I am concerned that my root canal failed, and I will need an extraction and a dental implant. My dentist completed the root canal four days ago. I am taking ibuprofen and antibiotics just as she directed me. But I am still in pain. How do I know if I am going through root canal failure? Can my dentist repeat it before removing the tooth and replacing it with an implant? Thank you. Engram from Pittsburgh, PA
Thank you for your question. Although Dr. Farber would need to examine your tooth and x-rays for an accurate diagnosis, we will explain what you can expect after root canal treatment.
Pain After Root Canal Treatment
Pain after a root canal treatment is not unusual and does not mean the procedure failed. When your dentist cleans infected tooth pulp, some material can go through the tip and into the tissue that meets your jawbone. Your tooth can become sore, sensitive, and swollen. The sensitivity and inflammation can worsen after you bite or chew.
Should You Be Concerned About Pain After Root Canal Treatment?
Pain after root canal treatment may peak in a day or two and progressively improve. Although improvement may be slow, schedule an appointment with your dentist if pain increases or persists.
If the tooth needs a dental crown anyway, dentists can partially reduce it in preparation for the crown. Some dentists minimize the pain after root canal treatment by adjusting the tooth so the opposing tooth will not touch it when you bite down. And reducing the tooth prevents painful impact from the tooth that would meet it when you bite down.
Can Your Dentist Repeat Root Canal Treatment?
If a root canal treatment fails, a dentist can repeat it. Sometimes a dentist will refer you to a root canal specialist (endodontist) for treatment. An endodontist will examine your x-rays to see if your dentist missed any canals or areas in them. Repeat root canal treatment can help prevent the need for tooth removal and a dental implant.