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Need second opinion. Re-rct/extraction
I had root canal on tooth #46 suspecting a tooth root fracture in sept'20. I didn't have any pain on that tooth before I go to dentist. I have constant burning and sore pain under ear in jaw and neck for 9 months now. went to dentist for that. I have lump like spots which hurts to touch under the ear in the jaw and neck. I have a hard small pea size lump in neck. I have mild swelling in lower jaw and side of the neck which is so tender. he tested #46 which hurts for tapping and Biting on one spot. Xrays normal. So he took CbcT scan and suspect a tooth root fracture on it and want me to extract.went to Endo. he said no fracture,rct needed. I did rct and perm crown. still same symptoms in lower jaw and neck. dentist want me to extract and saying that tooth is reason for my pain. went back to Endo. he tapped and gave bite sloth. both hurts. he is not sure why I have same pain even after root canal. he wanted me to go for extract or retreat RCT.I don't knw what should be next step.
You have been posting this since so many months. Been seeing your post so often and it's sad that you are suffering so much. Kindly take a clinical opinion fro. Another endodontist or surgeon.
Cracked teeth may be very difficult to diagnose. You need to understand that cracks that run mesiodistally are never seen on xrays and even cbct may not pick up cracks and sometimes extent of crack. Depends on the capability of the cbct unit itself too. In the Cbct, very careful inspection may show some bone loss near the fracture site but the radiologist needs to patience to pick this. Clinically, when the rct is done , the endodontist may be able to look for cracks.
If your dentist feels that the tooth is cracked, kindly go ahead with extraction especially since you have pain in that tooth. Often cracked teeth over time lead to severe infection. Sometimes you have to rely on clinical knowledge
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