Friday, May 21, 2010

Root canal, no initial pain- but two days later, sore, and sensitive?

I had a root canal done on a tooth, the first two days after the root canal, i didn't feel any discomfort and I also didn't bother chewing on that side. However, starting on the third day, and today is the fourth, i am feeling sore, and itchy in that area, when i'm brushing my teeth, I feel sensitivity, which was not felt before... I thought discomfort is only for the first 48 hours post-op, should I be concerned? Thanks in Advance!

Root canal, no initial pain- but two days later, sore, and sensitive?
It is normal for the tooth to be sensitive. The discomfort should not be getting worse. You should be a little sore. You should NOT have any swelling , if you do, call your doctor right away.
Reply:It might be infected. Call the dentist and have it checked out.
Reply:Were you taking the antibiotics as instructed? Just had a root canal done too. Call Oral Surgeon for advice. Don't play with that.
Reply:Every root canal I've had I paid $300+ for 1/2 doz of these. I had same problem %26amp; my dentist wouldn't listen to me as I told him I had dry sockets %26amp; root canal wasn't my best remedy. My jaw would swell as if I had a golf ball in my jaw.I'd have red streaks running up %26amp; down %26amp; suffer with outrageous pain. He would remove the "root canal work" he'd done %26amp; replace it a few weeks later. How Do I know I didn't get a simple filling? Dentist wanted me in the hospital,said I had lots of infection...duh...I knew that.


I ended up switching my life long dentist to a chain of dentist after all my root canals broke off at the gum line and lost every one of those back teeth, now wearing upper %26amp; lower back teeth partials.


If your discomfort turns to throbbing--better get to a dentist--either your dentist or a new one.


Good Luck
Reply:It's very possible your dentist didn't get all of the nerve out (which is what a root canal is for). Contact he/she immediately. Also, make note of it so that they don't attempt to charge you for another visit/incomplete job and make it known to THEM that you did so.

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Root canal pain extended.?

My root canal started last December but never got finished. 2 days ago I saw a new endodontist, he simply disinfect and put new filling and told me to return next week to finish the root canal.





I've been feeling the pain and now I get headaches.





what should I do? Any suggestion?

Root canal pain extended.?
you should go back next week and get the root canal finished. there's nothing worse for your tooth then to put it off like you already did for a month.





take tylenol/advil for the pain... and make an appointment for monday or tuesday to get the rest of the work done.





do not eat on the side of your mouth that the work is being done. use mouthwash after you eat ANYTHING.
Reply:You should definitely return to finish the root canal. If all the root was not removed, there are still nerve endings which is probably what is causing you pain. As soon as its finished, there will be no nerve endings left and you feel NO pain at all.





You could also have an infection. I was given antibotics as a precaution.
Reply:Pain after root canal therapy is much less common than years ago. When dental pain occurs, this discomfort is usually due to inflammation and infection around the tooth roots. The inflammation comes from the dental infection so it makes sense to place patients on a dental antibiotic during dental treatment. In some cases, a steriod anti-inflammatory is prescribed to reduce the inflammation and settle the root canal tooth down. Fortunately, this is an unusually root canal problem and rarely occurs.





Pain after root canal therapy is reduced when the dentist knows where the end of a root canal is since the dentist can avoid accidentally sticking the sharp ends of metal root canal files out into the bone surrounding the ends of the tooth roots. In years past, a root canal dentist did not exactly know how long a root canal really was since x-rays do not provide this information and that's all we used to have. Today, dentists can use sonar root canal apex (end) locators which help tell where the exact end of a root canal is located.





Many dentists purposely reduce the top of a tooth that is having endodontic treatment. This eliminates a high tooth problem and reduces the pain after root canal therapy from biting trauma. A tooth that has died often has a dental abscess around it that causes the tooth to rise up out of it's tooth socket. This high tooth hits first and gets beaten up badly with lots of discomfort. Since almost all teeth need a dental crown after endodontics, performing this reduction actually assists with the later dental crown preparation procedure.





Unfortunately, bad things sometimes happen to good people. There are risks with root canal therapy even with excellent dental treatment. Occasionally, root fractures occur in one or more of the tooth roots previously treated. This causes a low grade aching that doesn't go away and gets worse when patients are run down, sick or stressed. Over extended filling materials can sometimes cause sinus irritation but this is becoming less and less common. The Atlanta Dental Group PC offers root canal retreatment services along comprehensive General, Cosmetic and Implant Dentistry. If you are experiencing pain after root canal therapy, call 404-874-7428 to schedule a free dental consultation with Dr. Mark Allan Padolsky or Dr. Jeffrey Stephen Smith.
Reply:I am not a dental professional, but I have needed a lot of root canals performed (6?) due to severe head injuries.





A big concern is whether there is any sign of infection at the site, or your body temperature is elevated. If so, you should IMMEDIATELY contact your endodontist to inform him.





