Video Blog: Retreatment vs. Apicoectomy | Endodontist Dr. Sonia Chopra

[@rday1192]

I want to thank you so much. I had a root canal by my general dentist and it got infected. I went to the first endontist and he insisted on another root canal and apicoectomy and would not budge on his insistence both needed done. After seeing your video I got a second opinion and the new endo had the same philosophy as you did by retreatment no apico needed. Thank you for making this video.

[@lucylove27100]

R Day hello do you remember how long took for the second root canal treatment to completely heal, no sensitivity to bite or inflammation? Thank you for your answer

[@basedkaren51]

How did the tooth hold up?

[@radarada123141]

Hi, i think the same,this is how the retreats should be addressed.Congratulation.

[@FL-gg4dq]

I really appreciate your channel and sharing your decision making process

[@basedkaren51]

I wish you were my dentist! 🙌

[@xBloodXGusherx]

There are so many beautiful female dentist on youtube lol.

[@asianstud7]

I already had a apico done after retreat on my front tooth. well the apico failed it seems as i can feel pain in the apico treated tooth 2 years later. What are the success rate for a second apico? Or should I have a implant done instead. Asthetics is very important for me and Whatever that is asthetically most pleasing is the the route I want to take. Your input would be greatly appreciated. Thanks

[@jayjayf9699]

What did u do in the end?

[@heatherwheeler828]

thank u but i am going throw so much go arounds with root canles i been on meds twice but its to much money for them its the bottom

[@carl4636]

I have a bump on my 2nd to last molar on my lower jaw. This is about 1 year after my root canal on it (until i noticed it). It has a total area of about a dime, and is shaped like a triangle relative to the teeth. It is hard to feel it from the inside of my mouth and is best felt from the outide, it is pretty deep. The bump starts broadly at the bottom of the chin bone and narrows to that tooth. I also feel a thickened line, like a nerve or vein, that runs parallel to it. I was hoping to getting any information on what it might be and the procedure that might have to be done. I currently have no pain. I am concerned and pretty scared as a 18 year old on what might happen and the costs as well.

[@Shelilah41]

Hope you got the help you needed

[@SiniSimon]

Hey, how are you doing now ?

[@cuttinup97]

Where are you located and if I do nothing could the infection spread? I don't have pain, only an occasional abcess.

[@akshaypal6753]

how is ur teeth now , please reply

[@mohsinmunirkhannabil1312]

Assalamu alaikum mam, in case of anterior teeth with a chronic periapical lesion, I usually go for both retreatment & apicoectomy. Is this the right choice of treatment?

[@SoniaChopraDDS]

That will be overkill sometimes. Give it time to heal after the pretreatment and see what happens, but you need to wait about 6-12 months to see if there is any change. You won't see any changes before then!!

[@mohsinmunirkhannabil1312]

@@SoniaChopraDDS Thank you mam, much appreciated!

[@janstrip8926]

My endodontist did Root canal on January 2021 which is my second. It's already April and we went there for a check up he suggested apicoectomy. Do you think I need to go through apicoectomy ??? 😭😭😭

[@vanessahuizar11]

I had a root canal and 2 years later it is causing me pain. I returned to the Endodontist that treated it and there was a dark area around the tip of the apex. He said he could retreat the root canal a million times but it would not resolve the issue and Said I need an apico. Do you think I should see a different endo for a 2nd opinion?

[@SiniSimon]

Never hurts to get a second opinion! Did you proceed with re-RCT or Apicoectomy?

[@jayjayf9699]

I had a root canal done in 2004 it was fine untill it flared up in 2020 and then i had a retreat done and its still acting strange, 6 months on, should i do an apicoectomy or a third retreat by another endodontist who is a specialist this time?

