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Done root canal. Painful, pulsating sensation, stinging pain, soreness. Worth worrying?

I had root canal done for the third time after 6 years of being pain free. I accidentally pressed on them when I was asleep. Then the pain returned. The tooth has been painful for 3 months although slightly more settled lately tik I had the root canal surgery two days sgo. Now my tooth feels like its pulsating. Plus the gums behind my front two teeth are burning and stinging. And I have a little bump behind the front teeth it is also sore. I'm worried that I'll have to have it extracted, and I'm 34 and it seems to young an age to lose them.
Asked On : Sun, 31 Mar 2013
Answers:  7 Views:  673
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Dentist 's  Response
Hi,

Thanks for asking the query,

After a root canal treatment the canals are completely devitalised so there are no chances of pain.
Pain can be due to incompletely done procedure, re-infection, any left over unexplored canal, food lodgement between cap and the tooth if the tooth is capped.
I would suggest you to visit the Dentist and take the x-ray of the tooth which will show any left remnant of pulp tissue, depending upon x-ray you have to have to go for re-RCT or extraction of tooth.
Take complete course of antibiotics and analgesics.
Go for symptomatic treatment of complete mouth scaling and polishing.

Hope this helps out.

Regards..
Answered: Wed, 1 May 2013
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Dentist Dr. Farah Hussain's  Response
Hello there ,

Thanks for writing your query,

According to your history i can suspect some remnant of the infected pulp tissue has left unexplored during the root canal procedure or there is a missed canal due to which the infection has gone worse and you have developed a periodontal abscess due to spread of infection to the underlying tissues.


This type of periodontal abscess drains in the oral cavity and may lead to nausea and vomiting.

This type of periodontal abscess needs to be drained and compressed in position and then followed by a course of antibiotic and analgesic will subside the symptoms of pain and swelling.

once the abscess is drained the infected tooth needs to be explored again for root canal procedure.

you need to get an x ray done the affected area to confirm the presence of infection, approach a dentist for the treatment.


i hope this helps ,

take care.
Answered: Wed, 8 May 2013
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Dentist Dr. Sushma Rajesh's  Response
Hello,

Thanks for posting your query.

I understand that you are undergoing root canal treatment. In a root canal treatment the tooth is cleaned with files to remove the infected pulp and then sealed with an inert material. Different people have different pain threshold. Also some people experience a lot of pain in root canal treatment.Cause can be lot of infection present.
I hope you are taking the antibiotics and painkillers correctly.If the pain does not subside or increases you can ask your dentist to have a look.The bump in your front gums can be an ulcer or abscess which again only a dentist can check and tell. Don't worry dentistry has advanced so much in recent years that even a hopeless tooth has a chance of surviving.

Take Care
Dr.Sushma Rajesh
Answered: Wed, 1 May 2013
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Dentist, Orthodontics Dr. Suma's  Response
you might have undergone a minor surgical procedure called "Apicectomy". Since, its a surgical procedure, the pain and swelling are expected in the 24-72 hours following surgery. The application of cold in the first 24 - 48 hours following surgery reduces the swelling to some extent. Along with this, please do take the prescribed medications (antibiotic + analgesic + anti inflammatory enzyme). Don't be too anxious and never think of getting your tooth extracted (unless advised by your dentist for poor prognosis) as you have undergone root canal treatment and apicectomy and spent lot of money and time.
Answered: Wed, 1 May 2013
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Dentist Dr. Shefali Gupta's  Response
Hi,
Thanks for asking query,
In root canal treatment the infected pulp is completely removed , canals are cleaned dried and then filled , so if it is properly done then there is no chance of pain an and infection.Little bump may be due to abcess you should go to the dentist get it drained and scaling done , take proper antibiotic and analgesic.No need to worry the tooth will need not to be extracted.
Answered: Thu, 2 May 2013
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1 Doctor agrees with this answer

Dentist Dr. Bindiya Bhaskar's  Response
Hello and welcome to hcm,
Usually successfully completed root canal treatment will not give a painful,pulsating sensation.
Entire infected pulp has to be removed as soon as possible to relieve pain.
The bump behind the front teeth may be due to abscess developed,this has to be drained and curetted.
I would suggest you to get scaling and root planning done.
Maintain good oral hygiene.
Use chlorhexidine mouthrinse to gargle.
Take complete course of antibiotics-analgesics.
Hope this helps.
Answered: Wed, 1 May 2013
I find this answer helpful
Dentist Dr. Bindiya Bhaskar's  Response
Hello and welcome to hcm,
Usually successfully completed root canal treatment will not give a painful,pulsating sensation.
Entire infected pulp has to be removed as soon as possible to relieve pain.
The bump behind the front teeth may be due to abscess developed,this has to be drained and curetted.
I would suggest you to get scaling and root planning done.
Maintain good oral hygiene.
Use chlorhexidine mouthrinse to gargle.
Take complete course of antibiotics-analgesics.
Hope this helps.
Answered: Wed, 1 May 2013
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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