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Medical Forum / General / Dentistry / August 2007

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Pain and Sensitivty after root canal: need advice

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Sean C - 16 Aug 2007 06:39 GMT
Hi everyone,

I recently had two rooot canals done simulataneously, on the #7 annd
the #9. I still have extreme sensitivity to the slightest touch or
pressure even 1.5 months after the procedure, and over the last two
weeks the #9 has begun to hurt really bad, even worse than before the
procedure when the pain was only occasionaly moderate and rarely severe
in that tooth. There was no obvious infection in either tooth prior to
the procedure.

The sensitivity has not improved an iota, and I am getting mixed
signals about the pain issue. The dental staff and hygienist seem to
think that the pain is a serious issue, but the dentist has been blase
about it and even wanted to go ahead and do the posts two weeks after
the procedure, when there was moderate pain and extreme sensitivity,
but I refused. When I saw him again two weeks later, he said it was a
good idea we didn't do the posts and he had no idea why I am still
having pain and sensitivity. He took X-rays and said there was no
evidence of infection or obvious cause of pain, but offered no
explanation or advice beyond that other than to wait another month. He
did not remove or replace the temporary fillings.

While I am willing to wait, it would be nice to be informed about what
the potential issues might be and possible solutions. Should I seek a
second opinion from an endodontist? I am really tight for money right
now and can't afford to spend money chasing chimeras. If this is
something that is likely to resolve with time, I would prefer to spend
the time.

If anyone has any adivce I'd appreciate it. Also, does anyone know if
there is a topical anti-inflammatory for teeth, just on the off chance
there might be some inflammation around the nerves? I am unable to
tolerate oral anti-inflammatories (pills) but use a topical ibuprofen
cream on areas where I have arthritis and it works fine. Unfortunately,
it can't be used in the mouth.

Thanks for your attention,

--Sean C
franklinfoulger@gmail.com - 19 Aug 2007 05:09 GMT
Sean;
I had root canals done and I have had pain after the procedures (not
as much as what you are describing though).
My advice is:
1. For pain relief try cloves (it's a spice used mainly in cuisine
from India), you can get it in most Indian grocery stores. You bite on
the clove and let the juices seep into yout teeth / gums. It's a tooth
pain reliever used by Indians for centuries.
2. Get a second opinion. My first root canal was done by a dentist who
was (I'd like to say) commericial in interest and my whole procedure
was terrible. But the second dentist that I found (after lot of
research to find a good, honest dentist) did my next tooth with much
ease and I have'nt had issues post that on both my tooth (they were
both adjacent teeth).
3. You can do some self tests youreself. Don't quote me on these, but
there are sensitivity tests (heat, cold), tappping the teeth, etc., to
see if the pain you're having is root related or just gums or teeth
pressure, etc.,
Hope this helps.
Regards,
FF

> Hi everyone,
>
[quoted text clipped - 35 lines]
>
> --Sean C
Dartos - 20 Aug 2007 13:57 GMT
Clove oil is more for an open cavity than a closed endo case.
Ibuprofen (or other oral analgesic) would be a better choice.

Other than that, we just don't know if the work was the best that
could be done with the case presented, or if something is 'wrong'.

Clenching is an issue that often interferes with endo healing and
comfort.

Extended trouble with pain needs attention.  Return vistit to the
treating dentist or a second opinion.

D

> Sean;
> I had root canals done and I have had pain after the procedures (not
[quoted text clipped - 57 lines]
>>
>>--Sean C
Sean C - 20 Aug 2007 21:26 GMT
> Clove oil is more for an open cavity than a closed endo case.
> Ibuprofen (or other oral analgesic) would be a better choice.
[quoted text clipped - 9 lines]
>
> D

Thanks for the response. What exactly is "clenching?" Are you talking
about grinding? I have an overbite and the #7 and #9 don't actually
contact any of my other teeth, but for some reason the lower teeth do
sometimes tap against them just as I am falling asleep, something which
I never noticed before but notice now due to the extreme sensitivity.

--Sean C
Dartos - 20 Aug 2007 22:54 GMT
'Gnashing of teeth' in the days of yore are now grouped
into the term 'parafunctional activity'.

IOWs, movements and contacts that have nothing to do with
chewing, swallowing, and speaking.

Nail biting, pencil chewing, gum chewing, bruxism (grinding),
thumb sucking, chewing tobacco, and clenching (locking the
teeth together and then applying pressure) are all activities
that are not normal fuctions of the oral structures.

Bruxism and clenching are the two issues that are mainly
out of your control.  Some day time activity and habits
are up to you, but once you go to sleep, bad things can
happen.

Bruxism usually results in more wear on the teeth and makes
some noise that a spouse may hear.  Clenching places much
more actual stress on the teeth, muscles, and bone while
making little if any sound.

Jaw pain and morning headaches are two symptoms common with
clenchers, but some clenchers just wreck their teeth and have
no other complaints.

Regards,
D

>>Clove oil is more for an open cavity than a closed endo case.
>>Ibuprofen (or other oral analgesic) would be a better choice.
[quoted text clipped - 17 lines]
>
> --Sean C
Sean C - 20 Aug 2007 21:36 GMT
> Sean;
> I had root canals done and I have had pain after the procedures (not
[quoted text clipped - 14 lines]
> see if the pain you're having is root related or just gums or teeth
> pressure, etc.,

They are definitely sensitive to the slightest touch, and tapping is
quite painful. What would this indicate? I seem to have a little cold
sensitivity when I inhale, but only noticed this recently with the cold
weather we've been having where I live. It is hard to tell which tooth
it is coming from as there are nearby teeth that are also sensitive to
cold, and the 12 or 13 really hurts for a brief second or two when
exposed to cold liquid making it hard to differentiate any lesser pain
from nearby teeth. Swishing water around my front teeth hurts the
problem tooth also but this could be due to the pressure exerted, as it
is that sensitive to pressure. But when I tried using Ambesol, the
problem tooth developed a pronounced sensation of cold sensitivity or
cold pain. I don't know if this is a side effect of the Ambesol or if
the Ambesol numbed enough of the other sensations to enable me to
better detect the cold sensation.

Thanks,

--Sean C
 
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