Tuesday, March 1, 2011

What treatment options are available for a periapical abscess on a tooth that has been root canaled 10 years?

I have already been on Clindamycin for 2 weeks with no improvement. The boil appeared shortly after I had an old crown replaced that was on a tooth that had a root canal 10 years ago. I do not have dental insurance and so I am trying to prepare myself for an appointment with a specialist.
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Your options are an apicoectomy, where they go in and amputate the end of the root tip, or extraction. They cant usually just redo the root canal, especially after so long. The roots calcify and they cant just go in there. Dont get it pulled!!! That is just opening a can of worms. You then need a bridge or an implant. A bridge is the price of 3 crowns if not more. But if you dont get something in its place, the teeth around will shift, the tooth opposite (above or below) will come out of the gums more to fill the gap, exposing the root and causing pain. I know paying for the stuff is the most painful, but in the long run its the best option.
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