[@heidi5452]

I had a painful tooth #18 and thought it was TMJ. Turns out it was infected. I got a root canal at 21. I'm 38 now. So I got it retreated. I had to get another canal treated so I'm going in for a part 2 ...my question is when is this pain going to go away? I had pain prior to the surgery but now my pain is worse and they even put me on Tylenol 3 but if I don't take it every day the pain returns. It's been 7 days since the 1st surgery and I'm supposed to get the next surgery next week. The pain is so bad that I can't even go to work. I've been on pain meds and antibiotics and the dentist said my pain should subside but it hasn't. Is this normal? Not all of the infection has been removed but I don't understand why it hurts more now than before. If I don't get pain relief from the 2nd surgery I'm just going to extract the tooth. Has anyone gone through this?

[@hoganmisses7448]

Im going through the same thing its terrible. I have a temp soft filling and i go back on the 23rd to finish. I had no pain before treatment and now its very painful. How are you doing now?

[@heidi5452]

@@hoganmisses7448I'm so much better! I did the second procedure and I was 100% sure I was going to be in even more pain than before but I wasn't. I didn't even need strong pain meds, just Aleve. The dentist told me to wait 2 wks until I got the permanent feeling and in those 2 weeks, my tooth still didn't feel right.I was almost going to go back for a third procedure but then it started feeling better so I got the permanent filling and it has felt great ever since. It actually felt better after the permanent filling. Procedure 2 is a piece of cake compared to the first one. Just give it time after the 2nd procedure...take aleve, put ice on your face if needed but the infection is cleared so it should no longer hurt.

[@hoganmisses7448]

@@heidi5452 thank you so much for responding. My story sounds so similar to yours. Root canal at 20, abscess developed and went to an endo this past Tuesday. She cleaned the abcess and put medicine in there and I'm on antibiotics to clear the infection. I go back on to complete on the 23rd. I just hate pain, your success gives me hope.

[@akshaypal6753]

@@hoganmisses7448 did ur pain go away with painkillers and hiw long did the pain last after abscess removal

[@hoganmisses7448]

@@akshaypal6753 the pain lasted for 8 days and after I went in for retreatment I has no more pain which is very strange.

[@Shadabnimbalkar]

Thank u mam

[@gera3579]

Where are you located?

[@angiehernandez1279]

I had apicodone on tooth 24 and tooth has now become dark brown.Is that normal?

[@proudozzijewess]

👋 Hi there I’ve had root canal done on a tooth twice now and after revisiting the endo she said it looks fine on the X-ray. I still have some pain and numbness on my top left near the tooth. What do you suggest I do? Should the tooth be taken out?

[@katryanaorange2092]

The infection might still be there, get a second opinion in the meantime keep it as clean as possible. Use diluted %3 hydrogen peroxide every time time you eat and every hour. Crush garlic and let it sit out for 15 mins so it doesn't burn your gums (be careful as you can cause more problems.) that's what happened to me I had the infection at bay and the pain and was finally gone with regular at home treatments. However I over did it with the garlic (allicin is a natural antibiotic) and got a small open sore from that burn which got infected since it was an open wound. Good luck! Remember that teeth health is the most important because it's so close to your brain and there's so many blood vessels. If you can afford it; get it pulled and get an implant (I traveled out of state because our healthcare is shit.)

[@jayjayf9699]

I feel a lump in my sinus in the same poison of the apical lesion on the x Ray , I had a root canal two months ago, should the apical lesion healed by now ?

[@keltoummerad8495]

What happened plz😢

[@toti35]

You are cute + smart!

[@bharatbharadwaj1986]

🙏

[@indocryptomaniac4756]

Im 23, just had my root canal retreated just now for 2 hours+ by an endodontist, had my root canal on my 36th tooth on bottom left in 2008, somehow it causes pain in 2020, it was gucci good no problem for 12 years and now problems... Going for another meeting next week, Dr Sonia, my doctor hasn't had the microscopic expensive device thing to look in deep where some endo has the big machines and advanced technologies screen, am I still going to be ok? Still some discomfort and pain while chewing on my left side... ==

[@lucylove27100]

