(X-ray) Do I need root canal procedure? Need second opinion


Joined
Jan 20, 2023
Messages
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Hi everyone!

I had a root canal procedure on my tooth # 30 (1st molar) done by Endo 3 weeks ago.

Couple days ago I went to my general dentist to get a crown and now he tells me that tooth #29 (2nd bicuspid) next to it also needs a root canal. He says he sees dark spots on X-ray. He also said If I get a root canal done that he will make a better and stronger crown since both teeth are next to each other.

I'm hesitant to get a root canal done on tooth #29 since it doesn't bother me. It's not sensitive to hot/cold and I don't have any pain.

I already scheduled appointment with my Endo doctor but would love to hear second opinion from this community.

Thanks!
 

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MattKW

Verified Dentist
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Sorry, really poor quality image. He sees dark spots? At the apex? The primary test (in the absence of pain) to determine if an RCT is required would be a pulp vitality test (cold or EPT). An Xray is a secondary test with mixed results and interpretation. I'd think that the endo would have noticed a concern with #29.
 

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Joined
Jan 20, 2023
Messages
4
Sorry, really poor quality image. He sees dark spots? At the apex? The primary test (in the absence of pain) to determine if an RCT is required would be a pulp vitality test (cold or EPT). An Xray is a secondary test with mixed results and interpretation. I'd think that the endo would have noticed a concern with #29.

Yes at the apex. He said since you have insurance It's better to do root canal on it now. He didn't do any other tests. Anyway I have an appointment with endo next Friday. Want to hear second opinion. I don't want to do root canal just for the sake of it.
 

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