{"id":1022,"date":"2021-01-12T19:32:52","date_gmt":"2021-01-13T01:32:52","guid":{"rendered":"https:\/\/www.regiondental.com\/blog\/?p=1022"},"modified":"2021-07-08T19:33:20","modified_gmt":"2021-07-09T00:33:20","slug":"root-canal-gone-wrong","status":"publish","type":"post","link":"https:\/\/www.regiondental.com\/blog\/root-canal-gone-wrong\/","title":{"rendered":"Root Canal Gone Wrong!"},"content":{"rendered":"<p>My husband coaches my son&#8217;s basketball team, and while coaching, he fell, which caused his front two teeth to fracture. He went to the dentist and ER that day, but the dentist wanted to wait for 2 weeks before treating him. Within 2 weeks, his right front tooth was starting to discolor, but no pain. He wasn&#8217;t treated, just fitted for temporary crowns that were placed 3 weeks later.<\/p>\n<p>He had an emergency root canal 2 months later because of his severe pain and was given amoxicillin for 5 days. This offered him some pain relief, but after 24 hours, the pain returned up to his nose with a cold sensation.<\/p>\n<p>2 weeks later, he had a root canal on his left front tooth, which caused no pain relief and was most likely an unneeded root canal.<\/p>\n<p>We went to an oral surgeon to get a second opinion, and he recommended Augmentin TID for 7 days with Medrol Dosepak. Within 5 days, the cold sensation had resolved, and he was pain-free for the first time in 3 months! However, within 24 hours, the pain returned at about 50%.<\/p>\n<p>I am a Nurse Practitioner, and my pharmacist friend recommended a 2-week taper of prednisone and my neighbor thought maybe the tooth fractured at the gum line. The dentist did see a black spot on the x-ray but said it was nothing. My husband has been suffering from pain for months; what would be the recommended next step? Do you think it would&#8217;ve been better if the root canal had been performed right away? Could the tooth be saved, and should he need an extraction, would you recommend implant next to permanent crown or bridge?<\/p>\n<p>&#8211; Jodi in Michigan<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.regiondental.com\/blog\/wp-content\/uploads\/2021\/06\/image.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1027\" src=\"https:\/\/www.regiondental.com\/blog\/wp-content\/uploads\/2021\/06\/image-300x200.jpeg\" alt=\"An adult male grimacing in pain has he holds his cheek\" width=\"300\" height=\"200\" srcset=\"https:\/\/www.regiondental.com\/blog\/wp-content\/uploads\/2021\/06\/image-300x200.jpeg 300w, https:\/\/www.regiondental.com\/blog\/wp-content\/uploads\/2021\/06\/image.jpeg 673w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Jodi,<\/p>\n<p>The nice thing about doing the <a href=\"https:\/\/www.regiondental.com\/tulsa-emergency-dentist\/\">root canal right away<\/a> is that there is less chance of post-operative complications because infection wouldn&#8217;t have settled in yet. They would just need to clean out the dead tissue and leave the tooth open for a couple of days before sealing to ensure there aren&#8217;t any flare-ups. The dried blood would be an indication the tissue inside the tooth was dead.<\/p>\n<p>I&#8217;m very confused on why they would prescribe Amoxicillin for only 5 days. Doing things the way you stated would leave a fairly substantial risk of a flare-up. Also, Amoxicillin would not typically be the first choice of antibiotic for this type of tooth infection, and a 5-day course would not be enough to clear up the infection.<\/p>\n<p>My recommendation would be to see a <a href=\"https:\/\/www.regiondental.com\/tulsa-root-canal-treatment\/\">root canal<\/a> specialist; it is always good to see someone who has the specific training needed. There are many of your dentist&#8217;s treatment choices that I disagree with, and it sounds like a lot of his treatments were guesses. It&#8217;s important to have an endodontist look at the x-ray and figure out what is really going on.