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Concerned about the severe pain associated with root canal treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Dental Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
Doctor :   Hi
User :   hello doctor
User :   i am undergoing root canal treatment
User :   the doctor has opened the 3 canals
Doctor :   Ok
User :   but one canal is giving trouble while cleaning
User :   the infection is deep
User :   so when she inserts file a little deep it pains like anuthing
Doctor :   Ok good that you have done the RCT
User :   she gave me 3 LA shots
User :   but still i tremble when it pricks that point
User :   why is that so
Doctor :   That is normal as they would be tickling the nerves
User :   she says whenever she remves the file pus is sticking that file
User :   and she says the file should come clean out
User :   is it right
Doctor :   yes
Doctor :   THat is the main part of RCT
Doctor :   If you do not allow her to do this, and complain of pain
Doctor :   She can say that this is done and now the file is clear
Doctor :   So I suggest you is, let her complete the treatment process
Doctor :   Unless we remove the complete decayed and infected tissue
User :   she said there is some medication called nerve something
User :   desensitizer or somesort i dont exactly remember
User :   she said she will pour that meidicne in canals pack it wth cement and then after 2 days resume the proces
User :   then it wont pain at all
User :   what is that medicine
User :   nerve?
Doctor :   Neurobion
User :   what it does
Doctor :   It reduces the sensitivity of the nerves
Doctor :   and thus not cause pain
User :   even during filing?
Doctor :   Yes
User :   she said it is the last option as it is not recommended initally
Doctor :   Ok
Doctor :   That should be the protocol
Doctor :   If the patient tolerates the pain they would not do this
Doctor :   Otherwise they have to finally pack with such medicine
Doctor :   and re do the sitting for RCT
User :   does it completely remove the pain
User :   or still while removing the infected tissue it will pain?
Doctor :   it removes the pain by 90%
Doctor :   It reduces the pain by 80 to 90%
User :   she said that after they clean the canals with files she will widen the canals with machine
User :   but for that the pain should recede
User :   does it pain while widening with machine also?
Doctor :   Yes
Doctor :   Slight pain will always be there
User :   but will it be like when the files touch the tissue
Doctor :   Yes
User :   she now has left the tooth open only
User :   for 2 days for the infection to drain out
Doctor :   That is the right way to go about
Doctor :   if you complain too much about the pain, they shall pack with the medicine, then the infection does not drain out
Doctor :   and remains inside
Doctor :   So my best suggestion is you shall tolerate some pain so that you get the best treatment and you can happily live after RCT
User :   but now that she has kept open ,will there not be a high chance of infection
User :   because it is exposed directly she didnt even cover with cotton
User :   its wide open
Doctor :   yes
Doctor :   Sometimes it is good practice to keep the draining area open
Doctor :   I hope you are still under antibiotic cover
User :   no
User :   she has stopped
Doctor :   Ok
User :   she had given
Doctor :   Are you getting some injection before you do get the RCT
User :   today she gave 3
User :   2 in cheeks and 1 directly in canal
Doctor :   I think you are getting the right treatment
Doctor :   You should not worry
User :   still when she pricks the tissue it pains like helll
Doctor :   That is normal
Doctor :   Hence I was telling you to tolerate some pain
User :   i am not talking abt the injection,the file when reaches a certain point is paining
User :   because of infected tissue she is saying
User :   ok one more question
User :   she has kept open 3 canals will water and food particles go inside it
Doctor :   That is right what she says
Doctor :   yes
User :   will water and food particles go inside canal/
Doctor :   Do you mean after RCT?
User :   no right now she has keot open
Doctor :   They will be cleaned when you go for the next sitting
Doctor :   Do not worry about the opening of the canal
Doctor :   It will be covered again after the last sitting
User :   ya but right niw she has not covered anything today
Doctor :   That is ok
User :   and has called on friday
Doctor :   She will clean it before she again work on it
Doctor :   to clear off all the food particles that could have gone inside
User :   can i eat sweets
Doctor :   I do not advice
User :   or beer
Doctor :   No
User :   then what can i eat
Doctor :   Normal Idli
Doctor :   Snacks
Doctor :   Did not the doctor advice you on that?
Doctor :   Small breakfast
User :   no she didnt say anything like that
Doctor :   You can take normal food
Doctor :   But not Sweets or Beer
Doctor :   I mean alcohol
Doctor :   Fluids
Doctor :   juices
User :   what will happen with beer
Doctor :   It delays healing
User :   oh
Doctor :   I hope I have answered all your questions
User :   yes i am really worried and anxiety is killing me
User :   i cannot tolerate pain while filing
Doctor :   You can ask your doctor about good anxiety reducing medication
Doctor :   Are you taking some medications
User :   will the pus drain and infection heal as it is kept open today
User :   no
Doctor :   Please call her now and ask her about certain anxiolytics which will reduce the anxiety and pain
Doctor :   yes
Doctor :   It will heal even if let open
Doctor :   and it is to left open
User :   one more thing she did was after the sitting she tapped the tooth on various surfaces
User :   ans asked whether it pains
User :   if the answer is yes that means somewhere infection persists
Doctor :   No
Doctor :   It should not trouble you with pain
Doctor :   Otherwise you cannot sleep
Doctor :   The only thing that would have been good is prescribing some anxiolytic medications at this stage
Doctor :   which should have answered all your problems and questions
Doctor :   I suggest you to do take her advice on this
User :   ok thanks for the valuable advice
User :   sorry i torubled u lot
Doctor :   It is my duty to make you aware and settle your anxiety
Doctor :   Thank you
Doctor :   Bye for now
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