What If I Don’t Want to Waste Time and Money on a Repeat Root Canal?

Posted by AllSmiles

If two dentists have told me that I have a cavity inside a tooth that needs root canal treatment, would a root canal make more sense? I’ve already experienced root canal failure, and it was an uncomfortable experience. I don’t want to waste any more time or money on the tooth. Thanks. Lyman from NY

Lyman.

Based on what you’ve shared, it sounds like two dentists agree that your tooth is experiencing internal resorption. Internal resorption occurs when inflammation inside the tooth causes the body’s own cells to begin removing tooth structure. The condition is often associated with irritation or inflammation of the dental pulp.

Can Internal Resorption Be Treated?

In many cases internal resorption can be treated with root canal therapy. Once the inflamed tissue is removed and the tooth is properly sealed, the tooth can often continue functioning for many years.

We understand your concern if you’ve experienced root canal failure. A difficult experience can affect how you feel about treatment options. You may feel more comfortable getting an extraction and dental implant.

When Is a Dental Implant Better than Root Canal Treatment?

An implant may better than root canal treatment if internal resorption has severely damaged the tooth. If a hole through the develops, treatment becomes more complex because the perforation must be sealed and the remaining tooth structure may weaken further.

Several factors can influence the prognosis:

• The size and location of the resorption
• Whether the root has been perforated
• How much healthy tooth structure remains
• The long-term strength of the tooth after repair

If extensive damage has left the tooth vulnerable to fracture, replacing it with a dental implant and crown may provide the most predictable long-term result.

Chandler, Arizona, dentists Dr. William Walden and Dr. Tyrel Beavers sponsor this post. Read about why patients say they provide the best dental care in Chandler.