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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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I Had A Root Canal Two Weeks Ago And Now I Am Having Pain

I had a root canal two weeks ago after throbbing/hot and cold sensitivity and chewing pain in molar#3. 3 days later, the chewing pain came back and was still throbbing. One week after the root canal, I saw the endodontist again.She found nothing on the exrays, but opened the tooth and, in fact, found an infection and drained a lot of puss from the area inside the tooth. She didn t finish the root canal to be able to make sure it was healing . i was supposed to go back in two weeks. It has been one week, and the chewing pain has returned, throbbing continues and has moved to my lower jaw as well and all pain seems to affect #3 and the one in front and behind it. No visible swelling (though I was very swollen after the draining and am slightly swollen in the top front of my gums by the tooth). I am going back to the endodontist today. Is this possibly NOT a root issue and a bone issue? Nothing is showing up on the xrays, yet I am STILL in pain. New pain developed yesterday- at random (not eating or drinking or out in cold or anything) it feels like I am being stabbed in my teeth from the bottom up in random spurts of pain. What is going on?
Fri, 19 Apr 2013
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Dentist,  's  Response
Hi,

Thanks for asking the query,

After Root canal Treatment the canals are completely devitalised and sealed to the apex, so there are no chances of pain.

Pain can be due to incompletely done procedure, accidently left over canal , re-infection, food lodgement between cap and tooth if the tooth is capped.

Get an x-ray done which will show any remnants of pulp tissue.
Depending upon the x-ray the treatment will be either re-RCT or extraction of tooth.
Take complete course of antibiotic and analgesics.

Hope this helps out.

Regards...
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Dentist,  Dr. Nikhil Dutt's  Response
As there is continuous formation of pus in the apical area of the tooth involved and since the problem is a chronic one, there are two options available:-1. Either your Dentist should thoroughly debride the root canals and pack non-setting calcium hydroxide in the root canal for 2-3 weeks and repeat it once or twice and then do obturatin or 2. Go for Endodontic surgery.
These are the two clinical options available.
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I Had A Root Canal Two Weeks Ago And Now I Am Having Pain

Hi, Thanks for asking the query, After Root canal Treatment the canals are completely devitalised and sealed to the apex, so there are no chances of pain. Pain can be due to incompletely done procedure, accidently left over canal , re-infection, food lodgement between cap and tooth if the tooth is capped. Get an x-ray done which will show any remnants of pulp tissue. Depending upon the x-ray the treatment will be either re-RCT or extraction of tooth. Take complete course of antibiotic and analgesics. Hope this helps out. Regards...