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Severe pain during root canal process - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
User :   hii
User :   are you a dentist
Doctor :   I am a medical doctor, a Internist
Doctor :   But i can help anyway if you need
User :   because my query is concerned with root canal
Doctor :   Please proceed with your history
Doctor :   Sure , please proceed
User :   i had a tooth decay in lower jaw tooth
Doctor :   I may be able to help you out
User :   so apparoached dr. she said to have root canal.she opened the 3 roots
Doctor :   ok
User :   now she has cleaned 2 of the roots but one root is critically infected with pus formation
Doctor :   ok
User :   so when she inserts files for cleaning they touch the infected tissue at a certain point
User :   and it pains like anything
User :   she tried 2-3 times but i complained of severe pain
Doctor :   ok
User :   even in LA
Doctor :   May i know how long have you had these sessions ?
Doctor :   and how many so far ?
User :   2-3 sessions
User :   so now she deicied to devitalise the nerve
Doctor :   What do u mean by LA ? u mean local anaesthesia ?
User :   yes
Doctor :   ok
User :   she has inserted some chemical inside and packed the tooth with cement from up
Doctor :   Can u tell me the quality of pain on a scale of 1 to 10 ?
Doctor :   ok
User :   which is highest
Doctor :   10 is highest
User :   u mean while treatment or after the session
Doctor :   both
User :   after treatment it wud be 3
Doctor :   you can give 2 comparative readings
User :   during the treatment it at a certain stage if pricked it can be 8-9
Doctor :   ok
User :   what is that nerve devitaliser
Doctor :   the dental structures have both sensory and autonomic nerve supply
Doctor :   a nerve devitaliser is a medication that can inactivate both these nerve receptors
User :   she has inserted this medicine on friday evening
Doctor :   OK
User :   after that it pained only once
User :   but now i am feeling that the toothe has become weak
Doctor :   what do u mean by weakness ?
User :   actually it is not paining on its own but while eating one of the upper tooth is getting banged on it so at that time it pains
Doctor :   You mean u have tooth sensitivity?
User :   if she has inserted that medicine then by now pain shud be completely gone right
User :   it shud be dead tooth
User :   the why does it still pain when anyhting bangs on it
Doctor :   post any procedure, including a dental RCT, the surrounding tissues are inflammed
Doctor :   when the tooth is banged , the pressure irritates the tissue around the tooth
Doctor :   this irritation causes pain
User :   so now when she will open the tooth on monday and inserts the files then will it still pain the same way as before?
Doctor :   once the whole process is done, and the area is healed completed , the pain will definitely subside
Doctor :   As long as the sessions last, and the sessions include dental procedures and interventions you will have some pain
Doctor :   did u take any pain killers before the procedure started
Doctor :   you should have taken a few pain killers about 1 hr before the procedure
User :   but she told me taht once the nerve is devitalised i wont have pain again
User :   then whats the use of putting the chemical
Doctor :   The teeth wont hurt
Doctor :   the chemical is placed there so that infection will not occur again causing more damage
User :   not for pain reduction?
Doctor :   there is no living tissue inside the tooth
Doctor :   A tooth's nerve is not vitally important to a tooth's health and function after the tooth has emerged through the gums
Doctor :   Its only function is sensory -- to provide the sensation of hot or cold.
Doctor :   The presence or absence of a nerve will not affect the day-to-day functioning of the tooth.\
Doctor :   the infection in the tooth arises due to infection in the tooth's nerve tissue or pulp when it gets damaged
Doctor :   this infection causes pain
Doctor :   Now once RCT is done, the devitaliser removes the infected tissue, the cause of pain
Doctor :   For the first few days following the completion of a root canal, the tooth may feel sensitive due to natural tissue inflammation, especially if there was pain or infection before the procedure.
Doctor :   have u understood it so far
User :   yes but tell me if she nserted those needle files and if there is a tissue then willl it paain like before or not'
Doctor :   it may due to the associated peripheral inflammation
User :   because the infection is deep and the files are not gone that deep because of the pain
Doctor :   ok
Doctor :   There will be some pain
Doctor :   Any dental procedure will be painful
Doctor :   that is why people do not like to go to dentists at the first place
Doctor :   Usually , they do use inhaled gas to reduce the pain
Doctor :   Did they use it in your case ?
User :   she gave me 3 injections
User :   no use
User :   still pained
Doctor :   injection anesthtics will take time to work
Doctor :   you need at least 30 min of rest, before the actual procedure is done
Doctor :   In India, the dentists do not use N20 the inhalation gas which can make you feel no pain at all
Doctor :   But In the ,,, and western countries, they use it
Doctor :   hence in ,,,, patients have to suffer the pain
Doctor :   Are u there ?
Doctor :   In addition the dentists begin very soon after the injection is given
Doctor :   Are u there ?
Doctor :   Are u there ?
Doctor :   since u are not responding, i will have to close the chat session
Doctor :   Please log in again if u have any other medical queried
Doctor :   ** queries
Doctor :   I hope i have answered your questions and solved your issues
Doctor :   take care and bye for now
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