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Hidden infection in RCT tooth#46
I have tooth pain 46 for 2 years now.Have jaw pain under ear lobe and neck on right.Went to dentist for jaw pain&spotted 46 hurts for tapping,biting pressure.xrays,CBCT scan clear.Endo told me to try RCT,did in 2020.No relief,same jaw,tooth pain.MRI, CT of jaw,neck normal.Saw another endo last year&he did partial retreat for distal root as it wasn't filled till end root tip.partial retreat last year&no relief.Went back to Endo this week and told me to extract 46 as nothing found but tooth keeps hurting always.Took CBCT&clear.He wanted to try one more retreat as last try before ext.Reopened tooth 3 days ago.One root in mesial was having wetness in old canal filling.He said it stinks and blood color changes like purplish.He put medicine inside both canals.He said he didn't see those in cbct or x-ray.Is blood color changes like purplish indicate infection?put me on antibiotics for 10days.2nd step RCT after 6wks. is this infection will spread across? do I need to remove Tooth immediately?
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Answers (1)

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According to xray it show an infection in tooth numbers 46 and 45. Maybe more teeth are also involved. Need an OPG xray for a clearer picture.  Thanks.
Next Steps
In my opinion get an OPG xray and come back to me for a definite treatment plan.
Health Tips
1. Antibiotic course should not continue more than 5 days. 2. Try to get OPG as soon as possible. your radiating pain suggests that there are more than one tooth involved in infection. 3. Check to see if there is any pus drainage from the the gums.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.