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Medical Forum / General / Dentistry / November 2005Pain after root canal treatment.
I had a root canal performed on my upper right canine tooth 3 days ago, following 3 months of severe pain in that and the surrounding teeth. The sensitivity to hot and cold and the pain when biting down has disappeared, however I still have a severe nagging pain in the area of the tooth. It also is painful when the side of the tooth is tapped, and I have a developed a painful area (when touched) next to my right nostril, I presume where the root of the tooth lies. I was prescribed 20 500mg Amoxycillin tablets to take following the root canal. Is the pain I am experiencing normal following a root canal? >I had a root canal performed on my upper right canine tooth 3 days ago, > following 3 months of severe pain in that and the surrounding teeth. [quoted text clipped - 8 lines] > > Is the pain I am experiencing normal following a root canal? >I had a root canal performed on my upper right canine tooth 3 days ago, > following 3 months of severe pain in that and the surrounding teeth. > The sensitivity to hot and cold and the pain when biting down has > disappeared, however I still have a severe nagging pain in the area of > the tooth. Yes this can sometimes happen especially when apical patency is performed. The antibiotics should help mop up some of the bugs that were pushed past the apex. Did you get any pain killers prescribed? Also did you have an abscess in that area prior to RCT? It also is painful when the side of the tooth is tapped, and > I have a developed a painful area (when touched) next to my right > nostril, I presume where the root of the tooth lies. Yes canines have long roots. > I was prescribed 20 500mg Amoxycillin tablets to take following the > root canal. > > Is the pain I am experiencing normal following a root canal? As I said, it sometimes happenens. Also was the RCT done in 2 stages or one stage? If a patient comes to me with pain which is due to pulpal involvement, and the tooth wants to be saved, then I remove all the decay and place Ledermix after extirpating the pulp and irrigating with clorohexadine or hypoclorite. I then book an appointment within the month for the completion of RCT. All my patients get relief within 24-36 hours after the first stage, which makes the less stage so much easier as they are less on edge. Give it some more time. Is the amoxycillin for 5 days? A lot of the time the pulp chamber will be quite hyperaemic (hardly surprising), and I pl When I initially visited my dentist, the pain in the upper right part of my mouth was very severe and occured when exposed to anything hot or cold,even cold air when breathing caused pain. I had previously had an amalgam filling to the tooth to the right of the canine, and presumed it was that causing the problem. At that stage the pain affected every tooth on the upper right hand side including the right hand side inciser. The dentist said that there didn't appear to be any problem with the filling, and said that I had probably been grinding my teeth during the night which has caused inflammation. He prescribed 500mg Amoxycillan, and told me to take anti inflammitary pain killers and to come back in a weeks time. The following week that pain had eased significantly, and I was able to identify that it was localised to the canine tooth. I went back to the dentist and explained this. He had a look at it and tapped the bottom of it, this was very painful and he told me that he would make another appointment and take the nerve out.(Which I presume meant a root canal) I was unable to get another appointment until 6 weeks later, so I continued to take painkillers in the meantime. The entire procedure was completed in one go last Thursday afternoon, and I am now experiencing the pain described previously. I was again prescribed five days of Amoxycillan (20 500mg tablets) I was not prescribed any painkillers, although he did tell me that it might be painful for 24 hours. I still have nearly 3 days of the anti-biotics to take, and have been taking paracetamol for the pain, which is just as bad as the pain I was experiencing prior to the procedure. Although the location of the pain has moved. I was not expecting this level of pain, as I was under the impression that once the nerve was gone there would be no pain at all. I would just like some reassurance that this pain following a root canal of this type is normal as I am going on holiday in 10 days and will be 3000 miles away from home. > When I initially visited my dentist, the pain in the upper right part > of my mouth was very severe and occured when exposed to anything hot or [quoted text clipped - 30 lines] > canal of this type is normal as I am going on holiday in 10 days and > will be 3000 miles away from home. Where abouts are you from? There may be a number of reasons why you may still be getting pain. Some include more than 1 root canal in the canine periapical infection - the antibiotics and your immune system should take care of that. You arnt diabetic are you or have problems with your immune system? Inadequate debridement of the root canal / residual caries left in. Did the dentist use a rubber dam ( this big green latex thing that pretty much covered your face? I am in the UK, and will be on holiday in Florida in 10 days time. (I really don't want any pain there, although I understand my holiday insurance covers me for dental.) I am not diabetic or have a problem with my immune system, as far as I am aware. I was under sedation when the procedure was done, so I don't know whether a rubber dam was used. >I am in the UK, and will be on holiday in Florida in 10 days time. (I >really don't want any pain there, although I understand my holiday >insurance covers me for dental.) I doubt very much whether your insurance will cover you for pre-existing conditions and they will argue that this is one such. So don't rely on it. Ann >I am not diabetic or have a problem with my immune system, as far as I >am aware. > >I was under sedation when the procedure was done, so I don't know >whether a rubber dam was used. >I am in the UK, and will be on holiday in Florida in 10 days time. (I > really don't want any pain there, although I understand my holiday [quoted text clipped - 5 lines] > I was under sedation when the procedure was done, so I don't know > whether a rubber dam was used. Are you a phobic patient? If you are near sheffield I might be able to take a look... Yes, unfortunately I am a very phobic patient, but am nowhere near Sheffield, I am in Cornwall. Am I just expecting too much too soon? Am I just being soft? My husband take Voltarol 50mg anti-inflammitaries. Would taking some of those for a few days help or cause any problems? I must admit, that whilst looking for information on the Internet as to whether I should have pain following a root canal, I came across several website, with horror stories about root canal's which have scared me. I am now worried about infections eating into my sinus's, and other terrible things. I do know that the dentist took and X-ray of the tooth before I was sedated, and I remember him taking another one after he had finished. > Yes, unfortunately I am a very phobic patient, but am nowhere near > Sheffield, I am in Cornwall. [quoted text clipped - 12 lines] > I do know that the dentist took and X-ray of the tooth before I was > sedated, and I remember him taking another one after he had finished. Voltarol is very powerful. dont beleive everything you read... See how things go, sounds like it may take slightly longer to settle down. If things dont then you will need to see him again. Thank you for your reassurance and time. I think I probably scared myself by reading the horror stories, more than I realised. I will finish the anti-biotics and see what happens. Thanks again > Did the dentist use a rubber dam ( this big green latex thing that pretty > much covered your face? Mine are blue.  Signature/ Amatus / > >> When I initially visited my dentist, the pain in the upper right part [quoted text clipped - 45 lines] > Did the dentist use a rubber dam ( this big green latex thing that pretty > much covered your face? > If a patient comes to me with pain which is due to pulpal involvement, and > the tooth wants to be saved, then I remove all the decay and place > Ledermix after extirpating the pulp and irrigating with clorohexadine or > hypoclorite. I then book an appointment within the month for the > completion of RCT. At that point, you could spend an extra 15 minutes and finish the RCT for the patient. Pain relief is the same. Signature/ Amatus / > >>I had a root canal performed on my upper right canine tooth 3 days ago, [quoted text clipped - 49 lines] > A lot of the time the pulp chamber will be quite hyperaemic (hardly > surprising), and I pl |
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