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FAQ:  Root Canal Therapy RCT



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Root Canals Ask The Dentist Corinne Scalzitti Question:
Root Canal problem:
I had a crown replaced on a tooth last summer and my dentist explained that the cavity was very deep and might have affected the nerve.

Well I continued to have pain with pressure on it and went back several times to have it adjusted to no avail. He then sent me to a specialist who performed a root canal 3 months ago.

When I went in for my 6 month checkup I told him that I was still having problems with feeling that food was getting trapped in that area that I was unable to remove with floss. My gum in the area seems to always be inflamed.

He says that I can't have pain with the tooth since it had a root canal . . . but it seems like the pain is located on one side of the tooth when I floss. ...Visitor from OH

Answer:
I cannot know what is really going on without seeing you and your x-rays, but I suspect that your present problem involves the crown, not the root canal.

Teeth (and crowns) must touch each other at a point, called the contact point, to deflect food from packing between the teeth. If you do not have a proper contact point between the crown and the tooth next to it, you may be packing food and causing the gum tissue to be inflamed.

This will eventually lead to a periodontal pocket and is a problem. If the floss does not snap through the area where the food is getting trapped in the same way that it does with your other teeth, I suspect that this is a contact problem and has nothing to do with the root canal. I would suggest that you see your dentist again. I assume that he will stand behind a crown that he did for at least a few years.

Corinne Scalzitti, DMD, MAGD

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