I’m looking for advice from dentists because I don’t know what my options are anymore.
Timeline
July 9,2026
A root canal was started.
I underwent multiple root canal appointments, but the pain never resolved.
July 21, 2026
During my third root canal session, let’s call him Dr. Two, took another X-ray because I was still in pain.
He told me that my canals were “deviated,” that the case was honestly too complicated for him to handle, and recommended extraction with an implant instead.
I had already paid a $500 down payment toward treatment.
The implant treatment would cost me around US$3,000, which is simply a very very significant financial burden for me.
July 22, 2026
Before agreeing to extract the tooth, I sought a second opinion with Dr. Three.
He took new X-rays and examined the tooth.
He found that there is a separated canal file lodged inside the canal (I forgot what exactly he called it).
According to Dr. Three, the separated instrument prevented the canal from being completely cleaned.
He attempted to see if the tooth could still be saved but ultimately concluded that it can no longer be salvaged and now also recommends extraction.
What concerns me
I understand that instruments can sometimes separate during root canal treatment, and I’m not saying that alone is malpractice.
What concerns me is that:
- I was never told an instrument had separated.
- I was never informed that this complication had occurred.
- I was told instead that my canals were “deviated.”
- I was never referred to an endodontist after the complication.
- I only learned about the separated instrument after seeking a second opinion because I wanted to avoid extraction.
My questions
- Is it standard practice to disclose a separated instrument to the patient?
- If an instrument separates and prevents proper cleaning of the canal, should the patient typically be referred to an endodontist?
- If you were in my position, how would you handle this with the original dentist? Would you request a refund of the treatment fees or pursue another course of action?
I’m attaching:
The original X-rays.
The X-ray taken when extraction was first recommended.
The X-rays from today’s second opinion.