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Had a decayed tooth got a RCT still not complete. Still feel throbbing so taking aspirin. What to do?

hello i am stephanie . I have had a badlt decaed tooth and i went to a dental school and they were able to repair it . the did a filling on it ... and it was irreversable so they ended up doing a root canal on #8 ..front tooth and they put a temp filling on the back and said i have to wait for the inflammation to go down on the tooth and then they will put on the perm filling and finish the job . i feel throbbing around the tooth .. i am able to eat ... but i have to take asprin every 4 - 6 hrs ... i want it to stop ... what can i do .. i dont want the tooth pulled i am too your to be toothless lol . im only 27
Asked On : Mon, 8 Apr 2013
Answers:  4 Views:  40
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Dentist 's  Response
Hello and welcome to hcm,

The pain during root canal procedure can be due to-
Infected pulp remaining within the tooth.
Perforation during th procedure.
Spread of infection into adjacent tissue spaces.
The infected pulp has to be removed completely.
The pus has to be drained out if present.
Take complete course of antibiotics.
If pain persists,an x-ray will help to guide you th condition of tooth.
Take care.
Answered: Tue, 9 Apr 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

Infected tooth needs to be treated with Root canal treatment to save it permanently.
In this procedure the canals are removed , tooth is devitalised and sealed completely.

As you have mentioned the treatment is not completed, there can be remnants of pulp tissue left or
infection present periapically, till you visit the Dentist next you can start with Augmentin 625 mg twice and aceclofenac serratiopeptidase two times daily for three days, this medicine will subside the pain.

Antibiotics and analgesic will relief the pain temporarily,
Unless you are completed with the treatment you will face pain and infection.

Hope this helps out.

Answered: Mon, 8 Apr 2013
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Dentist Dr. Anshul Agarwal's  Response
hi.. throbbing pain even in the middle of rct procedure means either the decision of doing rct on that tooth and specially on wisdom tooth was not right or the rct which is done is not correct .. in either of the reasons you need to ask the doctor who is performing this rct and since you are getting it done @ dental school you can always consult head of dept. for a better opinion.

my opinion is better to get that tooth extracted as wisdom tooth are of no use.

for temporary relief you can start with tab cefadroxil 500 twice daily * 5 days ( if you are already on antibiotic course then do not start with this one ) and tab ketorolac 10 mg thrice daily* 5 days

start with warm saline rinse and hot saline compressions 5-6 times daily

medicines are for temporary relief professoional advice is needed.

hope this will help you out

keep updating
Answered: Mon, 8 Apr 2013
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Dentist Dr. Farah Hussain's  Response
hello there,

According to your history i can suspect your infected tooth has gone worse due to spread of infection to the underlying tissues.

The symptoms of pain and swelling needs to be subsided by a course of antibiotic and analgesics before starting treatment.

The infected tooth can be treated by root canal procedure to devitalise it permanently and save the tooth or of the prognosis is poor the tooth can be extracted.

get an x ray done the affected area and approach a dentist for the treatment.

meantime you can start with antibiotic augmentin 625mg with analgesics two times daily, this helps in subsiding the swelling and pain.

i hope this helps,

take care.
Answered: Tue, 9 Apr 2013
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