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Conditions and Diseases > Dental Health Forum > Root canal necessary ?
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Q: Root canal necessary ?
asked by: BMWDavid on June 12th, 2009
New User
I recently had an infection in a lower molar. Had quite a bit of pain and Dentist presctribed Amoxcillin(spell?) Pain went away and all fells fine now. Dentist said I should have a root canal on that tooth and then cap it.

My question is can I wait on this or is it even needed? Its been two months since this occured and I still feel fine. I have a sceduled appiontment at the end of June to proceed with the RC.

Any help on deciding what to do would be most helpful.

Thanks!

David
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concernedn
replied on June 12th, 2009
Experienced User
Root Canal Vs Cap
It depends on on how badly your molar has been affected by the infection. Your infection may have healed itself by amoxycillin. If indeed the infection has been completely cured by the antibiotic then you will get no more pain. Then again if your molar has already been seriously weakened then it will slowly break down over time and that may cause pain again.

A root canal actually will stop the pain from recurring. With root canal your molar will still slowly break down over time but you will not feel any pain. The cap is required to make sure it does not break any further.

Whether indeed cap is required or not that is debatable. I had a similar problem 2 years ago and my dentist told me I needed a root canal and cap as well. He told me my tooth would easily break down if I did not put the cap on because it had seriously weakened. I, however, only went for the root canal. It's been 2 years and surprisingly my broken tooth hasn't broken any further at all. I eat all sorts of hard food with that broken tooth with almost no problem at all even though I did not put the cap on.

Finally, it depends on the condition of your tooth whether you require a cap or not. If your tooth is moving a lot but not causing any pain you may even choose to skip the root canal as well.
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BMWDavid
replied on June 12th, 2009
New User
Thanks for the reply. I indeed have no pain and the tooth itself is firmly in place and does not wooble or move at all.

There is no sensitivity at all to cold/hot or to any foods. So maybe for now I will cancel the upcoming root canal and see how things go.
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concernedn
replied on June 12th, 2009
Experienced User
Good Luck!
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laurenv26
replied on July 5th, 2009
New User
it will come back...an infection in a tooth comes from the tooth DYING....the tooth doesn't all the sudden come back to life. The abscess is where the dead tissue and bacteria are draining out of the end of the root of the tooth because it has no where else to go. Sometimes you can see the abscess on the gum and sometimes it drains out of the gum which also TEMPORARILY relieves the pain, but ask anyone who has had a tooth abscess who put off treating it - it comes back.

antibiotics reduce the active infection/pain making treating the tooth by root canal much easier for YOU. I've seen patients in EXTREME pain from abscesses go through root canals NOT being completely numb bc the anesthetic couldn't get through the infection, although anesthesia is getting better and better. It is also better on your overall health not to let the infection brew in there until it causes you pain again - it takes up valuable immune system energy!
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