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Old and new xray current with black area
3rd time RCT done ...old xray and new xray attached is this infection??? Black.portion.in tooth centre ones ..
3 tooth root.canal.done multiple.times
4th time rct can be done
Cavity their ?
No major.pains known from.OPG
Answers (10)
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Any periapical infection in the bone ,after root canal treatment takes good few months to appear normal on Xray.
If the tooth is asymptomatic ,then best course is to wait and watch.
Both the incisors do need a good coronal seal/filling and a crown later if continue to remain asymptomatic or a good composite filling .
Next Steps
Visit Dentist in few months for repeat Xray evaluation or earlier if required
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Yes it can be done..
proceed with Rct and Apicoectomy irt 32 or Rct + Metapex dressing for 4weeks
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No need for RCT xray changes take time to show apparent changes
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No further root canal..if problem persists go for extraction
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RCT doesn't seem proper,rerct with proper cleaning nd shaping is needed, along with apicoectomy as well as obturation with metapex, repeated follow ups for about 6 months to assess the situation
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If the root canal has already been done 3-4 times and there is still a Black area in x-ray it may mean there is persistent infection,missed canal, or leakage
In such cases Re-rct may not always solve problems
Options- apicoectomy(surgical cleaning of root tip) extraction+ replacement (implant or bridge) considered depending on case
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Dr. Rutuja Jagtap
Dentist
3 yrs exp
Pune
Hello , the black portion in the centre of tooth is bone loss , for bone loss you don’t need rct and if you have pain in the rctreated teeth get it done but still there are less chances of changes in bone loss.
Next Steps
Visit a dentist
Health Tips
Proper brushing and rinsing and gum massage also
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Dr. Pia Patel
Dentist
14 yrs exp
Chennai
Hi,
Get the Re-RCT done as advised by your dentist.
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Dr. Ami Parmar
Dentist
14 yrs exp
Mumbai
Dear Practo user , new root canal looks fine ..Don't worry about black portion ..it will not go immediately . It takes some months to see visible change in xray.
Next Steps
if there is no pain ..then no need to repeat RCT ...Go for crown ..of there is no pain.
Health Tips
Don't bite hard food with that tooth till cap is fixed on it.
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Dr. Inavolu Shamini
Dentist
10 yrs exp
Hyderabad
Hello
Root canal treatment might not be successful after four attempts
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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.