Indo Cryptomaniac hello are you still having the discomfort? I hope not, I just had a root canal retreat, no pain but the inflammation is there and sensitivity when I bite down hopefully it will be better, by the way first root canal fail and second one was done 2 months later

[@indocryptomaniac4756]

@@lucylove27100 not much discomfort or almost zero discomfort... ur inflammation and sensitivity will slowly disappear after 1 month (unless there's something wrong, i didn't even use painkillers), my first root canal in 2008, the dentist didn't fill fully fill 1 of the 3 canals, after 12 years it cause a bit of buildup pus or bacteria below it... Now after retreatment with a root canal specialist, it has all been well and good, just that the retreatment was painstakingly slow and requires 4/5 visits as i remember correctly... so root canal retreatment is good to safe ur original tooth... u just have to find a root canal specialist with better technological equipment... i did my root canal retreatment for $300-400 usd overall I think, I'm from Indonesia...

[@lucylove27100]

Indo Cryptomaniac hello good to hear your treatment went good, well I’m almost two weeks since my second retreatment, hopefully everything is fine this time, I live in US and I went to a endodontic, the cost was 1100 and he didn’t charge for the retreatment

[@indocryptomaniac4756]

@@lucylove27100 ok u can check your xray on your tooth, if it fills in the white2 thing until the root... if it fills everything shud be fine... which tooth did you do your retreatment? bottom left/right or top?

[@lucylove27100]

Indo Cryptomaniac is my top front tooth, this is the reason I’m concerned, I’m going to wait two more weeks to see if the discomfort disappears, I don’t have pain, only discomfort when I bite down, the Endodontists did an X-ray after the treatment, he said look ok 👌

[@dentophiliac]

Hi, I am Prosthodontist, BDS, MDS. Want to collaborate with you. If any chances are there, do let me know.

[@nataliem7671]

I am desperate for some real dental advice!!! :( To anyone that can spare their time and expertise: I had a Root Canal 4 months ago on a “hot tooth” molar #30 that was so sensitive, I couldn’t even be numb the whole way. The procedure itself was traumatic and painful. About 5 weeks ago, the pain came back. I went to my dentist and they suggested it was the crown being too big, they adjusted and the pain came back days later. I went in again, and they adjusted the crown further, insisting it wasn’t an infection. Pain, again, came back days later. Finally they took a CT Scan that showed a canal was missed, so I had a retreatment done later that week. For the first 3 days, I felt absolutely great! Then the pain came back worse than ever in the middle of the night, so bad that I went into the ER for a stronger painkiller. I was desperate for a 2nd opinion, so I went to another dentist that morning and he prescribed me steroids for inflammation, and a narcotic to help me get through the next few nights. The pain significantly subsided over that week, and the “hot tooth” feeling has finally gone away, but my tooth is still sensitive to touch and I definitely can’t chew on it. Today was my 2-week post retreatment check-up, my endodontist at my regular dentist office took another CT Scan and sat with me to show what she looks for. She insists there is zero infection present (she prescribed me antibiotics just in case) and that the root canal looks successful. She said although it may be frustrating to hear, she really wants to save the tooth and to asked me to wait 2-more weeks to see if it “heals”, as retreatment can be more invasive than the initial root canal. At what point do I go for extraction? I’m able to get by the day with regular Advil at this point (before I needed tramadol to get through the night) but shouldn’t I be concerned the tooth is still sensitive to wiggle 2-weeks after treatment? I should add, the man that performed the root canal to begin with did NOT perform the retreatment. I absolutely refused to go to him being he has rough hands and zero sympathy with trying to get me properly numbed. I appreciate anyone that’s taken the time to read this today,

[@keltoummerad8495]

What happened plz😢😢😢😢

[@basedkaren51]

Did it heal?

