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Suggest treatment for infection in the root canal

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Posted on Tue, 12 May 2015
Question: 61 yrs old. Had root canal 3 weeks ago, then developed dental abscess in same area. Things happening quickly. Severe pain started 2 days ago, including sweats and little sleep, and can barely drink water. Also, swollen mouth and glands today/yesterday respectively. Dentist put me on cephalexin and ibuprofen yesterday, shall see me tomorrow.. Slight improvement in pain today, was even able to work better. However, Tonight, I now have more pain, fever and chills.Since I just moved to this area, I'm thinking about going to a 24 hr health stop tonight.
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Answered by Dr. Mahesh Kumar T S (1 hour later)
Brief Answer:
abscess, RCT failure, retreatment

Detailed Answer:
Thanks for your query I have gone through your query.
As far as the pain and swelling is concerned, I have the following possibilities. It can be because of the infection in the root canal treated tooth or the neighbour tooth. Nothing to be panic, since you have already started with cephalexin you can continue the same antibiotic for 5days. The infection will come down. If there is no improvement and if there is any difficulty in breathing then immediately go to emergency room.
Consult a oral physician and get it evaluated. You need to take a radiograph to confirm the diagnosis. If there is any defect in the root canal treatment then it has to be retreated.
I hope I have answered your query. If any queries are there reply me back. Take care.
Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Mahesh Kumar T S

Dentist, Oral and Maxillofacial Surgery

Practicing since :2007

Answered : 3376 Questions

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Suggest treatment for infection in the root canal

Brief Answer: abscess, RCT failure, retreatment Detailed Answer: Thanks for your query I have gone through your query. As far as the pain and swelling is concerned, I have the following possibilities. It can be because of the infection in the root canal treated tooth or the neighbour tooth. Nothing to be panic, since you have already started with cephalexin you can continue the same antibiotic for 5days. The infection will come down. If there is no improvement and if there is any difficulty in breathing then immediately go to emergency room. Consult a oral physician and get it evaluated. You need to take a radiograph to confirm the diagnosis. If there is any defect in the root canal treatment then it has to be retreated. I hope I have answered your query. If any queries are there reply me back. Take care.