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second root canal - same tooth

Started 1271281999.89 in Viewpoints | Last reply 1271342184.773 by sfnative

I had a root canal before we went to florida for the winter. It was a one visit deal - no return visit required. Well, I could still feel a slight pain while we were in florida but I thought it could wait til we came home. The last few days down there it started to really hurt and as soon as I get home I called for an appt. today. Now the dentist says he has to repeat the root canal but he thinks he will save the tooth so I shouldn't need a crown. I already said I couldn't afford a crown right now, so if he has to pull it then it will just have to be a space. What I don't understand is - in the past when I had a root camal after the initial pain wears off there is never any feeling in the tooth at all because the nerves have been removed. So how can this tooth still hurt? Also, in the past when a tooth that already had a root canal had an issue it had to be pulled and a bridge made.

I think the dentist just did a hurry job on this root canal and didn't get the nerve out.and that is why it is still hurting and he just plans to finish the actual root canal now so that is why it won't need pulled. So does anyone with more experience or knowledge have any words of wisdom for me. I think if it needs more extensive work it was his mistake and I shouldn't have to pay for an expensive additional crown or bridge.

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sparklingr­ivers1271282150.68311155 PostsRegistered 1/15/2009

You should not have to pay again....it is obvious that the dentist did a poor job the first time around.

croemer1271282266.20770747 PostsRegistered 1/29/2009

Hi retiree i have had several root canals and never had a problem.  i am sorry you are going thru this. my husband had a problem after his root-canal and on the second visit the doctor did the work for free. hope someone will be able to give you some good advice.

~~~~~~~~~~~~~~~~~~~~~~~~~~~
"Beware the drowning snake."
~~~~~~~~~~~~~~~~~~~~~~~~~~~
The tongue is a small thing, but what enormous damage it can do.




csv3201271282336.2776724 PostsRegistered 6/24/2007

Sounds like the dentist s c r e w e d up. I'd go to another dentist, have it done properly and then send the bill to the first dentist who s c r e w e d it up.

JuJu Squee­zey1271282402.99714444 PostsRegistered 4/22/2009Space Coast FL

I agree, you can only do one root canal per tooth if it is done right. How come you're  having two done? The tooth didn't grow the root back for sure. I thought a root canal meant you'd need a crown and DH always has had both together, root canal and crown.

Good luck with this dentist and I hope the pain stops no matter what else happens.

Eye of newt, and toe of frog, Wool of bat, and tongue of dog, Adder's fork, and blind-worm's sting, Lizard's leg, and owlet's wing, For a charm of powerful trouble, Like a h ell-broth boil and bubble.
William Shakespeare

BonnieBelle1271282493.6218345 PostsRegistered 4/13/2007

I think you defnitely need a crown.  I had two root canals without crowns and after time, both teeth cracked and had to be pulled out.  I have two other root canals with crowns, one is great and one I still cannot chew on and it's been years.

Mama Mia1271282520.1677500 PostsRegistered 3/4/2008

I would tell him how you feel and that you shouldn't have to pay for it again. I can't advise you, but my dental insurance says in the contract it wouldn't pay for another root canal on the same tooth.

mm

 

"Cats are like potato chips. You can never have just one."
meow\

Debb1e1271282570.76196 PostsRegistered 6/7/2009

I found this on a dentist's web site; look at that percentage{#emotions_dlg.ohmy}:

More than 70-90 percent of root canal treatments are successful. However, sometimes a case needs to be redone due to diseased canal offshoots that went undetected, some of the inert filling does not completely seal off the roots from bacteria, the tooth is damaged during the procedure (perforation), or the tooth fractures between or within the roots, or the fracturing of a canal filing instrument used-both of which rarely occur. Occasionally,  root canal therapy will fail altogether becausere-treatment range of 60% to 65% successful. A root canal is more likely to fail if a permanent filling or crown is not placed to protect the tooth.  A root canal can fail within days, weeks, months or even many years after the procedure has been completed and will be marked by a return of pain.

Deb7771271282624.956929 PostsRegistered 6/25/2005

Sometimes if a root canal doesnt take , they may have to do an apoectomy ( which is cutting the gum ) to get to the rest of the root.

 

I thought all root canals needed a crown?

I had a root canal on a tooth that didnt even hurt..  ( dont know why I let them do it , I was young and nieve ) anyway, five years later come to find out the tooth was cracked and causing infection in my mouth... So a thousand dollars thrown out the window {#emotions_dlg.mad}

Good luck to you.. I would just let him try to fix it... Its better than no tooth, and better than a bridge.

You can talk to your dentist about price.. but I doubt he would admit anything was his fault and let you go without paying for the next appointment.... Or even giving you a break on price for what ever it is he has to do next.

