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Removal of wisdom tooth has lead to severe mental stress.Is there a way to reduce this?

Hi, I had an impacted wisdom tooth which was bend towards the molar on my left lower jaw. On my regular oral check up I was told that molar needed Root Canal treatment , even though I had no pain or any other symptoms. Prior to that I was asked to remove my impacted wisdom tooth as it a hindrance. After having removed my wisdom tooth and Root canal done to my molar , I am now in great pain . Pl note that I still have a depression in my gum line after removing my impacted wisdom tooth. My toot canal tooth is sensitive when I touch and sometimes gets very painful ( clenching ) that does not go with a pain killer. After few days I found an abcess in the gum of RC tooth. The gum from where the tooth has been extracted and the RC tooth are painful. I was given pencillin for 10 days. Within 15 days the sharp shooting pain in RC molar is back. All this happened in past 3-4 months. I who had no pain or issues have landed in painful procedures and in deep mental stress . Pl. advice me what to do ?
Asked On : Sat, 30 Mar 2013
Answers:  4 Views:  51
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Dentist 's  Response
Thanks for asking query ,
Wisdom tooth extraction itself associated with several complications like fever, pain , swelling .
Pain in the rct treated tooth not occur normally until it is improperly done or reinfection due to incomplete filling of canals .It seems that your having abscess in that region which may be due to reinfection in rct treated tooth.
I suggest you to visit dentist and get it checked clinically and radio graphically . Re rct and drainage of abscess done.
Take tab amoxclav 625mg twice , tab ebility thrice ,gargle with warm saline water 3 to 4 times a day , use anti septic mouthwash .
hope this will help you.

Answered: Tue, 7 May 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Hello and welcome,
The pain is due to the re-infected root canal treated tooth.
Please do visit your dentist and get clinical and x-ray examination.
The pus has to be drained and curetted.
If required,re-rct has to be done.
If tooth cannot be saved,get it removed.
Maintain good oral hygiene.
Rinse your mouth using warm saline and betadine .
Also check whether your wisdom tooth extracted socket has healed properly.
Use chlorhexdine mouthrinse to gargle.
Take care.
Answered: Tue, 7 May 2013
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Dentist Dr. Farah Hussain's  Response

Hello there ,

Thanks for writing your query,

According to your history i can suspect some remnant of the infected pulp tissue has left unexplored during the root canal procedure or there is a missed canal due to which the infection has gone worse and you have developed a periodontal abscess due to spread of infection to the underlying tissues.

This type of periodontal abscess drains in the oral cavity and may lead to nausea and vomiting.

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 needs to be explored again for root canal procedure.

exact diagnosis can be made only after clinical examination and evaluation by taking radiographs.
please approach a dentist for treatment.

i hope this helps ,

take care.
Answered: Tue, 7 May 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

Wisdom tooth extraction is often associated with post extraction complications like pain, swelling. It usually take 3-5 days for pain to subside and almost three months for the socket to heal completely.
Pain in RC treated tooth can be because of several reasons like re-infection, incompletely done procedure.
I would suggest you to take a course of antibiotics and analgesics for somedays.
Take lukewarm saline and antiseptic mouthwash rinses.
If necessary you have to go re-RCT in the rc treated molar.

Hope this helps out.

Answered: Tue, 7 May 2013
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1 Doctor agrees with this answer

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