Root Canal after Jaw Angle Implants

Q: Dr. Eppley, I had jaw angle implants placed six months ago. Over past few years, I’ve had intermittent sensitivity in bottom left rear molar. About 3 months ago, finally went to see a more experienced dentist who was able to identify a ‘hairline’ crack in the tooth. As luck would have it, the problem is getting worse…suddenly –over past two days.  Before, it would only ‘flare up’ when I brushed w/hard toothbrush vs. Sonicare.

Am traveling out of town Wednesday, but don’t want to do anything stupid in terms of infection. Can I have the root work done? If yes, I have Keflex and Clindamycin. Should I take anything beforehand and afterwards?? 

A: You certainly can have root canal work done. I would inform the dentist that there is a jaw angle implant in there which is relevant to the local anesthetic injections….although the nerve block will likely be done on the inside of the lower jaw (inferior alveolar nerve block) and not the outside of the jaw.

I would also take a preventative approach and take Cindamycin beforehand as well as for two days after the root canal procedure.

Dr. Barry Eppley

Indianapolis, Indiana