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When you have acute pain in gums, you need root canal treatment. However, sometimes, you feel the toothache again after two or three months. You hoped that after the procedure the pain would have gone forever, but the hopes went into vain. In some operations, dentists remove the inner gums’ nerves to reduce the pain, but it comes again after a few months or days. This is an annoying situation for every person who endures the pangs.

Even after the root canal treatment, when you feel discomfort in the nerves, it is the sign that you need endodontic retreatment. Thus, if you are feeling pain in your teeth roots after the root canal, then you must consult your endodontist for retreatment. The dentist will evaluate your dental history and guides you either you need endodontist retreatment or not.

While your consultation, you should ask your endodontist the following questions:

Why My Tooth is Still Paining?

If you have had the root canal treatment before, still you are having acute pain, then you must ask your endodontist about the ache.

In many cases of root canal treatment, the patient does not need another operation if he cares about his oral routine properly. Therefore, according to the AAE (American Association of Endodontics, a few patients, who do not care about dental health, need retreatment for their root canal pain. If your first procedure has gone well, and you are not in trouble, then you do not need retreatment.

Thus, if your tooth has not healed yet, then you need endodontist retreatment. The following are significant circumstances in which you could need endodontic retreatment:

•  If the canal in your tooth roots is restricted, then you need endodontic retreatment.
•    If you have an odd shape of the tooth that has not diagnosed earlier, then you need the operation.
•   If you delay the cementing of the protective crown on the treated tooth, then you need the mentioned operation.
•   If the previous tooth procedure has failed to restore and it cannot prevent the contamination from the fluid, then you need endodontic retreatment.
•   If a patient faces a new infection in the root canals or a decay in a tooth.
• If a patient has faced a damaged crown, reduction in filling or grasping the bacteria.
•  If a person has a fracture in a tooth.

What Could be the Treatment Options?

Sometimes, according to your gums’ roots condition, the only treatment for your pain is tooth extraction. Dentist suggests you remove the damaged tooth from your mouth. However, in a few cases (some I have mentioned in the above para), your dentist will recommend you endodontic retreatment. It depends on your pain and the cause of the tooth root’s pangs. In the retreatment surgery, the dentist will make an incision at the tip of the tooth’s root. During the operation, the dentist will take out the infected nerves, called an apicoectomy.

Therefore, you have only two options to heal the root canal pain, one is endodontic retreatment, and second is tooth extraction.

What is the Process of Endodontic Retreatment (Apicoectomy)?

The dentist needs to reach out to the root canal filling material in your tooth. Therefore, he will remove the crown or filling from the teeth.

The second step is the cleaning of all the canals. Through special lighting and magnification, the dentist will find out the extra nerves that need purification. This is unusual anatomy of root canals to remove the infected roots.

After cleaning the infected canals, the endodontist will reshape, refill, and restore the roots. Finally, he will place a temporary filling in your teeth.

What Should be My Expectations Regarding Recovery After Retreatment?

Every patient has his/her recovery and healing time. It depends on the intensity of the disease and infection. Your endodontist will give you some personalized suggestions and guidelines.