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Signs of Root Canal Failure and How to Address Them

Dr. Reem Adnan Al-Kilani, General Practitioner Dentist (Oral and Dental Surgeon) at Al-Ahli Hospital/Qatar

Each year, millions of patients undergo root canal treatment, which helps them eliminate severe pain and preserve their teeth from potential decay and extraction due to infection. Root canal procedures are successful in 86-98% of cases, meaning the vast majority of patients experience excellent results. However, like any medical procedure, root canals can occasionally fail for various reasons, such as persistent infection due to incomplete cleaning or sealing of the root canal or patients not following post-procedure instructions. Therefore, recognizing the signs of root canal failure early is crucial for proper management.

Signs of Root Canal Failure

Contact your dentist immediately if you experience any of the following signs, which may indicate a failed root canal or the development of an infection after the procedure: 

  • Severe and persistent tooth pain, especially when pressure is applied. It’s normal to feel mild to moderate pain after a root canal, which may last a few days, but prolonged, intense pain that prevents you from eating, chewing, or speaking normally is concerning.
  • Swelling or inflammation of the gums around the treated tooth.
  • Formation of an abscess filled with pus near the tooth’s root or surrounding gum tissue.
  • Discoloration of the tooth.
  • Swelling on the side of the face or neck near the treated tooth.
  • Prolonged sensitivity to hot or cold, or even mild pressure.
  • A foul taste or persistent bad breath. 

What Should You Do?

If you experience any of the above symptoms after a root canal, it is critical to see your dentist as soon as possible. Be aware that signs of treatment failure may not appear immediately; they could surface shortly after the procedure or even years later. 

Your dentist will examine the tooth and take X-rays to determine the cause of the problem. They will then treat any infection or issues in the root canal before symptoms worsen. 

Possible Solutions

When traditional root canal treatment fails or if the infection persists, your dentist may resort to the following options:

Retreatment of the Root Canal
The dentist may perform a second cleaning and filling of the root canal to remove any remaining infection.

Apicoectomy (Root End Surgery)
In some cases, minor surgery may be required to remove the infected part of the root.

Tooth Extraction
If the tooth is severely damaged and other treatments fail, extraction may be the last resort, followed by the placement of a dental implant or bridge.

Post-Root Canal Care

For a smooth recovery without complications, follow your dentist’s post-root canal care instructions. Here are some helpful tips: 

  • Eat soft foods during the first few days, such as mashed potatoes, cottage cheese, smoothies, and yogurt.
  • Avoid chewing directly on the treated tooth, and try to chew on the other side of your mouth.
  • Temporarily quit smoking, even for a short period.
  • Brush your teeth regularly and use dental floss once a day.
  • Use an antibacterial mouthwash to maintain oral hygiene.

Why Choose Al Ahli Hospital Dental Clinics?

Expertise in Root Canal Treatment
Our team possesses advanced knowledge and extensive experience in treating root canal issues, ensuring you receive the best possible outcomes.

24/7 Dental Services
Don’t worry about sudden pain or emergencies—our dental services are available around the clock to meet your needs anytime.

Modern Technology
We utilize the latest dental technology for accurate diagnosis, effective treatment, and optimal results.

Comfortable, Modern Clinics
Our clinics are designed to provide a comfortable, state-of-the-art environment, ensuring you feel at ease throughout your visit.

Affordable Prices
We offer our services at reasonable rates to suit all budgets without compromising quality.

In summary, Al Ahli Hospital’s dental clinics are the ideal place to receive top-quality root canal treatment with the highest level of care. Why wait? Book your appointment now and enjoy a healthy, beautiful smile!

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