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Symptoms of Root Canal Failure


A ROOT CANAL is a common dental procedure designed to save a tooth that has been severely infected or decayed. While most root canal treatments are successful, there are instances where a root canal can fail. Recognizing the signs of failure early can help you address the issue promptly with your endodontist. Here’s what you need to know about the signs of root canal failure and the steps you can take to rectify the situation.

Persistent Pain

One of the most noticeable signs of a failed root canal is persistent pain that doesn’t go away. If you’re experiencing pain that continues for weeks after your procedure, it could be a sign that the infection wasn’t fully removed or has returned. Unlike the mild discomfort that is normal immediately following a root canal, this pain is often sharp and severe and occurs when biting down or applying pressure to the tooth.

Swelling and Tenderness

Swelling around the gum area near the treated tooth is another red flag. You might notice that your gums are tender to the touch, swollen, or even discolored. If the swelling extends to your face or neck, or if it comes with a fever, you should contact your endodontist immediately.

Gum Boil or Pimple

A persistent or recurring pimple-like bump on the gums near the site of the root canal treatment, often referred to as a sinus tract, can also indicate a problem. This gum boil may ooze pus, which is a sign of infection. The presence of this boil is a clear indication that the area is still battling bacterial intrusion.

Changes in Tooth Color

If the tooth that was treated becomes significantly darker compared to surrounding teeth, it could be a sign of a failing root canal. This discoloration is typically due to damaged or dying tissue inside the tooth.

What to Do if You Suspect Root Canal Failure

If you notice any of these symptoms, it’s important to contact your endodontist right away. Here are the steps you should take:

  • Contact Your Endodontist: Schedule an appointment as soon as possible to address your symptoms. Describe your symptoms in detail so that they can prepare for your visit.
  • Follow Prescribed Treatments: Your endodontist may prescribe antibiotics to tackle any infection present and suggest pain relievers to manage discomfort.
  • Undergo Further Diagnostic Tests: Your endodontist might recommend new X-rays or a CT scan to get a better look at the root canals and surrounding bone structure.
  • Consider Retreatment: In many cases, a failed root canal can be retreated. This involves re-cleaning the root canal and resealing it, which can often resolve the problem.
  • Surgical Options: If retreatment isn’t feasible, endodontic surgery, such as an apicoectomy, might be necessary. This procedure targets the root tip and surrounding tissue to eliminate any lingering infection.

How Your Endodontist Can Help

Endodontists specialize in treating issues within the tooth pulp and can offer several solutions to address a failed root canal. They use specialized techniques and advanced imaging technologies to diagnose and treat complications effectively. Their goal is to save your natural tooth and ensure your comfort and health throughout the process. Recognizing the signs of root canal failure early and seeking prompt professional help increases the likelihood of saving your tooth while preventing further complications.

Remember, the health of your teeth affects your overall well-being!

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.
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