Just today, I had this dentist tell me how bad a bridge is and how it will age my teeth, and that I MUST get an implant.   sigh... Im afraid of implants, Im just not ready to go that route, plus I dont have 20 thou to pull out of my hat LOL

:)

on the bay1271282632.211830 PostsRegistered 12/25/2009

Hi Retiree-First, I'm sorry this happened to you. I think there are many not-so-good-terrible-very-bad dentists out there who get away with a lot and the patient pays in lost teeth, infections, and pain (speaking unfortunately from too much experience).

My 2 suggestions would be to see if you can find reviews online for your dentist-you may find it is not just you experiencing unexpected problems-I ususally just type in "reviews for dentists" and you will find various sites-many are free and no need to give email.

The other suggestion is to document every visit and treatment you've had because when you are in pain and have tons of dental visits, its hard to present your case-I'm re-writing mine for the 4th time myself before next dental visit.And you might want to get a free consultation from another dentist if you can-sometimes they will deduct cost of consultation if u have treatment w/ them. Its tempting to go to same dentist so you don't have to pay again but if you do need a crown, you might not want this dentist doing it, and he might charge you anyway which wouldn't be fair.


"...But if you walk the footsteps of each other, you'll learn things you never knew, you never knew.Can you sing with all the voices of the mountains? Can you paint with all the colors of the wind..."

shoptillId­rop1271282641.819399 PostsRegistered 10/25/2006Michigan

This doesn't sound right, I'm not sure I've ever heard of doing a root canal twice on the same tooth...that's odd!  How does that even get done?{#emotions_dlg.unsure}  Something's up here. 

You may have to seek out a second opinion.  I'd want to know what kind of root canal work was done to begin with that would leave you with pain like this.

So sorry you're having problems like this.

 

ETA:  Just re-read your post.  Did you have a crown put on when you had your root canal done?  You said your dentist said you wouldn't need a return visit.....how can that be?  You always have to return for a permanent crown to be set in.  You can not have a root canal done without having a crown to protect that area.....or you will run into problems.

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I tried being patient but it took too long.

beckysuea1271282693.50332 PostsRegistered 10/19/2008

I just had a root canal and it was under a crown.   The root was dying which was causing pain and the dentist says that there was infection coming out of the tooth when he pulled it.   Luckily I didn't have to pay for the crown as he worked through the one that was on my tooth.   I had pain for two nights after the root canal because of the infection and I was on antibiotics and pain pills.  

I thought you had to have a crown after a root canal.  

SusieEliza­beth1271282738.0175451 PostsRegistered 3/14/2009The Buckeye State

I agree you should not have to pay. And I think the dentist would be getting an earfull from me if it was me!

Previously "Justa" "JAWAM" or justawifeandmom changed it because I was tired of the comments.


happy hous­ewife1271283212.0128014 PostsRegistered 1/4/2007

Oh my - what does a crown cost? We are trying so hard to watch our money until we sell our house because we may have to get a mortgage on the new home til we sell this home and paying a mortgage on social security is going to be hard.

chickenbutt1271283221.8422666 PostsRegistered 1/16/2006chickentown

I had a re-root canal last year.  But the initial one was done btwn 10 and 15 years prior, so I figured it was par for the course.  That said, I have known my endo guy (really nice guy!) for many years so he cut me a super (like 1/3) price that included a guarantee that if there were further problems that was included in the price.  He didn't have to do that, so I appreciate it.  We don't have dental coverage.

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Bippity boppity BOOYAH!

JuJu Squee­zey1271283309.85714444 PostsRegistered 4/22/2009Space Coast FL

A crown has been 800-1000 here.

Eye of newt, and toe of frog, Wool of bat, and tongue of dog, Adder's fork, and blind-worm's sting, Lizard's leg, and owlet's wing, For a charm of powerful trouble, Like a h ell-broth boil and bubble.
William Shakespeare

lulu21271283346.12719827 PostsRegistered 8/1/2007

It is possible the tooth has 2 roots.  Many general dentists no longer do root canals and send you to an oral surgeon or endodontist. The canal of the roots can be calcified making it difficult to get all the nerve, particularly in the tip.  Most teeth that have undergone a root canal (eventually) need a crown.  Because the tooth is dead, it is susceptible to cracking.  Teeth are only pulled when there is nothing else that can be done to save them.  Implants are usually preferable to bridges.

croemer1271283347.3870747 PostsRegistered 1/29/2009
On 4/14/2010 retiree said:

Oh my - what does a crown cost? We are trying so hard to watch our money until we sell our house because we may have to get a mortgage on the new home til we sell this home and paying a mortgage on social security is going to be hard.

Mine cost $1,400.00!!{#emotions_dlg.cursing}

~~~~~~~~~~~~~~~~~~~~~~~~~~~
"Beware the drowning snake."
~~~~~~~~~~~~~~~~~~~~~~~~~~~
The tongue is a small thing, but what enormous damage it can do.




JuJu Squee­zey1271283423.17714444 PostsRegistered 4/22/2009Space Coast FL

Look for your local or state dental society or check if there is a dental school near you(and it's worth traveling a bit)and see if you can be seen at a reduced rate. All they can say is no. Check your county health dept. too.