<\/p>\n<p>Your husband shouldn&#8217;t need his tooth extracted as there are several options for correcting the root canal if it wasn&#8217;t sealed properly. I would also recommend Clindamycin for antibiotic therapy.<\/p>\n<p>I hope your husband&#8217;s pain is resolved quickly! Take Care.<\/p>\n<p>This blog is brought to you by <a href=\"https:\/\/www.regiondental.com\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Tulsa Dentist (opens in a new tab)\">Tulsa Dentist<\/a> Dr. Ryan Noah.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>My husband coaches my son&#8217;s basketball team, and while coaching, he fell, which caused his front two teeth to fracture. He went to the dentist and ER that day, but the dentist wanted to wait for 2 weeks before treating him. Within 2 weeks, his right front tooth was starting to discolor, but no pain. [&hellip;]<\/p>\n","protected":false},"author":13,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[188],"tags":[330,557,59,558,556,61],"class_list":{"0":"post-1022","1":"post","2":"type-post","3":"status-publish","4":"format-standard","6":"category-emergency-dentist","7":"tag-antibiotics-for-tooth-infection","8":"tag-endodontist","9":"tag-root-canal","10":"tag-root-canal-flare-up","11":"tag-tooth-fracture","12":"tag-tooth-infection","13":"entry"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Root Canal Gone Wrong! - Dr. Noah&#039;s Dentistry Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.regiondental.com\/blog\/root-canal-gone-wrong\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Root Canal Gone Wrong! - Dr. Noah&#039;s Dentistry Blog\" \/>\n<meta property=\"og:description\" content=\"My husband coaches my son&#8217;s basketball team, and while coaching, he fell, which caused his front two teeth to fracture. He went to the dentist and ER that day, but the dentist wanted to wait for 2 weeks before treating him. Within 2 weeks, his right front tooth was starting to discolor, but no pain. 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He went to the dentist and ER that day, but the dentist wanted to wait for 2 weeks before treating him. Within 2 weeks, his right front tooth was starting to discolor, but no pain. [&hellip;]","og_url":"https:\/\/www.regiondental.com\/blog\/root-canal-gone-wrong\/","og_site_name":"Dr. Noah&#039;s Dentistry Blog","article_published_time":"2021-01-13T01:32:52+00:00","article_modified_time":"2021-07-09T00:33:20+00:00","og_image":[{"url":"https:\/\/www.regiondental.com\/blog\/wp-content\/uploads\/2021\/06\/image-300x200.jpeg","type":"","width":"","height":""}],"author":"jsander","twitter_card":"summary_large_image","twitter_misc":{"Written by":"jsander","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.regiondental.com\/blog\/root-canal-gone-wrong\/#article","isPartOf":{"@id":"https:\/\/www.regiondental.com\/blog\/root-canal-gone-wrong\/"},"author":{"name":"jsander","@id":"https:\/\/www.regiondental.com\/blog\/#\/schema\/person\/171489f47fa7ea988d1609870d00e56f"},"headline":"Root Canal Gone Wrong!","datePublished":"2021-01-13T01:32:52+00:00","dateModified":"2021-07-09T00:33:20+00:00","mainEntityOfPage":{"@id":"https:\/\/www.regiondental.com\/blog\/root-canal-gone-wrong\/"},"wordCount":532,"image":{"@id":"https:\/\/www.regiondental.com\/blog\/root-canal-gone-wrong\/#primaryimage"},"thumbnailUrl":"https:\/\/www.regiondental.com\/blog\/wp-content\/uploads\/2021\/06\/image-300x200.jpeg","keywords":["antibiotics for tooth infection","Endodontist","root canal","Root Canal Flare-up","Tooth Fracture","tooth infection"],"articleSection":["Emergency Dentist"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/www.regiondental.com\/blog\/root-canal-gone-wrong\/","url":"https:\/\/www.regiondental.com\/blog\/root-canal-gone-wrong\/","name":"Root Canal Gone Wrong! 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