MC

Sorry to hear about your troubles. You've been through a lot.

The most informed opinion you could seek about your tooth's prognosis is from your endodontist (the specialist).

Diagnosing/interpreting difficult cases is what they do. Since yours has already treated your tooth, they'll have added insight into your current situation. And because they've been your treatment provider before, hopefully they'll have some empathy for your plight.

First off, you never know. Their evaluation may discover that some other type of issue has caused your recent symptoms: gum disease issues, cracked root, something improper about the "bite" of the tooth, or such. But we'd agree, it seems most likely that the 2nd general dentist you consulted with would have discovered these types of issues.

If the problem is determined to be an endodontic one, then you'll end up with 3 options:

Retreating the tooth - And yes we would agree, treating the tooth a 4th time? Only someone directly evaluating your tooth could make this decision. And we would think that in order to make this recommendation that they would need to see something obviously wrong that they could clearly improve upon (like yet another previously undiscovered root canal).

If an endodontic problem exists and retreatment is not chosen, then yes, extraction is the only other appropriate treatment choice. (The hope would be that you would choose to replace the lost tooth with an artificial one.)

As a 3rd possibility, if the tooth has multiple roots, and the tooth's problems clearly seem to be associated with just one of them, then that offending root is sometimes cut off and removed (referred to as root amputation).

This option isn't always possible. When it is, it doesn't always make a good decision. There are definitely case-by-case issues that must be considered. But we mention it here so you can ask whatever dentist provides your treatment if that option exists for you.

Good luck with this. Sorry we didn't have any positive news for you.

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