Optional Root Canal Treatment?
I have a tooth which turned dark several years ago. I went to see an endodontist and he ran some tests. There is still “delayed” feeling in the tooth. He told me because of that a root canal treatment was optional. I’m not sure whether I should get the root canal treatment or look for a cosmetic solution. Do you have a recommendation?
I’m a little confused by why your endodontist said the root canal treatment was optional. Either the tooth is infected or it isn’t. If it is infected, you get the root canal. If it isn’t, you don’t. There would be no use for it. Your endodontist is muddying the waters.
It’s possible what you’re experiencing is the result of trauma to the tooth from several years ago. Sometimes, trauma can lead to the tooth building up secondary dentin. This will cause the tooth to take on a darker appearance, while slowly shrinking the pulp. This would eventually lose feeling, but it would take time. That is why you had some delayed feelings in the tooth.
If the darkness of the tooth bothers you, there are cosmetic procedures which can make the tooth match the adjacent teeth. One is to have dental bonding done. This uses a composite resin that is hand sculpted onto the tooth. Another option is to get a porcelain veneer. Either way, it would take an expert cosmetic dentist to match a single front tooth. Most cosmetic dentists with less expertise would suggest you have several teeth done to get them to match.
That would mean removing healthy tooth structure, so my recommendation would be to find a dentist who is able to do just the single tooth. One thing I’m going to suggest before you make any decision is to get a second opinion.
Best of luck to you.
This blog is brought to you by the Akron Dentists of Angel Dental Care.