back, this is what they thought it was. I was scheduled for a procedure where they go in through your temple and somehow inject you with something that deadens the nerve endings. After a few weeks this will wear off and if the pain returns they know its this tic delarue and at that time they cut the nerve endings which leaves half of your face paralyzed.
Before we were to leave to go my dad had been frantically researching and he looked at me and said I'm taking you back to the office. We went in and he put me in the chair. Again, all xrays and pulp tests had come back fine. Finally he said I'm taking this one filling off on your back molar. When he took it off it was like Mt. Aetna had erupted!!! He said he'd never ever seen anything like this. I had a terrible infection, but because of the filling it wasn't showing up anywhere. The infection had gotten into my nasal cavaties and elsewhere. I had to go through a long procedure to save that tooth, but once he found the source, it was uphill from there.
Sorry this is so long, but if you have an infection you really do need to get it taken care of. I wouldn't wish what happened to me on anyone. I'm 59 and I still remember that horrible pain.
Take care
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markswife12650659311927 PostsRegistered 12/4/2007
This is coming from being on the other side of the chair. I was an endo assistant for about a year. You need to get rid of the infection first, Then there are sevral options to how to treat . It may not be possible to "save" what is left of your tooth.alot depends on How severe the original root canal was.There may not be enough tooth left. Bridges can be used or an implant can be used to replace the missing tooth. And I have seen people that opted to leave a space if it was a second molar, that had to be taken out! You have lots of options and if this dentist isnt open to you asking about other options, Find one that is.Just my opinion from someone that worked in the profession for 13 years!

wildcherry12650660683812 PostsRegistered 11/23/2005
No, I've been lucky so far.
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Nightowlz126506664210557 PostsRegistered 10/6/2004
I did. I had to have an Apicoectomy by an oral surgeon. I have not had any problems with that tooth since. Don't wait for it to start hurting. Get to an oral surgeon for a consultation. I can't remember about the antibiotics. I think I took them before & after I had it done. It's been a long time so I'm not sure. But I do think I had to take them for so many days before he did the Apicocetomy. Don't wait call & make an appt. with an Oral Surgeon.

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RINGER12650666953950 PostsRegistered 4/11/2007Home sweet home in beautiful northern Virginia!
MAYFLOWERS: Personally I would get a second opinion asap!!
My brother just had his front tooth removed as he had an absess that was under a rootcanal/crown and he said it was the worst pain he has ever know even over a HEART ATTACK!! Now that would get my attention!
As others have said, an infection in the tooth can become life threatening at times and I don't know about a bridge or implant, but I sure would get another opinion before the outlay of money but MORE IMPORTANTLY, even if it is a "contained" infection, I think I would see someone else and get a script for an anti-biotic.
My brother had the tooth pulled and supposedly (and I am not sure I believe this) said he could not get a replacement for 8 weeks. Why I am not sure. Surely even with a bad infection in a week's time it would be healed it would seem??

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kivah12650677263900 PostsRegistered 7/21/2008oxnard, CA
I had a root canal/crown put in several years ago by a "specialist". He did such a lousy job, that I had to go to another dentist to re-do it. Last January I had major pain - and I went to my new dentist who said the tooth split in half. I got an implant!!! It's like my own tooth & the pain was minimal.

CLEM126507543112576 PostsRegistered 9/1/2008PA
Mayflowers, the infection would have to go away before you can have an implant. They can not put a foreign object in an infected area. Then you would really be in trouble.
Edited by CLEM at 02/01/2010 4:52 PM PST

Last edited on 2/1/2010

Caffeina12650759091941 PostsRegistered 10/6/2004
I did and had the tooth pulled. It was a back tooth so it didn't matter.

Anniecamp12650766034034 PostsRegistered 10/6/2004
I'm not sure I understand what your situation is, but I had to have another root canal under a crown. He just drilled a hole through the crown as though it was a regular tooth. I'd had the crown for quite a while before that happened.

Magenta12650783709610 PostsRegistered 11/4/2004washington, d.c.
often what it is all about that a crown is not fitting well and food can collect under it, into the roots and or tooth, or what is left. in my case i had a broken crown and didn't go to dentist as quickly until it was too late. man, did i have a lot of pain, and so too in my pocketbook. it turned into a full-blown abcess and you know those can be deadly by it going to the brain. we had a case of some poor 12 yr old some years ago, and parents no money, did nothing, and the boy died.
good luck.
Mayflowers, rereading your post. no for an abcess you need to be on a very strong antibiotic and until then nothing can be done. you re blessed so far no pain yet, but don't wait till that happened. however, i would quickly get a second opinion as your dentist doesn't make sense to me. so sorry.
Edited by Magenta at 02/01/2010 5:45 PM PST

Last edited on 2/1/2010

Lotus126507896937384 PostsRegistered 6/23/2006Long Island, NY
I think I have one now......It's been bothering on and off for about a year and I've been ignoring it.....I've been on antibiotics twice and now it's bothering me again.
I have no dental insurance and really can't afford extensive dental work...
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ditzy dori1265081756246 PostsRegistered 1/21/2008la la land
Many, many times. I had periodontal surgery along with a root canal, done twice, and a crown. I have had nothing but problems. Recently my new dentist suggested pulling the crown out and putting a bridge. I think I will consider this and just pay on time because I, too, don't have dental coverge. You have gotten alot of good advice here. Good luck with your decision. I know I have made mine.
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kivah12650830313900 PostsRegistered 7/21/2008oxnard, CA
Dental Insurance: I am on Medicare & have SCAN as my health care provider. They just started offering DeltaCare Dental Insur. (DeltaCare). I'm signing up!!! I'm in southern Calif.

closetQVCg­irl12650836561280 PostsRegistered 3/18/2009
A tooth infection should be taken VERY seriously. I have a coworker who had a tooth infection, and it spread and turned into sepsis. He had tooth pain one day, then pain down his neck on that side for about 3 days. Then when he went to the dentist they sent him right to the ER, where they admitted him and induced a coma for 2 weeks while they treated his infection. He is fine now, but it was very scary.

ivey12650857483406 PostsRegistered 6/25/2007
I had to have an apicoectomy also. The oral surgeon had to remove the crown and go in around the root to remove the infection. If the infection has been there a while, it encapsulates itself and must be removed. Since the root has no feeling, it's the tissue and infection that is causing pain. Then I had to have a new crown, of course. I had dental insurance--but I had to pay $800 out of pocket. Actually, it was not too painful. I handled it afterward with tylenol.

newshound61265089386583 PostsRegistered 5/8/2008
If they say the tooth is "cracked" it needs to be pulled now. It may even be kind of loose. I had this too- my tooth(with a root canal and crown that cost me $1500++) became loose and abscessed around it.They are saying you need a bridge or implant because you need to get the tooth pulled.

kmcshopper12651186246305 PostsRegistered 8/10/2007
I started with an infected tooth, my dentist performed a root canal, which didn't take. mind you the tooth had already been capped.Long story short, the tooth was fractured, and it needed to be pulled. then, I got a bridge.Please don't let the infection fester.

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