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Pain due to incomplete Root canal treatment - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Dental Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   hi
Doctor :   how can i help you?
User :   I had some questions about a dental procedure, can I ask your advice?
Doctor :   ok
Doctor :   please continue
User :   I had a root canal that wasn't completed because the dentist didn't have time. Then I flew out of town for my continuing ed and when I flew back I ended up with terrible pain over the root of the tooth. This went on for weeks because the dentist didn't have a clue what was wrong.
Doctor :   Ok
Doctor :   Please continue
User :   The pain has been intense and I have facial pain, terrible headaches, etc.
User :   Could the flight have set something off or....?
Doctor :   To get a better picture I need this information--Age: Gender: Occupation: Location: Marital Status:
User :   Female, 33, Chiropractor, and married
Doctor :   May I know the past history, the sense when did you have your root canal done?
User :   I had an ENT state something about an air bubble could be to blame but if that was the case, what do you do?
Doctor :   For which tooth did you have your root canal done?
Doctor :   And what exactly did the dentist mean when he/ she said that it was incomplete?
User :   Oh, a tiny piece of my filling had come out and the dentist said that a root canal would eliminate any further problems from the tooth. Looking back, I should have refused.
Doctor :   There are various steps in root canal and I need to know what has been completed...
Doctor :   and what has not been to understand wht the probable cause of your present pain could be
User :   OH gosh, the dentist worked on tooth #13 for a couple of hours and then said that he had to go to lunch and didn't have time to finish it. Frustrating! He gave me a temporary filling and stopped.
User :   I've been in pain ever since. But the pain after the flight was 100x worse
Doctor :   So you have had only one sitting, right?
Doctor :   That means the dentist has only cleaned the root canal and left it empty with only a temporary filling
User :   yes, what exactly does that do?
Doctor :   This should have been followed with a permanent filling for the root canal which would be followed by a permanent crown for the concerned tooth,....
Doctor :   You have had pain ever since the root canal was stopped halfway, right?
User :   yes
Doctor :   And in the same vicinity, right?
User :   but it was so much worse after the flight, which I don't know could be related or not. Over the root of the tooth and when I pressed on the tooth. The pain over the root is horrific.
Doctor :   Do you have any warmth, swelling in the region of the affected tooth?
Doctor :   Do you have any associated fever or body pain?
User :   Yes but no fever and the dentist took an xray and said no infection
User :   terrible headaches
Doctor :   So you have swelling, warmth, but no fever and terrible headaches
User :   yes
Doctor :   Do you have a history of sinus or anything in the past?
User :   The pain now goes over the side of my face and I have eye pain and twitching on that side.
Doctor :   Please stand by
Doctor :   While I consult with a senior physician and give you a good idea
User :   ok thank you
Doctor :   Just asked an Oral surgeon abt your case
User :   oh good
Doctor :   Wht we would suggest is that you can look at meeting up with a Oral surgeon in your locality immediately
User :   any idea of what happened?
Doctor :   And get the swelling reduced by a suitable minor surgical proceudre if you are looking at saving the affected tooth
Doctor :   You could have a re-infection which has spread to the surrounding tissues
Doctor :   In echnical terms it could be a canine space infection
User :   what's that?
Doctor :   This is followed by an endodontic procedure where the endodontist removes the infected portion of the root of the tooth
Doctor :   and saves the rest of the tooth
Doctor :   Alternatively you can go for a simple extraction of the tooth
User :   do you know if the flight could have set this off?
Doctor :   and take an antibiotic+ pain killer course for a few days
Doctor :   I am not of that opinion
User :   oh good
User :   thank you so very much
Doctor :   It could more be a case of negligence by the attending dentist
Doctor :   Please fill back the from and tell me when done
User :   done
Doctor :   thanks
Doctor :   To make the patient referral to a friend at the end of chat. There is a friend referral contest going on. You can win prizes if you refer maximum number of your friends in a day. You can also win Rs. 1000/- per week if the number of your referrals is highest in the week. There will be a form coming up on your screen now.There is a button to import contacts from your Gmail, Yahoo, AOL ID's. Please refer your friends to this service with a click of the button and importing contacts instead of entering the email ids manually
Doctor :   We cud probably pay you in dollars
Doctor :   :)
Doctor :   thnks thn
Doctor :   hi
Doctor :   It seems that you have moved out of the chat window, Please get back if you need any medical advice.
Doctor :   hi
Doctor :   what else can i help you with?
Doctor :   It seems that you have moved out of the chat window, Please get back if you need any medical advice.
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