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Root canal done, tooth cap fell off, pain in tooth, facial swelling, eye soreness. Medical attention needed?

I had a root canal a few years ago. Since then the cap fell off and I dont have insurance. the past couple day it has been very sore. today i woke up and the whole right side of my face is hurting, even my eye is sore. also my face is very red and a bit swollen. Is this very serious or something that may go away on its own?
Asked On : Sun, 20 Jan 2013
Answers:  5 Views:  106
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Dentist 's  Response

the sore/pain of teeth is due to exposed dentin during crown cutting while placing crown.

there is also chance of secondary infection on root canal treated tooth.
visit your dentist ,get x-ray of tooth.

if necessary,re-rct has to be done and after that crown has to be placed.

take complete course of antibiotics prescribed by your dentist.
Answered: Sun, 20 Jan 2013
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Dentist Dr. Deepthi Reddy's  Response
Thank you for the query.
Definitly you have to attend the problem immediately. Swelling of the face indicates there is infection in the rootcanal treated teeth which lead to formation of abscess .Take an x-ray of the teeth , it will show the extent of infection and you may require to go for the repeation of the rootcanal treatment followed by a course of antibiotic and analgesic.So see your dentist as early as you can . Hope this information will help you.
Answered: Mon, 21 Jan 2013
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Dentist Dr. Deepika Attresh's  Response
Hello & welcome
this may be a failed root canal treatment causing all these symptoms, if no other carious tooth is present on that side.
surely you have to immediately visit to your dentist, otherwise this may lead to a serious space infection.
In the mean time you can start up with antibiotic course including amoxycilline 500 mg TDS, metrogyl 400 mg TDS & ibuprofen 400 mg TDS.
please do not do any heat or balm application.
thanks & take care
Answered: Mon, 21 Jan 2013
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Dentist Dr. Khushboo Bhatia's  Response
If dental crown of your tooth came out, then you should call your dentist asap and schedule an appointment with him. Don’t keep the loose dental crown in your mouth as you may accidentally swallow it. Dental crown can become loose and can come out because of decay below dental crown, lack of tooth structure to hold dental crown, if dental crown is ill fitting, more stresses and forces on dental crown or excess of sticky foods. Dental crown can also fall if permanent cement which is used by dentist is not of good quality or because of wear of dental crown which can cause percolation of fluids in dental crown and fall of dental crown. Tooth below dental crown can be black because of decay below dental crown or can turn black because of food accumulates or stains. If decay has occurred in tooth with dental crown, then root canal treatment will be required for the tooth. You have to visit your dentist so that he can fix the crown with permanent dental cement after necessary treatment. Fit of dental crown may also be affected if you delay getting it fixed. By the time, you get it fixed; you can avoid eating from that side of the mouth and keep that area clean to avoid any secondary infections
Answered: Sun, 20 Jan 2013
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Dentist Dr. Farah Hussain's  Response
Hello and welcome to HCM,
Root canal treated tooth is non vital and should not pain. if you have got pain in the treated tooth it shows some pulpal remnants and severe infection that has spread to the adjacent tissue leading to facial swelling. i sugest you to have Augementin 625mg along with NSAIDs twice daily that will subside swelling and pain. visit a dentist and get a x ray done for the area which will show you the affected teeth and underlying tissue damage. accordingly root canal can be redone for the tooth. thanks and take care.
Answered: Mon, 21 Jan 2013
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