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Medical Forum / General / Dentistry / April 2007Post Root Canal infection?
Hi folks, Had root canal therapy on upper right molar - rear, one that would be in front of wisdom tooth if I had one. Endodontist did first session three weeks ago(cleaning our root canals), second one last week (Thursday)(additional cleaning out and filling with gutta percha I believe). After first session tooth was sore for a few days After the second session last Thursday the tooth was sore. However yesterday morning (Sunday) I noticed that I had some aching in my neck below the jaw -probably 2-3 inches and further down a bit. Doesn't ache so much as I feel some aching pain when I put pressure on it. I assume this is my glands possibly working to fight off infection? Tooth is still slightly sore but much better than it was last week after being worked on. Is this something I should be concerned about or should I wait an additional day or two to see if it subsides? Also - wondering if this is unusual because endodontist mention my tooth was unusual - had two palatal canals and 5 canals altogether? Advice appreciated. --*Rob Call your Endodontist and report it, but it does not sound too unusual.  Signature/ Amatus / > Hi folks, > [quoted text clipped - 19 lines] > > --*Rob >Hi folks, > [quoted text clipped - 19 lines] > >--*Rob Your discomfort will gradually subside, sounds to me that things are going well. Be glad that the endodontist found five canals, most upper molar teeth have only three, and a significant number have 4. Missed canals are cetainly one of the most common reasons for endodontic failure. > Your discomfort will gradually subside, sounds to me that things > are going well. [quoted text clipped - 3 lines] > Missed canals are cetainly one of the most common reasons for > endodontic failure. I'm most concerned about the glandular aching, actually, since it wasn't present pre-root canal or even between first and second treatment. It's not a big deal, but I just want to make sure I don't have anything that's going to develop into anything worse. Especially after seeing a story like this: http://www.washingtonpost.com/wp-dyn/content/article/2007/02/27/AR2007022702116.html Where a bacteria from a tooth spread to a boy's brain and he died. --*Rob >> Your discomfort will gradually subside, sounds to me that things >> are going well. [quoted text clipped - 16 lines] > >--*Rob First of all calm down. Death from an infected tooth is exceedingly rare in developed countries. Are you taking antibiotics still ? The 'gland' you refer to is most likely a lymph node, these often swell when the body is fighting infections. Now that your tooth is treated this should subside rather quickly, say a week or less. If still concerned contact your endodontist. > First of all calm down. Death from an infected tooth is exceedingly rare > in developed countries. Are you taking antibiotics still ? Was not given antibiotics. Had a deep cavity, down to pulp. Started giving pain when hot/cold got near it and even when saliva squished past it. No actual infection. --*Rob Called Endodontist office, they seemed to think it was not related, I disagreed because it is only on the side where the root canal was done. Said to monitor for another 24 hours and call them back if it worsens. Was little bothered when they asked if I had a cold, as if that would be causing glands on ONE SIDE of my face near the root canal site to be tender. --*Rob >Called Endodontist office, they seemed to think it was not related, I >disagreed because it is only on the side where the root canal was [quoted text clipped - 4 lines] > >--*Rob Some docs are reluctant to use antibiotics. In this case if you were my patient, I would Rx some antibiotics for you, say 3-5 days worth since the RCT is already finished. Since it's on the same side, sure. Another note, once the pulp (nerve) becomes exposed it is opened to the mouth and begins to become infected. After that it is a matter of degree. Actually it could. Waiting a day or two is fine. Good thing to call and get it on record in case you have any complications. That way they will have a better time-line for the problem. The gland could even be from the RCT, but not be any big deal as well. In the absence of a fever or malaise, I would thank my patient (if they called with this issue) for letting me know so I could make a notation about it, but I would recommend waiting a few days before doing anything--if there is no pain. Signature/ Amatus / > Called Endodontist office, they seemed to think it was not related, I > disagreed because it is only on the side where the root canal was [quoted text clipped - 4 lines] > > --*Rob > In the absence of a fever or malaise, I would thank my patient (if they > called with this issue) for letting me know so I could make a notation about > it, but I would recommend waiting a few days before doing anything--if there > is no pain. Right, well glands are tender to touch but not constant pain. Tooth does not feel pain and only uncomfortably sore when chewing on it. Guess I'll wait it out a day or two. --*Rob Well tooth seems somewhat more sensitive today and I felt it "throbbing" a bit so have called Endodotist to see me this afternoon. Glands still tender to touch. Let me ask - is it standard to prescribe antibiotics after root canal? --*Rob >Well tooth seems somewhat more sensitive today and I felt it >"throbbing" a bit so have called Endodotist to see me this afternoon. [quoted text clipped - 4 lines] > >--*Rob Usually before, and sometimes after, it depends on the case. Went to see Endodontist yesterday. He said all looked OK on x-ray and he could offer no explanation as to why I would experience glandular swelling. Said it might be a minor reaction and to give the tooth at least another week to settle down. I can tell you that this feels like no other root canal I have had (and I have had a few). Could I be seeing symptoms of an overstimulated salivary gland reacting to the extra work it needs to do, due to having the temporary filling in my mouth? Also- my eye feels a bit weird and was tearing a bit more than usual, and today it almost feels like pressure above my eye. It feels more sinus like.... So - - after doing a little more research on the internet, I wonder if the endo could have come too close to a sinus cavity. At one point durnig the procedure, even though I had novocaine, I did feel a pinch and I did let him know. Could he have come close to a sinus and caused a sinus infection? I ask because I feel almost a bit of an odd sensation inside my cheek, below my cheek bone, not quite back to where the jaw comes together. What do you think? --*Rob Refresh my memory about the onset of the swelling. It almost sounds like there could be a hematoma. At this point, I would probably Rx antibiotics, but it's a little tough to diagnose over the internet (read impossible<G>). D Robert Usdin wrote: > Went to see Endodontist yesterday. He said all looked OK on x-ray and > he could offer no explanation as to why I would experience glandular [quoted text clipped - 16 lines] > > --*Rob > Refresh my memory about the onset of the swelling. > > It almost sounds like there could be a hematoma. At this point, > I would probably Rx antibiotics, but it's a little tough to diagnose > over the internet (read impossible<G>). Onset of gland swelling was 3 1/2 days after RCT. There is no swelling around the tooth, or gum, or on the cheek by the gum. The tooth itself is still aching and sensitive, but actually feels better today then previous days. Endo checked all around gum, tooth, etc... Nothing. No pain under the cheek by the tooth, but it feels....odd....not a burning sensation...but a..... Ok the best way to describe it is - when I was a kid - I used to be able to puff air into my salivary glands (I think that is what I was doing). I'd puff a little air pocket inside the upper area of my cheek...feel the air go in...and then be able to massage the air bubble out and it would come out in little bubbles...the sensation of having that air in the gland (or whatever that was) is kind of what I feel like in that same upper area now....Does this make any sense? And the glands that are tender are what I believe would be the submaxillary. It is a very weird thing..... --*Rob OK, scratch hematoma. Residual inflammation/infection would be my best guess, and it is only that. If it is improving, I would give it a little more time. D > Onset of gland swelling was 3 1/2 days after RCT. > Ok the best way to describe it is - when I was a kid - I used to be > able to puff air into my salivary glands (I think that is what I was [quoted text clipped - 10 lines] > > --*Rob Same here but 3 days of Cleocin wouldn't hurt. >OK, scratch hematoma. > [quoted text clipped - 21 lines] >> >> --*Rob > Same here but 3 days of Cleocin wouldn't hurt. I wouldn't be opposed to that either. D |
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