Eye of newt, and toe of frog, Wool of bat, and tongue of dog, Adder's fork, and blind-worm's sting, Lizard's leg, and owlet's wing, For a charm of powerful trouble, Like a h ell-broth boil and bubble.
William Shakespeare

happy hous­ewife1271283501.7928014 PostsRegistered 1/4/2007

We seem to be in one of those times in life when everything is going wrong and it is all expensive! When we got home from florida the fridge was broken down and it smelled so awful we could only throw it out and buy a new one, my DH car had the check engine light on - transmission problem $600 then he brought it home and I drove his truck home and the check engine light came on in it! Luckily that was just that he didn't have the gas cap tight enough. And now my tooth.

JuJu Squee­zey1271283656.81314444 PostsRegistered 4/22/2009Space Coast FL

When it rains it pours, I hope you find a way that's cheaper and I'll say a prayer.

Eye of newt, and toe of frog, Wool of bat, and tongue of dog, Adder's fork, and blind-worm's sting, Lizard's leg, and owlet's wing, For a charm of powerful trouble, Like a h ell-broth boil and bubble.
William Shakespeare

croemer1271283840.13370747 PostsRegistered 1/29/2009

retiree...i am so sorry.i had a few months recently that was very similar to yours. it will get better.{#emotions_dlg.blush}

~~~~~~~~~~~~~~~~~~~~~~~~~~~
"Beware the drowning snake."
~~~~~~~~~~~~~~~~~~~~~~~~~~~
The tongue is a small thing, but what enormous damage it can do.




pghgolfgirl1271284219.56426 PostsRegistered 1/7/2005Pittsburgh

I, unfortunately, consider myself somewhat of an expert on root canals since I have had 3 in the past 10 years! {#emotions_dlg.crying}

Molars have 3 roots; other teeth have 2.  According to my dentist, some roots are difficult to locate and sometimes they must take multiple xrays to locate them to get all of the decayed roots out.  A lot of dentists, mine included, do a 2 step root canal where he removes the decayed/dead root pulp out and treats the tooth on one visit; then he continues me on antibiotics and in 10 days I go bad for further treatment and he then can take an impression for a permanent crown.  My dentist is always of the opinion that you need a crown or your tooth will likely crack.

I agree with the others that opine that your dentist likely did not do a thorough job and did not get all of the decayed pulp out of the tooth and that is what is causing you additional pain.  You may want to consider changing dentists, or at least going to a specialist.  Even though dentists and specialists are expensive, please do not scrimp on your teeth care or you are just looking for more problems down the road.  As they say, pay now, or pay later!

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Go Pens!!!

A House is not a Home without a little fur in it!!

Deb7771271284570.1276929 PostsRegistered 6/25/2005
On 4/14/2010 retiree said:

We seem to be in one of those times in life when everything is going wrong and it is all expensive! When we got home from florida the fridge was broken down and it smelled so awful we could only throw it out and buy a new one, my DH car had the check engine light on - transmission problem $600 then he brought it home and I drove his truck home and the check engine light came on in it! Luckily that was just that he didn't have the gas cap tight enough. And now my tooth.

 Never fails, that everything happens around the same time{#emotions_dlg.cursing}

But soon this will be over and paid for and forgotten LOL

Good luck to you

Debbie

:)

endoqueen1271285128.231253 PostsRegistered 7/6/2008parallel universe

Hi retiree, et al.

I'm an endodontist (root canal specialist). as a specialist, I redo a lot of other dentist's root canals, usually because they were not done properly in the first place, but also because the seal of the root canal can break down over the years; 10-20 years that is.

The pain in a tooth after a root canal is not from leftover nerves, unless the root canal was done by a monkey, but rather from infection or inflammation of the socket that the root sits in. Inflammation and some swelling occur in the bone (socket) just from cleaning  out the root system. Infections in the bone often require some antibiotic support.

Whether a root canal is done in one visit or multiple visits really depends on the tooth and the level of infection. Most of the teeth I see have too much infection to do in one visit, but some can be done very well in one.

Teeth after root canals are drier because they don't have that moist inner core anymore and are more prone to fracture, so crowns are placed to protect the tooth from fracture.

Good luck with your treatment!

Endoqueen

shorelady1271285791.0032698 PostsRegistered 12/27/2005
On 4/14/2010 pghgolfgirl said:

You may want to consider changing dentists, or at least going to a specialist.  Even though dentists and specialists are expensive, please do not scrimp on your teeth care or you are just looking for more problems down the road.  As they say, pay now, or pay later!

 Second only to the information from endoqueen, the professional endodontist, this is the best advice anyone can give.  We never had dental insurance until my children were in the upper grades of high school, but we always found a way to pay for needed care and expensive braces.  It wasn't easy, but physical and dental health is one thing we refused to skimp on. 

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