If not, there are other possibilities. One (although unlikely since it's been a month) is that what is left of the nerve root is still dying, and you just have to wait it out.





Another is that since the permanent work hasn't been completed, the surfaces of your teeth don't mesh the way they are supposed to. When they are out of line, the opposing tooth tries to force it back, and after a while, your jaw gets really sore. This normally happens when it is one of your molars, or if there is a crown involved. The best way to determine this is to switch to a soft diet when you wake up the next day (I've used CASES of Ensure (tm) over the years) and see if it lessens the pain. If it does, then you have to just switch to soft food (oatmeal, baby food, Ensure) until the work is finished. If the pain is still intense, see your doctor, there may be an underlying problem.





The headaches are likely to be due to the stress caused by the pain in your jaw.


Root canal...I may have to get one. What to expect?

I may have to get a root canal. Can someone explain to me what the proceedure will be like. How many doc. visits, how long will it take, how much does it hurt. Will I have to take days off from work to recover? How do they know you have to get a root canal? Just basically everything and anything. And also can you explain how the crown works. I know what it is but how do they put it on your tooth? The more details, the better. Thanks!

Root canal...I may have to get one. What to expect?
Depending on the number of teeth and severity affected, root canals usually require one to two visits not including any follow-up visits. Your dentist or Endodontist will numb the area around the affected tooth, or may offer you the option of mild sedation. A rubber dental dam is placed and the tooth is then drilled to the pulp area either through the top or the back of the tooth. The actual root canals are measured after some of the pulp has been removed. This is done so that the dentist can clean the entire canal, and so that enough of the filling material will be used to completely fill the canal. The actual measuring is done with either x-rays or electronic imaging devices.





All of the diseased pulp in the tooth is removed, and the canal is cleaned out thoroughly with an antiseptic solution. This solution will clean all of the canals within the tooth. The canals are then filled with gutta percha, a flexible plastic material. A temporary filling is then put on top of that. A crown or permanent filling will be done after there has been no sign of infection. Crowns are most common since the root canal procedure weakens the tooth. The crown is usually placed as soon as possible, within a month or less.





Expect two to three days of soreness after the procedure, or longer if the infection in the root canal was severe. Your dentist will probably prescribe you some antibiotics and pain medication; be sure to follow all label directions and compleyely finish antibiotic therapy.
Reply:First, they go into your roots and take out the nerves. That is what is causing the pain. You are numb so you will not feel it. If your dentist offers nitrous ask him about using that to calm you. Usually when you get a root canal, it is a guess on the part of the dentist, they go by symptoms and it does not show on ex ray.. Most of the time they are right. you should not have much pain after because the nerve is gone. then they prep the tooth like a filling. this is called a post. then you come back and get a temp crown and a few weeks later you get a permanent crown. my dentist does it in 2 steps some take three. good luck.
Reply:I had three root canals done last year. I have a mortifying fear of the dentist. There was no pain after the dentist numbed my tooth. You just need to go to the dentist twice - the first visit took just over an hour and the second visit took approx 30 - 45 minutes and you don't need to take the day off work just go back with a numb mouth.





The first crown last between 18 months and five years and then you will need to upgrade to a porcelain veneer which will last 10 - 15 years.





It's better not to think of what they do (I didn't want to know).
Reply:I had a root canal last year - Aside from the shots (which I hate), the worst part was keeping my mouth open for so long. It seems like it took forever. I had a really good dentist who kept offering me a chance to rest. It really isn't that bad - Not what I expected. I had it done on an extended lunch break and went back to work the same afternoon. Good luck!


Don't understand root canal treatment?

I had a root canal fail so have had it redone. What i don't understand is that when the dentist took out the failed root canal treatment and put a temp filling on the tooth it was fine with no pain then I had the root canal treatment done again and its back hurting again. Why was there no pain in the 2 weeks it just had the temp filling on without the canals filled? There is no infection because I have had 2 courses of antibiotics and the pain did not go away.

Don't understand root canal treatment?
Each situation is different. Every tooth and every person is different. These are good, valid questions. You should ask them to your dentist. No one here can give you information as accurate as he can.


