Root canal retreatment in Beylikdüzü: if a root-filled tooth hurts again, does it have to come out?
A tooth that's had root canal treatment can hurt again years later, swell, or develop a pimple-like bump on the gum (a sinus tract). That doesn't always mean it has to be extracted. In suitable cases the old root filling can be removed and the treatment redone, or minor surgery can be done at the root tip. The decision is made with an X-ray and, if needed, a CT scan.
Why does a root-filled tooth cause problems again?
- An extra canal that wasn't found or fully cleaned the first time.
- Bacteria leaking into the canal around the edge of a filling or crown.
- The permanent crown not being made for a long time.
- A crack or fracture in the root.
- New decay reaching the root canal.
We explain root canal treatment in general in root canal treatment in Beylikdüzü.
Treatment options
| Option | What's done | When it's suitable |
|---|---|---|
| Root canal retreatment | The old root filling is removed and the canals are cleaned and filled again | If the canals can be reached and the root is sound |
| Root-tip surgery (apicoectomy) | Through the gum, the root tip and surrounding infection are removed | If reaching the canal from above is difficult or risky (e.g. a new, good crown or post is in place) |
| Extraction and implant or bridge | The tooth is removed and the gap filled | With a vertical root fracture, or too little sound tooth left |
Symptoms that mean you should come in
- Pain when pressing or biting on a root-filled tooth.
- Recurring swelling or a pimple-like bump on the gum.
- A bad taste or discharge.
- Facial swelling: don't wait — see dental abscess.
Sometimes a problem in a root-filled tooth gives no symptoms and shows up as a shadow at the root tip on a routine X-ray. Whether to monitor or treat then depends on the size of the lesion and whether it's changing.
Assessment at Dent32 in Beylikdüzü
At Dent32 we look at the X-ray of the root-filled tooth with you and explain the pros and cons of retreatment, surgery or extraction clearly. Our dental clinic in Beylikdüzü is at Barış Mah., Ginza Lavinya, E-5 Yanyolu No:30 D:179, 34520 Beylikdüzü, Istanbul. To book: +90 555 011 33 68 or the contact page.
Frequently asked questions
Can root canal treatment be done a second time?
Yes, retreatment is a common procedure. Success depends on the root being sound and the canals being reachable.
Is retreatment painful?
It's done under local anaesthetic. The tooth may be tender to bite on for a few days afterwards.
Retreatment or an implant?
If the root is sound and there's enough healthy tooth left, saving your own tooth is usually tried first. With a root fracture, an implant may be more predictable.
