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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Undergone Tooth Canal, Pain In Gums With Pus Formation. Taking Antibiotics. Suggestions?

My mum has history of decayed tooth in almost all of them (all are black and eroded), she used to chew clay pots in early days and used tobacco based Red tooth powder. She brushes regularly but doesn't use any mouthwash, Few days back we figured out a severely damaged tooth and visited dentist, he had root canal of it and suggested that we should go for tooth cap as nothing is left in it. Since that root has been done My mum has regular pain in gums of next tooth in the area she had RTC of, and few days back gum had a pus formation, antibiotics are already going on but pain is unrelieved. please suggest
Fri, 10 May 2013
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Dentist 's  Response
Hello nishu,
Thanks for posting your query.
As you described,your mom has undergone root canal treatment,and the pain occurs now in the associated tooth.
This is due to the spread of infection into the adjacent tooth resulting in formation of peri-apical abscess.
The pus has to be drained and curetted well.
If required,rct has to be done for adjacent tooth also.
Please maintain good oral hygiene.
Discontinue using tobacco.
To prevent erosion of tooth,use soft-bristled toothbrush to clean teeth.
Avoid vigorous brushing and chewing hard objects.
Take care.
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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.

Once the treatment is completed , the fractured tooth can be restored by a post and core preparation with a prosthetic crown coverage.

you need to get an x ray done the affected area to confirm the presence of infection,
exact diagnosis can be made only after clinical examination and evaluation by taking radiographs.


i hope this helps ,

take care.
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Dentist Dr. Sushma Rajesh's  Response
Hello,

Thanks for posting your query.

I understand your mom has generalised decayed teeth. I would advise you to get an OPG [ full mouth xray] prior to starting any treatment. This will aid in diagnosing and making treatment plan. If there is pus formation or abscess there is a possibility of infection ,you need to take xray of the root canal treated tooth to check if the infection is from the same tooth or adjacent tooth.
Go to dentist and get your mother's all teeth treated .

Take Care

Dr.Sushma Rajesh
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Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

According to your clinical history i suspect that you mother is having generalised infection in her teeth.
Pian in the root canal treated tooth can be due to re-infection or spread of infection to the adjacent tooth leading to abscess formation.
I would suggest you to take an OPG radiograph to determine proper diagnosis and appropraite treatment plan. If required rct has to be performed in the adjacent tooth also.
Stop the use of tobacco based tooth powder.
Use a soft bristle tooth brush and desensitizing tooth paste.
Use antiseptic mouthwash rinses.
Maintain a good oral hygiene.

Hope this helps out.

Regards.....
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Undergone Tooth Canal, Pain In Gums With Pus Formation. Taking Antibiotics. Suggestions?

Hello nishu, Thanks for posting your query. As you described,your mom has undergone root canal treatment,and the pain occurs now in the associated tooth. This is due to the spread of infection into the adjacent tooth resulting in formation of peri-apical abscess. The pus has to be drained and curetted well. If required,rct has to be done for adjacent tooth also. Please maintain good oral hygiene. Discontinue using tobacco. To prevent erosion of tooth,use soft-bristled toothbrush to clean teeth. Avoid vigorous brushing and chewing hard objects. Take care.