Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
169 Doctors are Online

Concerned about the severe pain associated with root canal treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Dental Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2267 Questions
Doctor :   Hi
User :   hello doctor
User :   i am undergoing root canal treatment
User :   the doctor has opened the 3 canals
Doctor :   Ok
User :   but one canal is giving trouble while cleaning
User :   the infection is deep
User :   so when she inserts file a little deep it pains like anuthing
Doctor :   Ok good that you have done the RCT
User :   she gave me 3 LA shots
User :   but still i tremble when it pricks that point
User :   why is that so
Doctor :   That is normal as they would be tickling the nerves
User :   she says whenever she remves the file pus is sticking that file
User :   and she says the file should come clean out
User :   is it right
Doctor :   yes
Doctor :   THat is the main part of RCT
Doctor :   If you do not allow her to do this, and complain of pain
Doctor :   She can say that this is done and now the file is clear
Doctor :   So I suggest you is, let her complete the treatment process
Doctor :   Unless we remove the complete decayed and infected tissue
User :   she said there is some medication called nerve something
User :   desensitizer or somesort i dont exactly remember
User :   she said she will pour that meidicne in canals pack it wth cement and then after 2 days resume the proces
User :   then it wont pain at all
User :   what is that medicine
User :   nerve?
Doctor :   Neurobion
User :   what it does
Doctor :   It reduces the sensitivity of the nerves
Doctor :   and thus not cause pain
User :   even during filing?
Doctor :   Yes
User :   she said it is the last option as it is not recommended initally
Doctor :   Ok
Doctor :   That should be the protocol
Doctor :   If the patient tolerates the pain they would not do this
Doctor :   Otherwise they have to finally pack with such medicine
Doctor :   and re do the sitting for RCT
User :   does it completely remove the pain
User :   or still while removing the infected tissue it will pain?
Doctor :   it removes the pain by 90%
Doctor :   It reduces the pain by 80 to 90%
User :   she said that after they clean the canals with files she will widen the canals with machine
User :   but for that the pain should recede
User :   does it pain while widening with machine also?
Doctor :   Yes
Doctor :   Slight pain will always be there
User :   but will it be like when the files touch the tissue
Doctor :   Yes
User :   she now has left the tooth open only
User :   for 2 days for the infection to drain out
Doctor :   That is the right way to go about
Doctor :   if you complain too much about the pain, they shall pack with the medicine, then the infection does not drain out
Doctor :   and remains inside
Doctor :   So my best suggestion is you shall tolerate some pain so that you get the best treatment and you can happily live after RCT
User :   but now that she has kept open ,will there not be a high chance of infection
User :   because it is exposed directly she didnt even cover with cotton
User :   its wide open
Doctor :   yes
Doctor :   Sometimes it is good practice to keep the draining area open
Doctor :   I hope you are still under antibiotic cover
User :   no
User :   she has stopped
Doctor :   Ok
User :   she had given
Doctor :   Are you getting some injection before you do get the RCT
User :   today she gave 3
User :   2 in cheeks and 1 directly in canal
Doctor :   I think you are getting the right treatment
Doctor :   You should not worry
User :   still when she pricks the tissue it pains like helll
Doctor :   That is normal
Doctor :   Hence I was telling you to tolerate some pain
User :   i am not talking abt the injection,the file when reaches a certain point is paining
User :   because of infected tissue she is saying
User :   ok one more question
User :   she has kept open 3 canals will water and food particles go inside it
Doctor :   That is right what she says
Doctor :   yes
User :   will water and food particles go inside canal/
Doctor :   Do you mean after RCT?
User :   no right now she has keot open
Doctor :   They will be cleaned when you go for the next sitting
Doctor :   Do not worry about the opening of the canal
Doctor :   It will be covered again after the last sitting
User :   ya but right niw she has not covered anything today
Doctor :   That is ok
User :   and has called on friday
Doctor :   She will clean it before she again work on it
Doctor :   to clear off all the food particles that could have gone inside
User :   can i eat sweets
Doctor :   I do not advice
User :   or beer
Doctor :   No
User :   then what can i eat
Doctor :   Normal Idli
Doctor :   Snacks
Doctor :   Did not the doctor advice you on that?
Doctor :   Small breakfast
User :   no she didnt say anything like that
Doctor :   You can take normal food
Doctor :   But not Sweets or Beer
Doctor :   I mean alcohol
Doctor :   Fluids
Doctor :   juices
User :   what will happen with beer
Doctor :   It delays healing
User :   oh
Doctor :   I hope I have answered all your questions
User :   yes i am really worried and anxiety is killing me
User :   i cannot tolerate pain while filing
Doctor :   You can ask your doctor about good anxiety reducing medication
Doctor :   Are you taking some medications
User :   will the pus drain and infection heal as it is kept open today
User :   no
Doctor :   Please call her now and ask her about certain anxiolytics which will reduce the anxiety and pain
Doctor :   yes
Doctor :   It will heal even if let open
Doctor :   and it is to left open
User :   one more thing she did was after the sitting she tapped the tooth on various surfaces
User :   ans asked whether it pains
User :   if the answer is yes that means somewhere infection persists
Doctor :   No
Doctor :   It should not trouble you with pain
Doctor :   Otherwise you cannot sleep
Doctor :   The only thing that would have been good is prescribing some anxiolytic medications at this stage
Doctor :   which should have answered all your problems and questions
Doctor :   I suggest you to do take her advice on this
User :   ok thanks for the valuable advice
User :   sorry i torubled u lot
Doctor :   It is my duty to make you aware and settle your anxiety
Doctor :   Thank you
Doctor :   Bye for now
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor