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Tender tooth after root canal therapy. Lump in the cheek. Infection?

I had root canal therapy done on a bottom molar on Thursday. The tooth is still tender and now today, Saturday, I have a lump in cheek - I called my doctor and he has prescribed antibotic for me to take for 10 days - he mentioned that if it gets worst I may have to the it drained . So what is it? an infection in the cheek from the root canal - my gum line is not swollen, just the small egg size lump in my cheek.
Asked On : Wed, 20 Mar 2013
Answers:  3 Views:  255
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Dentist 's  Response

Thanks for asking the query,

Tooth pain and swelling indicates infection of tooththat had spread to the adjoining tissue leading to formation of periodontal abscess . Drainage of abscess into the oral cavity leads to nausea , vomitting ,halitosis and stomach infection..

Antibiotic and analgesic will give temporary relief.
Get the abscess drained by the Dentist.

Take an x-ray of the infected tooth,
pain can be because of incomplete procedure or re-infection of the tooth.
Get the procedure complete , unless all the canals are divitalised , disinfected and sealed to the apex you may experience pain and infection.

Take saline water gargles 3-4 times a day it will give a soothing effect.
Use chlorhexidine mouthwash gargles twice daily.

Hope this helps out.

Answered: Thu, 21 Mar 2013
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Dentist Dr. Anshumala Singh's  Response
Dear friend.

Thanks for sharing your concern.

A successful root canal will never cause pain,because there is no nerve left in the tooth to cause pain.
The surrounding structure might cause mild irritation for two to three days but not an actual pain.

If you are experiencing constant pain in the RC treated tooth,then you must visit your dentist and check clinically if any canal is left unexplored?

Also the swelling indicates periapical infection.

An x ray is required to see the periapical pathology.The abscess which has developed in your cheek, should be further drained and antibiotic coverage should be given.

I would also suggest you to re check about the duration of antibiotic,as the course you have mentioned is very long.

Generally it is given for 3 to 5 days.

Hope this information helps you.

for further query contact me through my profile.

Answered: Wed, 20 Mar 2013
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2 Doctors agree with this answer

Dentist Dr. Gaurav Pratap Singh's  Response
go for xray for the tooth check the canal is ther any infection then go for re rct or extraction.also check high point in filling that also cause undue pressure on tooth.
Answered: Wed, 20 Mar 2013
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