Hi - I'm 50 years old. Last month one of my bottom canines suddenly
became both pressure & temperature sensitive. The temperature
sensitivity was the bigger problem. That tooth had no prior history,
except for a small fililng in front for decay, about a year ago. The
endodontist determined it was probably dead, and did a root canal and
found pus. He left it open for a week, and I had no unusual pain, so
he finished the root canal.
I decided to wait a while before going back to my regular dentist to
get a permanent filling Sure enough, a week later, the tooth became
pressure sensitive. New xrays showed nothing, except that the root
canal looked ok. The gums don't hurt, and look fine. The endo decided
I should wait a month before trying anything else. He also didn't
think that getting a permanent filling would help, because it seemed
pretty well covered to him. I don't wake up in any pain, so I'm not
grinding it at night.
My question is, should I be trying anti-inflammatories, or something
to reduce the inflammation? I tried advil for about 24 hours, and
that didn't seem to help, but perhaps I should try it longer? Or would
another med be better? I've switched to tylenol, which helps a bit
with the pain, but that won't get rid of any inflammation Also, is a
month too long to wait? Do problems like this ever take such a long
time before going away on their own? If anything, a week after seeing
the endo, the pain seems to be even more constant than ever. Thanks.
- Mark
Newbie - 13 Mar 2007 20:17 GMT
>Hi - I'm 50 years old. Last month one of my bottom canines suddenly
>became both pressure & temperature sensitive. The temperature
[quoted text clipped - 22 lines]
>the endo, the pain seems to be even more constant than ever. Thanks.
>- Mark
IMO if you had purulent exudate from the canal then you had frank infection.
Another round of antibiotics may be indicated to clear up any residual infection.
You may also have a cracked tooth, can't tell from my keyboard.
A month is not so long. Have you considered aspirin ?
mrl@psfc.mit.edu - 14 Mar 2007 19:06 GMT
> >Hi - I'm 50 years old. Last month one of my bottom canines suddenly
> >became both pressure & temperature sensitive. The temperature
[quoted text clipped - 31 lines]
>
> - Show quoted text -
I wasn't given any antibiotics. Is an antibiotic recommended, even if
the gums don't show any inflammation? They keep asking me if my gums,
but I'm not having any problems there. I guess the doctor didn't see
any sign of an infection after he left it open for a week, so maybe he
didn't think there was any more infection. I'm also assuming the
doctor looked for any cracks, at least any that he could see. Then
again, I assume he couldn't see something like that if it was below
the gum line?
I might just give aspirin a try for a day, since the other stuff isn't
working much! Thanks.
Newbie - 14 Mar 2007 22:56 GMT
> If anything, a week after seeing
>> >the endo, the pain seems to be even more constant than ever. Thanks.
[quoted text clipped - 14 lines]
>any sign of an infection after he left it open for a week, so maybe he
>didn't think there was any more infection.
I never leave teeth open to the mouth. That is asking for trouble.
Which evidently you are now having.
An antibiotic seems to be indicated for your current condition
as best that I can tell from my keyboard.
> I'm also assuming the
>doctor looked for any cracks, at least any that he could see. Then
>again, I assume he couldn't see something like that if it was below
>the gum line?
Root fractures are usually observed from the inside, ie. when
doing the RCT. Kinda doubt this is the case for your tooth.
>I might just give aspirin a try for a day, since the other stuff isn't
>working much! Thanks.
Best wishes,
mrl@psfc.mit.edu - 17 Mar 2007 03:22 GMT
> > If anything, a week after seeing
> >> >the endo, the pain seems to be even more constant than ever. Thanks.
[quoted text clipped - 35 lines]
>
> - Show quoted text -
I done actually meant he left it open, but what I actually meant was
he didn't finish the root canal right away, but stuffed it with cotton
and put a temporary filling on it. He gave me instructions on how to
remove it in case it started to hurt, which it never did, so after a
week he finished the root canal. In any event, it got to hurting so
much this week that I went back and told him, and he reluctantly took
everything out and tried to clean it out again. He says such pain is
rare. Is that true? He hopes maybe he didn't get all the bacteria
out originally. I'm assuming at this point it's back to being
temporarily filled, but I forgot to ask. He said wait another week or
2 and see how it goes. It's still very much painful. 2 x Tylenol is
only marginally helping. I'm trying advil with it also. We'll see
how it goes now.
Newbie - 19 Mar 2007 20:26 GMT
>> > If anything, a week after seeing
>> >> >the endo, the pain seems to be even more constant than ever. Thanks.
[quoted text clipped - 41 lines]
>remove it in case it started to hurt, which it never did, so after a
>week he finished the root canal.
So far so good.
> In any event, it got to hurting so
>much this week that I went back and told him, and he reluctantly took
>everything out and tried to clean it out again. He says such pain is
>rare. Is that true?
I get about 3 or 4 cases a year that are slow to calm down.
>He hopes maybe he didn't get all the bacteria
>out originally. I'm assuming at this point it's back to being
>temporarily filled, but I forgot to ask.
You could call them and ask.
> He said wait another week or
>2 and see how it goes. It's still very much painful. 2 x Tylenol is
>only marginally helping. I'm trying advil with it also. We'll see
>how it goes now.
Keep us updated.
grubertm@gmail.com - 13 Mar 2007 23:13 GMT
If inflammation is present it might take longer than 24 hours of
treatment to go away. I had a rather unenventful root canal treatment
in January but the tooth became sore later and xrays indicate that
inflammation might be present. Today my dentist recommended low dosage
Advil twice a day for 2 weeks to hopefully clear up that inflammation.
Not sure if Bayer has changed their aspirin products, but they were
infamous for causing stomach ulcers back in the days.
lyngiven - 19 Mar 2007 13:13 GMT
On 13 Mar, 19:09, m...@psfc.mit.edu wrote:
> Hi - I'm 50 years old. Last month one of my bottom canines suddenly
> became both pressure & temperature sensitive. The temperature
[quoted text clipped - 22 lines]
> the endo, the pain seems to be even more constant than ever. Thanks.
> - Mark
Mark
I had a root canal filled last June and I am still suffering pain.
The filling has been removed twice and refilled. Although the pain
has been reduced I am still conscious of a constant dull ache and the
tooth is pressure and temperature sensitive.
I don't know where to go from here - and I feel my dentist thinks I'm
exaggerating.
- Lyn
Newbie - 19 Mar 2007 19:38 GMT
>On 13 Mar, 19:09, m...@psfc.mit.edu wrote:
>> Hi - I'm 50 years old. Last month one of my bottom canines suddenly
[quoted text clipped - 34 lines]
>exaggerating.
>- Lyn
Consult with an endodontist
www.aae.org for more info.
Jan Drew - 20 Mar 2007 01:53 GMT
>>On 13 Mar, 19:09, m...@psfc.mit.edu wrote:
>>> Hi - I'm 50 years old. Last month one of my bottom canines suddenly
[quoted text clipped - 38 lines]
>
> www.aae.org for more info.
Organized dentistry liars. The very worst place to consult.