[@nader1373]

I am a final year dental student and loved your explanation 👍

[@amyshan8007]

thank you doc! I am so glad that I found your channel. I am always interested in endo and want to do the best to my patients. thank you for sharing and guiding! really helpful videos

[@mekenziedrum]

I had a root canal 3 years ago, didn't even know it was preformed. It was supposed to just be a filling. I was totally shocked when my dentist told me a root canal had been performed. I went to one endodontist, he wanted to go straight for the apicoectomy. I got a second opinion and he believes retreatment will cause my issues to go away.

[@f.jacobalvaradoDOP]

How did your recovery go with a retreatment instead of an apicoectomy?

[@mekenziedrum]

@@f.jacobalvaradoDOP none of the issues that I had had before have returned. Gum gets a little sore with flossing around tooth but that's all!

[@keltoummerad8495]

​@mekenziedrumzinelabidine2883 was a touht moving?

[@mekenziedrum]

@@keltoummerad8495 it was not moving at all

[@scottt89]

had rct 10 years ago by a endo on #7. I went to my dentist for a bump on my gum I figured I got from night grinding. the xrays show the abcess came back. I was referred to the endo and at first he said he would retreat rct and this time add medicine (which wasn't done the first time) for multiple visits. then he changed his mind for some reason and said apicoectomy was the option. he said there was a 75% chance it would work lasting 1-5 years. he said the tooth looks fine and no damage is detected and the apicoectomy is to get out the dead tissue. he then said after I might not be a candidate for implant due to the apicoectomy bone loss. this makes no sense to me. aren't they adding freeze dried bone to the hole so the bone grows back? can't they do a normal bone graft while doing the apicoectomy? would I be better off pulling the tooth and letting it heal then get a implant? he made it sound like the abcess looks better than my scan 10 years ago. why not retreat rct with medicine as mentioned?!

[@ashishlalwani]

Hi Scott, I am having the exact same case. What should be the best solution at this moment. Should I plan for Implant? Please advise.

[@SiniSimon]

Hi, what procedure did you end up opting ? I completely empathize with your experience with dentistry ! Dp they know what they are doing at all 😐

[@annenymety209]

Omg, this mirrors my situation with #7!

[@Jassesme26]

Help had a root canal pain still there. Endo doesn’t want to redo it says it looks fine but it hurts so much. What are my options getting it redone with another endo would cause me so much again.

[@anithagunda9760]

My doctor wanted me to do apicoectomy

[@Boldgirlful]

I am watching this again because I'm facing the same issue. I got a re-root canal done on 11 and 12 and the infection under 12 is not going away. Its been 3 years to this process of removing my front 3 unit bridge and then root canals and now recently did re root canal in 12 as the infection started erupting and i had abcess filled pimple on top its gum. My doctor is saying that the retreatment was fine (with added medication) but the infection is not diminishing still. He is suggesting that i go for apicoectomy now. What do you suggest doctor? please guide me because I'm tired of going through this over the past 4 years almost now.

[@babysuzu4687]

Same please reply me

[@trashbirdie]

I had a second root canal on the same tooth done about two months ago and now there's blood and pus coming out of my gum again, is it possible it got infected again that quick?

[@keltoummerad8495]

What happened plz😢

[@trashbirdie]

I went to my dentist again and he said it was just a gum infection and that the tooth itself is ok now @@keltoummerad8495

[@jeffleerpp]

nice, I learn a lot

[@Boldgirlful]

What does retreatment mean here? Like redo- of root canal? Kindly someone let me know.

[@SoniaChopraDDS]

Boldgirlful yes redo the root canal.

[@boomerang6130]

@@SoniaChopraDDS Thanks but if retreatment is performed, wouldn't the cap covering the tooth have to come off so are you looking at paying for another "new" crown? In my case, it is an upper left canine covered by a 4 unit bridge? My insurance is not going to help pay for another bridge right now since this was done less than a year ago. Geez! 💲💲💲💲💲💲

[@babysuzu4687]

Hi are you there

[@scottsdaledentistprincessc4744]

Thank you for explaining this process so well.

[@Marthysgarden]

No Dentist has ever used a rubber dam on me, and I’ve seen 7+ dentists