What’s a "Short Fill" in a Root Canal and why is it bad??
properly done root canal with seal to end of root tip
When performing a root canal, the goal is to clean, shape, and fill the entire length of the root to the tip (apex). A short fill happens when the filling material doesn’t reach all the way to the end.
Why a short fill root canal matters and needs to treated?
- Bacteria can remain in the unfilled space.
- This may lead to continued pain, infection, or failure of the root canal.
- Because the artery and vein are removed so is the immune defense (delivery of white blood cells) dead spaces become a habitat for circulating bacteria
- virulent bacteria can thrieve in these spaces (unfilled undefended areas) causing early failure of root canal
- bacterial infections that over power the immune system lead to abcessing or fistulous tracts around the root both can cause mild to severe bone loss. If untreated a tooth in such condition can become non-restorable. It can also cause bone loss damage to adjacent teeth.
Why does a properly filled root canal work?
- A proper root canal fills the canal to the apex, sealing it completely to prevent reinfection.
What are the syptoms of a underfilled root canaled tooth?
- pain
- bleeding
- oderous bad foul taste
What to do is these syptoms occur and you suspect an underfilled root canal failure?
- get to dentist quick for retreatment
- get the tooth extracted
- get on antibiotics
Saturday and same day emergency appointments are available!
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Are root canals really painful?
In some tooth extractions, particularly wisdom teeth, a small piece of the root (called a root tip or fragment) may break off. While this can sound alarming, it’s not always dangerous. When is it OK to leave a root tip? Small (2mm) , uninfected tips near sensitive areas (like nerves or sinuses) may be intentionally left in place if removal poses more risk than benefit. When should it be removed? If the root is large, infected, or causing pain or swelling , it should be extracted by a dentist or oral surgeon. Leftover root fragments can lead to infection, pain, or delayed healing if not properly managed. What to do if you’re unsure: Ask your dentist for post-op X-rays. Seek a second opinion if you have ongoing discomfort or weren't informed about a retained root.
A root tip should not be left behind if: It is infected or shows signs of decay It causes ongoing pain , swelling, or delayed healing It could interfere with future dental treatments, such as Orthodontics or dental implants
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