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FAQ:  Abcess - Tooth Abscesses


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Dental Abcess Ask The Dentist Corinne Scalzitti

Question:
My dentist told me my eye tooth needed a cap. After drilling the tooth down and cementing the cap, there was some sensitivity which subsided after a couple of weeks.

3 months later, an abscess developed and I'm told I need a root canal. My medical doctor, whom I mentioned this to, said it sounded like a case of failed cap.

Is there such a term and what would cause a tooth which has never given me problems before to abscess? My MD said the cap should be redone.

I cannot afford a root canal and I'm not sure what to do. ...Visitor from NC

Answer:
The nerve of your tooth had bacteria in it that caused necrosis (death) of the nerve.

Maybe this was because of decay before the cap was placed, or sometimes cutting the tooth for the cap can cause nerve damage. It does not sound like a failed cap to me, but infection of the nerve.

I would suggest having the root canal done. Your dentist may be able to perform the root canal through the cap and then place a filling into the hole in the crown.

If you leave it as it is you will have an infection that will recur.

Corinne Scalzitti, DMD, MAGD
Austin Reconstructive Implant Dentistry
Texas Periolase
3900 RR 620 South
Austin, Texas TX 78738
(512) 263-3330

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