Tag Archives: root canal failure

Root Canal Issue Seems Like It Will Never End

I am concerned about a root canal issue that seems will never end. Last November, my dentist filled a small cavity. But the tooth became sensitive to cold on and off. My dentist said I needed a root canal and a crown. He completed treatment, but my dentist had problems getting the bite correct. I was beginning to get jaw pain and earaches. The tooth settled down a bit but was still a little sensitive.

Within the past two weeks, the sensitivity increased. When I visited the dentist last week, he said he might need to repeat the root canal. But I am five months pregnant now and need another X-ray. And I am a little frustrated because it delayed my teeth whitening appointment. How do I know if I need repeat root canal treatment? I don’t know if I can get through the work without sedation. It’s so frustrating. Thanks – Nakia

Nakia,

Although Dr. Lacy would need to examine your tooth and crown, we are concerned about your dentist. It is unusual for a small cavity to end with an infection and root canal treatment. And your dentist has been unable to resolve tooth sensitivity completely.

From Small Cavity to Root Canal Treatment?

When a dentist tells you that they filled a small cavity, but the tooth soon needs root canal treatment, the dentist’s diagnosis is incorrect. The cavity must have been large, or your dentist missed signs of infection.

Tooth Sensitivity After a Filling and Crown

A tooth infection may be causing the sensitivity. But your dentist may have made a mistake while placing the filling or during your root canal treatment.

Dental X-rays During Pregnancy

We understand your concerns about exposing your baby to X-ray radiation or chemicals during pregnancy. But dental X-rays emit low radiation. So, you can review the American Dental Association’s recommendations about dental care during pregnancy. But if you have a tooth infection, it can potentially spread into your bloodstream and become more serious.

If you are skeptical about your dentist’s care, we recommend finding an advanced cosmetic dentist. The dentist will examine your tooth to identify the cause of sensitivity, jaw pain, and earaches. The dentist will also determine if you have a tooth infection and need to repeat root canal treatment. Although the process delays teeth whitening treatment, it is best to resolve it now than have the issue recur or worsen during pregnancy.

Based on your medical history, talk to your obstetrician and dentist about safe sedation options during pregnancy.

Best wishes for a quick resolution.

This post is sponsored by Plano, Texas, female dentist Dr. Miranda Lacy.

My dentist pre-ordered a crown, but my Repeat root canal may fail

My dentist took the crown off an abscessed molar and did a second root canal on the tooth. I had my first root canal in 2013. After the root canal, I had an ongoing infection for six weeks. My dentist referred me to an endodontist who got rid of the infection, but he told me not to wear a crown for a few months. I decided that if the tooth gave me any more problems, I would have sedation and an extraction. My dentist ordered a new crown, which I paid for half in advance. I asked for a refund because the specialist told me not to get a crown for a while, and I want to see if the tooth will last. But my dentist’s office will not refund me. Am I unreasonable? – Lola from SC

Lola,

Your request is polite and reasonable. It is not wise to crown a root canal tooth until you know treatment is successful. And the specialist recommended that you wait, too. Some root canal treatments fail the first time. But this is the second treatment for your tooth. So, the risk of failure increases. And your next appointment may be for sedation and extraction.

Getting a Refund for a Pre-Ordered Crown You May Not Need

Woman's face with her eyes closed while she receives dental work

Your dentist did not necessarily do anything wrong with your root canal procedure. But it is fair for him to be responsible for ordering a crown without knowing the treatment results. Your dentist should be aware of the risks of repeat root canal treatment and be willing to refund you for the crown and all fees.

You can contact your dental office again and ask to speak with your dentist. If that doesn’t work, you can schedule an appointment with your dentist to examine the tooth and use the time to talk about your concerns. Other options are to report the issue to your insurance company or the state dental board or file a case in small claims court. Or a call from an attorney’s office might work, too.

Miranda Lacy, DDS, a Plano, TX female dentist, sponsors this post.