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.

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