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Reinfection After a Root Canal: What You Need to Know

Feb 10, 2025

Getting a root canal is often a huge relief! It saves your tooth and ends your pain. But what happens when that familiar ache or discomfort begins again? 

At LLanos Dental Group, experienced dentist Laura Llanos, DMD, knows that while root canals are highly effective, reinfection sometimes occurs. Understanding why reinfection happens and how it can be treated is key to resolving the issue and safeguarding your smile.

Here’s everything you need to know about managing reinfection after a root canal. 

What causes reinfection after a root canal? 

While a root canal removes bacteria and infected tissues from inside your tooth, certain factors can lead to reinfection. Here are just a few potential causes you should keep in mind — identifying these problems can help you get the timely treatment you need:

Incomplete cleaning

If all the bacteria or infected tissue isn’t fully removed during your procedure, the infection can resurface. 

Cracks in your tooth

Tiny cracks can form over time, allowing bacteria to enter and cause reinfection.

Leaky fillings or crowns 

If your filling or crown isn’t properly sealed, bacteria can seep in and reinfect your tooth. 

New decay

A cavity near your treated tooth can introduce bacteria and compromise the initial work. 

Signs of reinfection 

It’s important to recognize the symptoms of reinfection so you can act quickly. If you notice any of the following symptoms, don’t ignore them — call us immediately.

  • Persistent pain or sensitivity in your treated tooth 
  • Swelling or tenderness in the nearby gums 
  • A pimple-like bump on your gum (indicating an abscess) 
  • Discoloration of your tooth
  • Unpleasant taste or odor in your mouth 

How is reinfection treated? 

The good news is that reinfection after a root canal can usually be treated. Dr. Llanos will recommend the best course of action based on the severity of your infection and the condition of your tooth. Here’s how our team might address it: 

Root canal retreatment 

Your tooth is reopened, cleaned again, and refilled to remove lingering bacteria and seal the canals. 

Apicoectomy 

If retreatment isn’t an option, an apicoectomy may be performed. During the procedure, the tip of the root is removed, and the area is sealed to prevent further infection. 

Tooth extraction

In severe cases where your tooth cannot be saved, extraction may be necessary. This is followed by a replacement option like an implant or bridge. 

Reinfection after a root canal can be frustrating, but don’t worry — it’s treatable! By understanding the causes, recognizing your symptoms, and seeking timely care, you can address the issue and preserve your smile. 

If you suspect reinfection, call us at (305)707-7021 or use our online scheduling tool to book your appointment with Dr. Llanos today!