Best wishes!
Reply:it might be worth your while and $$s to get a 2nd opinion
Reply:It sounds like it might need to be re-done. If there is an infection underneath the filling antibiotics might not clear it up. This happened to me before and was very painful. The dentist had to clean out each of the roots of the tooth in turn. I would recommend that you have a valium injection if you need to have this done. My sympathy and best of luck.
Reply:Funny u say that, I go in with no pain just to have new bridge fitted and now I am in pain all the time. Anyway if ur tooth has been removed and root canal treatment done and now u say ur in pain again, wat i think it may be, it may be he she has clipped an nerve, u may have to have nerve taken out, unless u already have and if so pray u dont get wat i had, i had a cyst still attatched to my tooth socket and i was going crazy with pain, i had umpteen injections as it didnt kill pain, every injection was terribly painfull as he forced the stuff in. my wife held my hand my sons held each leg, the cleaners of the surgery stood and watched as it was well ast closing time, thye pain was like a train ran over my head, the more anesthesia he pumped in the worse the pain got, he injectede me in e4xce4ss of 20 times but was within limits as i got scared that i would die on the chair but he said it was fine. in the end the pain was so severe i couldnt take no more i was sweating so much my clothes were saturated , in the end i couldnt take the pain any more, i told him just get it out regardless the pain, he got it out and there was a small piece of root still in my tooth socket and at the top of the root was a cyst, it wasnt visible on x-ray, i think i lost at least half a stone in weight in that short time.
Reply:Root canal surgery can be pretty traumatic, especially one like yours that required two steps. Unfortunately it sounds as though it didn't work; and something is still wrong. Sometimes they fail. The teeth can be so hard due to calcification that the dentist cannot get to all the nerve root. He may have to drill in from the front or back of the gum.


Gosh, just talking about it is making my teeth hurt. I feel for you; and I've been through the same thing. I think you have to go back to your dentist. Poor baby.
Reply:only thing i am going to say is very painfull and very exspencive
Reply:I'm a dental nurse and it it because the filling is hard and permanent and not soft and temporary. The tip or apex of your tooth is very sensitive and it may take a few days or so to settle after being worked on. Or it could be that the new filling not the root filling, the one that you can see in your mouth is too high and you need to have it adjusted to stop you putting unnecessary pressure on it. Give it a couple of days and if its no better them go back and see your dentist, he should be happy to help!
Reply:you will need to get it extracted. this is a common problem with trying to save a dead tooth.





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Root Canal & Crowns?

Hi. I have a hole in my tooth and on Monday I am having a Root Canal. Will the crown fix the hole in my tooth? Is the Root Canal painful or will I be in pain when the pain stuff wears off? Thanks!

Root Canal %26amp; Crowns?
I damaged the root of my tooth with an almond that slivered my tooth... anyways, I did not know that anything was wrong until it got very infected. I was in so much pain that I thought I would surely die.





I was petrified of the root canal, but there was no reason to be. In fact, the worst part was having to leave my mouth open for so long. They had to use something to keep me from closing in. The next day I had a sore throat from staying open for so long... but that was by far the worst part.





The procedure itself was painless. I felt nothing except for the first shot of novocaine in to my gum. In fact, part way through they gave me another shot just to be sure that it didn't hurt.





You will be fine. It is like a really deep filling. Unfortunately the procedure does hurt one place.. YOUR WALLET! If you have to have a crown it can be pricy.





Best of luck.
Reply:NO IT DOESNT HURT THEY NUMB YOU PRETTY GOOD. IT WILL BE A LITTLE SORE THOUGH.
Reply:I had root canal and personally I think people make way to big a deal out of it. It might be a lengthy process - but I've had worse pain in my life - Like driving with a sprained ankle and having to stop short........THAT'S pain!! God Bless and don't worry - not as bad as everyone says.
Reply:My mom is a dentist yeah the root canal is gonna hurt.
Reply:The Root Canal will hurt because they can't put numb in the root of your tooth!! OWWW Good Luck!!
Reply:It really depends on if you have sensitive teeth. Yeah, it'll hurt for a bit, but all will be well. They'll put a fake tooth in.
Reply:Ya know, I've heard a lot of "root canals are so painful" comments, and when I had people clarify, what's painful is usually whatever made you need it. Before any type of process like that you'll have a pain numbing agent. I won't lie though, root canals are BORING! I never had a TV so it was sitting there for an hour and a half just doing nothing.





Past that, no pain during, no pain or even soreness after, nothing. The crown will absolutely fix the problem. I mean it won't make a new perfect tooth magically grow in, but it'll stop any further problems or any pain you may be having.





Best wishes.
Reply:Root canals can be painful depending on how much drilling they have to do. But don't worry they will numb you up. Yes your hole will covered with the crown. You'll be alright. I had a root canal done when I was 14 with no Novocaine
Reply:I had a root canal.. It's wasn't so much painful as annoying. You can't really move your mouth very much until it heals completely.It doesn't hurt at all while they do the procedure. It just feels weird for a few days. By doing the root canal that should clean out any infection in the tooth and the crown should keep it from getting infected again.
Reply:The crown will make your tooth stronger. Root canal is not painful when you are under anesthesia. But when you feel pain after the anesthesia wears off, just take a pain medicine like Advil, Aleve, or Ibuprofen. Normally, the next day you will feel ok. Don't get scared, it's for the good.
Reply:no, RC does not hurt. i've had 5 done and no pain.. a little sore after the novacaine wore off but it rreally wasn't bad.
Reply:you will be fine, it is more painful not doing it!!!, after the anesthesia wears off you will feel a bit sore but nothing compared to a tooth ache!!!
Reply:If you stay on the meds they recommend, you will be just fine.


