A member asked:

Can i see an endodontist for a consult (vs. periodontist) if a fistula is a result of tooth decay at/ inside the margin of a permanent crown?

4 doctors weighed in across 4 answers

Yes: That is the appropriate Specialist to see for this issue.

Answered 2/22/2016

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Dr. Theodore Davantzis answered

Specializes in Dentistry

You can: Regardless of the cause of the infection, you need to look at the big picture: is the bony support strong enough to warrant extensive care on the tooth. If not, then why pay for root canal therapy? Is it an endo-perio problem, or a perio-endo problem?

Answered 2/24/2018

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Dr. Justin Nelson answered

Specializes in Pediatric Dentistry

Endo first: If the tooth has been evaluated by your dentist and it is truly restorable you always do endo first before perio. Sounds like the leakage/decay caused the tooth to become abscessed to the root canal should be done first and any other bone/tissues issue would happen after the infection/root canal is handled.

Answered 2/26/2016

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Dr. Paul Grin answered

Specializes in Pain Management

See an Endodontist: Diagnosis can be challenging. Endodontists are trained to differentiate and treat complicate cases.

Answered 2/25/2016

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