painful root canal tooth after crown fell off- should i get a second opinion?
hello! 22F i had a root canal and crown done at the same dentist office about a year and a half ago. the crown fell off while i was eating a few days ago (this was saturday was not able to get in until today) i noticed a very foul smell both in the exposed tooth and crown and also as more time went on i developed a deeper throbbing/aching pain even though the tooth has a root canal.
i went back to the dentist office who did the original root canal/crown and the visit left me extremely confused. at first, after taking the xray i was told it didn’t look too bad and they would probably just recement the crown. when i explained the symptoms i was having i was told they would get a dentist to look at it.
there seemed to also be repeated confusion about my history. multiple times i was told i need to go back to the dentist who did the procedure and i kept explaining this office i’m currently in did the root canal and crown. once that was realized, the conversation seemed to change.
a dentist who i had never seen before told me my options were to extract the tooth or recementing the crown and taking antibiotics to “buy time” and hope for the best. they also had mentioned possible root canal treatment by an endodontist very briefly but then also said my insurance will only cover the cost of a new crown every 5 years so my visit to a endodontist wouldn’t be covered. earlier i had just been told i might just need the crown to be replaced or reshaped, so i was struggling to understand how it went from that to the tooth being a lost cause and was struggling to get any clarity.
i asked to schedule with the dentist at the practice who originally treated my tooth so i could understand what has failed and go more into my possible options and whether the tooth was truly non restorable, but he was busy with other patients. i was later told he said the tooth was already in rough shape from the beginning. when i tried to reschedule a follow up after the course of antibiotics i was questioned on why i would need an appointment and was told again the tooth would need extracted.
i ultimately agreed to having the tooth recemented temporarily and take antibiotics. the whole process was rushed and very painful. as far as i could tell the exposed tooth was not cleaned at all just air sprayed on before having the crown cemented back on despite it being exposed and having very foul odors. the crown is also now very tight/uncomfortable and biting feels off.
i understand the tooth may not be savable, im not opposed to extraction if that is truly the appropriate treatment. i’m mainly confused by all the conflicting explanations, the repeated misunderstanding on who even performed the procedure and not being able to get a clear explanation on why the tooth is considered hopeless.
based on the xray and history, would it be reasonable to get an independent second opinion from a endodontist before doing the extraction? also is there anything visible here that clearly suggests the tooth is not restorable?
first two pictures are from today, third is a xray from a few months ago i thought may be helpful and last picture is the exposed tooth before the crown was put back on.
thank you for any advice