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Swelling & Pus in Molar Tooth
I am 35 years old male. In October 2021, I underwent "Re-RCT" of my molar tooth that was earlier infected. After the Re-RCT, my condition improved.
However, now again I have developed little swelling and pus in the gums below the same molar teeth. I don't have constant pain. But slight tenderness on applying pressure or brushing my teeth near gums.
Please find attached the image of X-ray done today and images of my current tooth condition for your reference.
Is tooth extraction really required (A dentist said Tooth should be extracted)? Or it can be treated via antibiotics? Or RE-RCT is required again? Please guide
Answers (6)
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In both the teeth u have infection better u take medication (antibiotics)first even after that if u still have pain and any pus discharge then go for extraction followed by implant .
For the medication and treatment u can consult us.
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Hello….
As i can see from the X-Ray both lower side of your first molar are RCT treated and the right side rct treated tooth showing infection more than the left side…
Firstly as you said you don’t have constant pain just tenderness while touching so start with a antibiotic course for 5 days and observe after 5 days if tenderness on pressure has gone ,if it still persist go for a Re-RCT treatment of the affected tooth.
See as for future if this root canal treatment failure happens the best option for your tooth left is to get it removed and put an implant on its place.
But i think a re-RCT will do the work if antibiotics course will not subscide the infection and tenderness on pressure .
Next Steps
Start with a 5 days antibiotics course.
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Hello dear
Please be calm
I think antibiotics are needed at this stage
Then account to prognosis re RCT or extraction is the choice
Thanks
For further details you can consult me
Thanks
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There is an infection on both sides below the 1st lower molars.. Extraction followed by implant would be a better option(for left side) considering your young age and RCT already done twice...
Next Steps
you can go for Re-Rct for lower right 1st molar..
you can contact me for prescription medicine and any further information..
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As per xray and clinical picture,tooth can be re-rctreated.Take antibiotics and analgesics has to be taken.
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Dr. Dhiraj Kumar
Dental Surgeon
10 yrs exp
Delhi
This is Digital OPG.
Do visit a local Endodontist and get an IOPA x ray done.
If there is internal/external resorption, then better to go for extraction.
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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.