should i have a apicetomy of the root to save my teeth can you please give me any advice

Q. Hi, I am a 23yr old female and approximaltely 2yrs ago one of lower central teeth got infected. I consequently had a root canal procedure. Following this i was asymptomatic, however I revisited my dentist to have that tooth bleached as it had become off colour. My dentist performed a bleaching procedure which involved inserting bleach within the tooth and I was told to return a week later to have it reroot filled. However following this my tooth area became painful and within 2 days i returned to have the bleach removed and the tooth dressed. Approximately 2 weeks later my tooth was still irratating and this resulted in an abcess again. I was given antibiotics and referred to the dental hospital for oral surgery (apiceptomy??). Approximately 2-3 months later when i visited the dental hospital, I was by that time completely asymptomatic. The consultant present felt the the surgery was not the best option for me at that stage and advised me to return to my dentist to have a reroot filling. He did offer another alternative of watching the tooth and taking a series of x-rays (to watch the chronic infection?) to see if it would recover itself (although he felt this may not be the best option). When i returned to my dentist (this is last summer), we decided to try the non-invasive technique and watch the tooth over a period of time. January of this year, I became symptomatic again with gental throbbing in my gum area around the tooth. I returned to my dentist and he advised that as there was no change on the x-rays and that there was no visible swelling or abcess to continue to watch the tooth. In march I had a severe mouth ulcer and as my dentist was closed i visited a different dentist for advise. On hearing my history he felt it was better for me (now being asymptomatic) to actually have the apicetomy done otherwise I would risk loss of my tooth. I revisited my original dentist who dismissed this idea. I am now left feeling very confused and as this is one of my frontal teeth I am worried about the outcome of this situation. Can please give me any advice.. 

A. A root canal treatment can flare up from time to time if the chronic infection is still present. My advice would be to consider specialist root treatment of the tooth to give you the best chance of saving it and/or avoiding apicectomy of the root

Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore

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