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Had root canal treatment, since then swelling in face and burning sensation. Solution?

i had root canal treatment and a tooth extraction over a year ago now.. ever since the right hand side face was swelling for some time it was burning, the burning sensation as now gone,but im still left with the swelling its awful iv been back to dentist and had my sinuses cheeked they are fine the dentist said to keep ptting ice packs on but as im sure you can appreciate thats simply not convenient for a lady of 33 years old. its taking my looks away from me and im becoming depressed. please could you help me???????? :(
Asked On : Fri, 29 Mar 2013
Answers:  3 Views:  53
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Dentist 's  Response
Thanks for posting your query in hcm forum.
Since you had undergone root canal treatment one year back,The swelling and pain arised may be due to-
Perforation or ledge formation while performing root canal procedure.
Periapical infection underlying.
Incomplete removal of infected pulp from pulp canals.
I would suggest you to get a x-ray done.
If required,re-rct has to be done.
If infection is severe,tooth has to be extracted.
Hope this helps.
Answered: Sat, 30 Mar 2013
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Dentist Dr. Farah Hussain's  Response
hello there,

According to your history i can suspect your root canal treated tooth may have some remnant infection which was left un explored .

This infected tooth has gone worse and you have developed a periodontal abscess due to spread of infection to the underlying tissues.

The lump or swelling you can notice is nothing but the abscess cavity and it drains the pus in the oral cavity .

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 can be retreated 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, 2 Apr 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

After successful Root Canal Treatment the canals are completely devitalised , disinfected so there are no chances of pain .

Pain can be due to incompletely done procedure , left over unexplored canal , re-infection , food losgement between the cap and the tooth if the tooth is capped .
Swelling indicates spread of the infection to the periapical tissues leading to formation of abscess.

Take an x-ray of the tooth , which will show any left over remnants of pulp tissue or periapical infection depending upon which the treatment will be either re-RCT or extraction of the tooth.

Get scaling and polishing done .
Take complete course of antibiotic and analgesic .
Use saline water gargles , use antiseptic mouthwash gargles twice daily.

Hope this helps out.

Answered: Sat, 30 Mar 2013
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