The crown won't fix the hole, the root canal and the filling


will do that. The crown is put on after the root canal to


give the tooth strength so it won't break, because the root


canal procedure removes the pulp, nerve and blood supply


to the tooth, which makes it more brittle and likely to break


if you don't protect it. Hope I explanied this in an easy to


understand way!
Reply:I had a root canal on a tooth that already had a crown. It wasn't painful, but irritating. After they drill the hole in your tooth, they use different sized brush-like things to scrape out the hole. Its not fun to be able to hear and feel the vibrations. Think nails on chalkboard. After they scrape out the hole, they inject a bleach like liquid in the hole. Make sure you wear an old shirt, mine was splashed and ruined. My dentist then used some type of filler to fill and seal the hole. The only reason I know of that they would use a crown afterward is for a molar, to make sure it stays intact.





In short, don't worry about pain. It won't be fun, but not awful. Hope this helps.
Reply:My friend went to a dentist that gave her a pill that knocked her out for the surgery. Some dentists will do this - you just have to have someone drive you. Then it won't hurt as bad!
Reply:im not sure if the crown will fix the hole in your tooth but


the root canal is sorta painful my dentist guy did a good job and i wasnt in too much pain and stuff.


yes you will be in pain but just try to relax.
Reply:yes, crown will cover that hole. perfect root canal therapy usually leads to pain normally about 1 week since precedure, your dentist can handle it by analgesic drugs.

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"Shattered" root canal?

I had a root canal performed about a year ago. A recent x ray showed that the root had "shattered". During the healing process, I experienced severe pain for 3 weeks. I discovered (the doctor couldn't figue it out) that the tooth was "hitting high" once that was corrected the pain subsided. I am currently pain free from that tooth. Should I be concerned and is there anything that can be done for that tooth. Also could this be due to a root canal that was not performed correctly?

"Shattered" root canal?
The root canal was not done improperly. When you have a root canal done, the tooth and root become brittle because it essentially isn't alive anymore. Did you have a crown or any type of restoration on your tooth?
Reply:You may want an endodontist to take a look at this and advise you on what treatment to have in order to save the tooth. You may need to have an apicoectomy procedure preformed in the near future. Pain free now doesn't mean it will be that way forever, it could flare up on you causing an abscess later, if not corrected soon.





Let an endodontist evaluate this, he would be better able to tell you if the root canal procedure was preformed correctly or incorrectly. In most cases the procedure was completed correctly and this is something that just happened.
Reply:There is always the risk of a root fracturing as a result of root canal therapy. This may not mean the root canal was done incorrectly, it could mean that the tooth had been in poor shape when the root canal was attempted.





If this tooth is out of occlusion and you are hitting it too hard, the periodontia (ligament around tooth) will be tender. Releaving the heavy occlusion will eliminate that discomfort.





If indeed that root is shattered, there is no hope for the tooth. Ultimately, it will become infected around the periodontia. This infection is no treat and needs to be addressed. You can choose to have the tooth out now or wait a bit. It really isn't a good idea to wait until it is killing you. You may find that you are away from dental service (traveling) or that it hits at an inopportune moment (wedding day). Additionally, that infection is hard on whole body.





You may want to start stashing away money for a replacement tooth, either bridge or implant.





What you describe happens. It stinks, but doesn't mean that you suffered poor quality of treatment. Good luck.


Root Canal and my tooth already broke in half!?

Hi all,


I just got a root canal done last week 1/2 and my dentist just did a temporary fillin. This coming Thurs he will do a permenent one. However, I don't know why but I since the root canal done, I never eat anything hard. This morning I just a a bagel and when I chew, a piece of bone from my crown ( I guess almost half of the crown) came off. No pain at all but half of the tooth structure is GONE. I went to see him right after and he fill in a little bit more so I can eat until Thurs. This is not my fault, I dont know how he did it but he told me cuz of the cavity in my teeth make the bone become fragile. He said he will fill that empty space and will do a good permanent fill in and with a crown over it. But it is not fair for me cuz I should have some guarantee over what he done to my tooth. Should I sue him? which I never think of and I dont want to ruin some body business. Should he give me some money back?

Root Canal and my tooth already broke in half!?
No. Unfortunately these types of things happen with temporary


crowns. Wait until you get your permanent crown replacement and see how that lasts for you. He shouldn't charge you for this temporary fix. Good luck and have a little patience.
Reply:This happens. When you do a root canal, you significantly weaken the tooth structure. Until the permenant crown is placed, the tooth is vunerable. They should have informed you of this at the office before you left. Good luck, I know this sucks, but this happens sometimes.


 
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