Hello!
This is Seoul Vardi Dental Clinic.
Today, this is a case where, after root canal treatment,
proper prosthetic treatment was not received,
and the tooth split in half.
Many people
say, “I feel fine now after the root canal,”
and feel relieved, then no longer
come back to the clinic.
If you do not come to the dental clinic in between,
we do contact you
and provide sufficient explanation about the
possibility of fracture,
but
if you do not come in,
we have no other way.
All we can do is keep trying to contact you...
A tooth that has received root canal treatment
is in a weakened state,
with only the outer surface of the tooth remaining.
So if you do not receive the
protective "crown" treatment,
we really do often see in clinical practice
cases where it eventually goes "snap"
and breaks apart.
We hope this case serves as an opportunity
to remind you of the importance of care
after root canal treatment.
At the first visit
Neglect after root canal treatment
It hurts every time I chew.

The tooth is very worn down,
and there are many signs of time,
so some sensitivity may be present,
but
after an accurate examination,
there are sharp symptoms every time
you chew.
Pain in a specific area of the tooth during chewing
Possibility of pulpitis due to nerve inflammation
Planned root canal treatment if symptoms persist after observation
Neglect after root canal treatment
When resting it is fine,
but because it kept hurting every time I chewed,
we started root canal treatment.
What is root canal treatment?
It is a treatment that removes the infected or
damaged pulp (nerves and blood vessels)
inside the tooth, thoroughly disinfects
the inside,
then fills it with special materials used in the dental clinic,
and finishes the treatment by placing a crown.
You can think of it as the treatment
done right before extraction,
in order to save the tooth.
Root canal treatment completed
2022.5.11

Because it was a molar, we allowed enough time between steps,
went through the process of disinfecting and thoroughly cleaning
the infected pulp,
and completed the treatment.
And the parts that had been temporarily filled
during treatment were firmly finished
with a core.
What is core?
It is the process of reinforcing the weakened
inside of the tooth with a hard material after root canal treatment,
and it is an essential step before placing the crown.
And...
Neglect after root canal treatment
The patient no longer came to the dental clinic.
“Now that I’ve had the root canal, it doesn’t hurt...
There’s nothing urgent...
It’s not uncomfortable right away, so it should be okay, right?
Going to the dentist every week is
too exhausting...
There must have been many such thoughts.
The crucial reason why you should not neglect care after root canal treatment

- The tooth structure becomes weaker
: During the treatment process, the tooth walls become thin,
so if a strong chewing force is applied,
the tooth can break as it is.
- If it breaks, extraction is the only option
: Because this is the final treatment that can save the tooth,
if a problem occurs, there is really no choice but extraction..
Therefore, after root canal treatment,
you must!!!
finish the crown treatment
and protect the tooth.
What we expected
happened..
Neglect after root canal treatment
The patient came to the clinic saying
that the tooth had broken.
While eating, with a "crack" sound,
the tooth fractured across horizontally, and
as a result of the diagnosis,
it was no longer possible to save this tooth.
At this stage,
we needed to choose
the best option we could do.
Since it was no longer a tooth that could be saved,
we decided to treat it with extraction followed by an implant.

Root canal treatment is
the last chance
to save the tooth.

But to make proper use of that chance,
you must complete the crown treatment
as well.
There are also cases where people have root canal treatment
and do not get a crown.
But that is a decision
made by me, the dentist, after an accurate diagnosis.
So,
please stop thinking, “It doesn’t hurt, so it must be okay...,”
and make sure you complete the treatment.
You cannot make precious natural teeth
a second time.
If you have a tooth that received root canal treatment
and is being left untreated,
please come in before it is too late.
Thank you.
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Implant Treatment for a Fractured Molar Split in Half After Neglect Following Root Canal Treatment
| This post was written directly by Seoul Vardi Dental Clinic for the purpose of providing medical information in compliance with Article 56, Paragraph 1 of the Medical Advertising Act. Please use the provided information for reference only, and for an assessment of symptoms and accurate management methods, please visit a medical institution and receive guidance from medical professionals. All procedures/surgeries performed at the dental clinic may involve risks depending on the individual (inflammation, bleeding, swelling, etc.). Please make your decision after sufficient consultation with medical professionals in advance. The treatment cases in this post were photographed with the consent of patients who completed treatment at our clinic, and the before-and-after photos were taken under the same conditions. |