Question:

I had a bike accident 12 years ago, which caused injury to my front teeth. Later I started feeling pain in the front tooth. After seeing the dentist he recommended root canal treatment. I completed the root canal, however, six months later but I'm still experiencing pain.

The dentist then advised me that perhaps the tooth next to it is still causing the pain (as this one was apparently infected too). I then recently completed root canal on the tooth next it and two weeks later I'm still experiencing pain on the first tooth. He mentioned my next option is to extract the first tooth. Is this my only option?

What reasons would root canal not succeed in the first place? Also what are the average costs associated with root canal and implants? Given I have already paid for two root canals (no crowning yet), do you think it's fair that the dentist charges me extra to get an implant? Considering the root canal wasn't successful why should I have to pay the full price when the dentist didn't do his job correct in the first place.

I'm not sure if I'm getting ripped off. I'm also pregnant so I'm not sure what other dental work is safe moving forward.

Answer:

There are several reasons why a tooth that has had a root canal therapy can still cause pain. It may be that the tooth is fractured (hairline cracks are very difficult to diagnose), or that accessory canals or branches in the canal are inaccessible or, of course, inadequate treatment.

Unfortunately there are no "average" costs in treatments such as root canals or dental implants, as every case is different. It is impossible to give an accurate quote without a thorough examination and consultation and very difficult to advise on whether you should be charged without knowing the details or background to your case.

Certainly if you have any questions as to the appropriateness of being charged for (re)treatment is something that should first be discussed with your dentist, and maybe getting a second opinion as to the competency of previous treatment may help put you at ease.

Dental treatment is completely safe during pregnancy, but ensure your treating dentist is informed so that appropriate precautions (such as use of lead aprons for X-rays and correct anaesthetics) are taken.

For more information please visit Dr Angelo Lazaris's website.