I had an accident that injured two front teeth. The dentist that treated me said that one of the teeth needed a root canal treatment, but the other one appeared to be fine. A couple of months later the dentist put a crown on the root canaled tooth. Close to two years later the tooth began to bother me again. It became sensitive to both hot and cold. I went to see the dentist again who didn’t see anything wrong with the tooth. He did take an x-ray but said nothing was there. I went to see an endodontist who said the pain was probably coming from the tooth next to it because it looks like I clench and grind my teeth. I went home discouraged. Now there is a pimple on the gum next to the tooth with the root canal. I’m terrified that I am going to lose this tooth. Do you have any advise for me? The pain is getting worse and nobody seems to be listening to me.
Anne
Dear Anne,
I am a bit bothered by the type of care you are getting. I don’t think this is the best dentist for you. This is not really a tricky diagnostic procedure. Once you had the root canal treatment, the pain could not be coming from that tooth, which would have removed the nerve. A front tooth would not have any tricky canals that could have been missed the way a molar could.
Not seeing anything on the x-ray is not surprising because the inflammation would not show up until the infection set in. The pimple on your gums is a sign of an infection called a tooth abscess.
When there is trauma to a tooth, it is not unusual for a tooth that has been traumatized to not show any symptoms for quite some time. Some will take years. However, there is an infection now and it needs to be dealt with. My suggestion is to go back to your dentist and show him the abscess. If he still won’t help you, there are dentists who will see non-established patients in the case of dental emergencies. I would consider your case one that would qualify. You will likely need another root canal treatment and dental crown. Hopefully, your dentist placed a porcelain crown on your front tooth. That is what you will want.
This blog is brought to you by Decatur, AL Dentists Drs. Drake and Wallace.