Risks and Complications

Understand possible complications such as persistent infection, missed canals, fracture, and retreatment.

Search article

Root Canal Treatment - Risks and Complications

Root canal treatment is generally effective, but complications may occur. A tooth may contain narrow, curved, calcified, or additional canals that are difficult to identify and clean completely.

Persistent infection can develop if bacteria remain inside the canal system or enter through a leaking restoration. This may cause pain, swelling, or a lesion around the root.

Dental instruments can occasionally separate inside a canal. In some cases, the fragment can be removed or bypassed; in others, it may remain without causing symptoms.

Perforation of the root or tooth can occur during treatment, particularly in teeth with complex anatomy or previous procedures. Depending on its location, the perforation may be repaired.

Root canal-treated teeth can become more vulnerable to fracture, especially when large amounts of tooth structure are missing. A crown or other protective restoration is often recommended.

Some teeth contain vertical root fractures that cannot be repaired predictably and may require extraction.

Unsuccessful treatment may be managed with root canal retreatment, apical surgery, or extraction. Severe swelling, fever, or difficulty swallowing requires urgent evaluation.

Loading...