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Pain after root canal. Taken antibiotics. Lump in jaw line. What can I do?

I had a root canal on March 3. Had fair amount of pain but seemed to settle. By March 20th I was in intense pain and went back to dentist . He did an xray , said everything looked OK but gave me a 7 day course of antibiotics. He seemed sure I probably had a sinus infection as well as infection around the tooth . The pain has lessened but is still present 24/7, sometimes worse than other time, always in the tooth, the jaw and my ear. I now have a huge lump in the jaw line under the root canal tooth. What can I do? The dentist has me scheduled to finish the root canal on April 4th. I m worries and in pain!
Asked On : Thu, 4 Apr 2013
Answers:  4 Views:  753
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Dentist 's  Response

The pain and swelling associated with the teeth undergoing root canal treatment may be due to-
Infected pulp remaining within the canals,
Periapical Infection associated,
Perforation during instrumentation.
The infected pulp has to be removed as soon as possible,
Rinse you mouth using warm saline.
The pus has to be drained out as soon as possible.
Hope this helps.
Answered: Fri, 5 Apr 2013
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Dentist Dr. Farah Hussain's  Response
hello there ,

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.

The lump or swelling you can notice is nothing but the abscess which may drain in the oral cavity.

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: Fri, 5 Apr 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

After sucessful Root canal treatment the canals are completely devitalised, disinfected so there are no chances of pain. Pain in tooth along with swelling in the form of lump indicates infection of the tooth had spread to the periapical tissues leading to formation of abscess.

I would suggest you to consult your Dentist and get an x-ray done.
Pain can be because of re-infection, incompletely done procedure, accidentally left over unexplored canal, depending upon clinical and radiological examination the treatment can be re-RCT or extraction of tooth.

Take tab amoxiclav 625mg twice , tab Zerodol TDS for five days,
If having accidity take tab rabeprozole 20mg twice daily half hour before meals.

Maintain a good oral hygiene, use lukewarm saline gargles, antiseptic mouthwash gargles.

Hope this helps out.

Answered: Thu, 4 Apr 2013
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Dentist Dr. Sonia Nayab's  Response
hi jenjones
thanks for asking your query

after root canal therapy sometimes dull pain remains for a week,but as you mentioned that you had an antibiotic course done and also a lump formed so there are chances of root canal failure but it can be confirmed by clinical examination and an xray
may be there is a canal left to be expirated or incomplete expiration which lead to re infection
consult to your dentist for re-endo of the tooth.
take analgesics for pain relief
Answered: Fri, 5 Apr 2013
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