Hi stylinmama,

Without exception, all root canaled teeth harbor infectious necrotic nerve tissue inside of the hundreds and hundreds of microscopic canals called dentin tubules. These canals are not accessible during the rc procedure which renders the tooth chronically infected. In addition to these canals, the large visible canals that were scraped during the rc procedure often contain remnants of infected nerve tissue that was not removed. Confirmation of this nerve tissue has been identified and confirmed in countless pathology reports on biopsied extracted rc teeth. This is not old information it is well established and current. To help you understand the magnitude of the amount of the nerve filled dentin tubules, I will attach a diagram of the anatomy of a tooth which clearly show these tubules. They are the hundreds of thin brown lines marked dentin tubules.

Unbeknownst to most people, root canal therapy is not performed to cure an infected tooth. It is done in an attempt to "save, meaning retain" an unhealthy tooth for a uncertain amount of time. It is irrelevant as to how many times a tooth is root canaled because the anatomy is what it is leaving the tooth chronically infected. The only other option is extraction which in most cases becomes inevitable.

Based on your description of your dental history with this tooth including the possible sinus involvement as well as the pattern and severity of the pain, it is not in your best interest to wait to have this tooth extracted. Oral surgeons see patients on emergency basis all the time. Your case would be categorized as an emergency. Due to the infection, the surgeon may choose to pre medicate you with an antibiotic for 3 days prior to the extraction. The antibiotic over the 3 day period will reduce the acidity of the infection and make the dental anesthetic more effective. If you wait to remove this tooth, the infection can spread rapidly into your sinus and become a complicated emergency situation. This is not something to wait on.

Also, please do not try to self administer any herbs or supplements to deal with this infection. Not to frighten you but to inform you.... tooth infections can become serious and they are not something to mess with. Please do not take the advice of well meaning lay people on the web who self medicate tooth infections. Symptoms are not always a reliable account of the seriousness of an infection and just because the pain subsides it does not mean the problem has resided.

You need to get in to see an oral surgeon asap. You cannot medicate with anything for 6-8 weeks as that is not even logical to think to do that. Can you call other oral surgeons to get an appointment sooner?

Bryanna

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