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Flying long haul with an unfilled cavity, kindly advice me

Dear Sir/Madam, I am writing to ask advise regarding flying long-haul with incomplete root canal surgery treatment. My history is the following: I had two impacting wisdom teeth , both lower set. First of all, root canal surgery was performed on the tooth in front of one of the wisdom teeth, removing the three nerves , and filling the root canals. A temporary filling was put in the cavity of the rest of the tooth. I then had surgery to remove both my lower wisdom teeth. During this procedure, the existing temporary filling in the cavity mentioned above was replaced. Since surgery, this temporary filling has fallen out of my tooth, and I have not yet had it replaced. I am booked to travel long haul in a few weeks, and have heard that travelling with an empty cavity can be dangerous owing to cabin pressure . Does this risk present a problem for a tooth with its root nerves removed and filled ? Many thanks for your kind advice. Kind regards, TO
Asked On : Tue, 22 Feb 2011
Answers:  8 Views:  1344
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Dentist 's  Response
hello
yes travelling with a open cavity in mouth can lead to pain
so what i would suggest that you get a temporary filling done with your dentist and get your root canal completed as soon as possible
in the meanwhile you take the following to reduce infection
1.levofloxacin 500 mg twice daily
2.anti inflammatory like paracetamol twice daily
both for 5 days
hope that helps
Answered: Fri, 2 Aug 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Hello,

Thanks for writing to us.

Travelling with an open cavity can cause pain as well as sensitivity due to exposed dentinal tubules.

Its better to get a temporary filling done for the exposed cavity.

Take a complete course of cilpox as well as analgesics to prevent pain as well as infection underlying.

Also get the root canal treatment completed as soon as possible.

Take care.
Answered: Wed, 17 Jul 2013
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Dentist Dr. Juhi Soni's  Response
Hi,
Thanks for using HCM forum
As you said,your temporary filling is lost so better consult your dentist for refilling.

An open tooth is more vunerable to infection as food particles, saliva will seep into it causing dedris accumulation. Due to which re-infection may occur and cause pain/swelling.

Get your tooth cleaned and re-filled.
Take care
Answered: Fri, 19 Jul 2013
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Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

If the tooth canals are removed you will not have pain but in an open cavity chances of food accumulation, re-infection of the tooth increases.
You can go for temporary filling of the tooth.
Since you have time of few weeks i would encourage you to complete with the treatment before you leave.
Once the tooth is completely devitalised, disinfected and sealed to the apex you will not face pain and infection.

Hope this helps out.

Regards....
Answered: Fri, 19 Jul 2013
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Dentist, Orthodontics Dr. Mrunal Meshram's  Response
HELLO
THANK YOU FOR WRITING IN HEALTHCARE MAGIC FORUM.
YES YOU ARE CORRECT , CABIN PRESSURE CHANGES CAN MAKE YOUR TOOTH SENSITIVE AND PAINFUL BECAUSE OF OPEN DENTINAL TUBULES.
AS YOU HAVE FEW WEEKS TO LEAVE , I WOULD ADVICE TO GO FOR TEMPORARY FILLING OR EVEN A COMPLETE ROOT CANAL TREATMENT.
AS AFTER RCT , TOOTH WILL BE NON VITAL(NERVES AND PULP FREE) AND CAN NOT GET AFFECTED BY PRESSURE CHANGES
VISIT YOUR DENTIST FOR RADIO GRAPH OF RELATED TOOTH AND PROPER ANTIBIOTICS AND ANALGESIC REGIME.
TAKE CARE
FEEL FREE WRITE US BACK.
Answered: Fri, 19 Jul 2013
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Dentist Dr. Srividya Rao Vasista's  Response
Hello TO,
As you rightly pointed out cabin pressure changes do not affect a non-vital tooth ie a tooth which does not have blood & nerve supply.
I see that you still have a few weeks before you travel, so why not complete the treatment & fly? A tooth with a hole is a sure nidus for food accumulation & infection. It is also difficult to concentrate on excellent oral hygiene while traveling. This may cause Re-infection.
Alternatively get the tooth filled-called CORE buildup. You can come back & get the crown fixed provided you don't use that tooth for hard biting.
Thanks & take care
Answered: Thu, 24 Feb 2011
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Dentist Dr. E. Bharathikannan's  Response
hello,
welcome to healthcare magic,
there wont be any pain since nerve and blood vessels have been removed by root canal treatment. but its better to complete your capping procedure since rct treated tooth can chipp off anytime and that tooth can become useless. take care
Answered: Sat, 30 Jul 2011
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Dentist Dr. Benley George's  Response
Hi,
It is advisable that you get the root canal treatment completed and a crown placed over it. Most people do the root canal treatment and do not get the crown placed over the tooth. The chewing forces cannot be borne by the brittle tooth and it breaks off. Ultimately the tooth is in a situation where extraction is the only solution. Pl get the permanent filling done on the tooth and get a crown placed over it.
Answered: Thu, 21 Jul 2011
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