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Tingling and burning sensation on tooth, had root canal done, sore jaw, migraines. Taking medication. Suggestions?

I recently had a root canal last week on my upper pre-molar right side, now a week later I am still experiencing tingling, burning sensation on the affected tooth, pressure on the tooth behind it and overall feeling of jaw soreness.
I have also experienced severe migrianes that appear out of nowhere and is different than a typical migraine that I have experienced before. It sends shooting pains up to the top of my head. I am on an antibiotic and painkiller/anti-inflammatory and nothing seems to help relieve this. I don't know what to do anymore with this constant pain...
Asked On : Sat, 23 Mar 2013
Answers:  5 Views:  346
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Dentist 's  Response
Hello there ,

Thanks for writing your query,

Dental pain is excruciating pain and often it radiates to the adjacent teeth , entire jaw , head and ear regions.

you may be feeling headache similar to migraine due to the existing dental infection in your oral cavity.

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 it has spread to the underlying tissues.

Because of the infection you are experiencing pain and discomfort.

The infected tooth needs to be explored again for root canal procedure.

you need to get an x ray done the affected area to confirm the presence of infection, approach a dentist for the treatment.

Antibiotics and analgesics will give you temporary relief , once the tooth is devitalized by root canal procedure all the symptoms willl subside.

i hope this helps ,

take care.
Answered: Thu, 9 May 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Hi Fitzpatrick,
Thanks for posting your query.

The pain after root canal treatment is usually caused due to-

Re-infection of the canals.
Improperly removed infected pulp within the canals.
Periapical infection spread into adjacent teeth.
I would advice you to get a radiological examination of the involved area.
Infected pulp remaining within the canals has to be removed completely.
Adjacent teeth has to be root canal treated,if infection has spread into the adjacent teeth.
Take complete course of antibiotics too.
Gargle using warm saline and betadine solution.
Hope this helps.
Answered: Fri, 10 May 2013
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Dentist Dr. Shubhajit Chakraborty's  Response
first u have to detect the pain is from detal origin or not.generally rct treated tooth does not pain ,is ur rct treated tooth tender on percussion??? if ,thn think of failure of rct ,u might hav to go for re-rct.
if no pain on percussion thn tak detal x-ray(iopar) see is there any over extent gp or periapical radiolucency. or u might hav other carious tooth what can cause pain
even after through check ur dentist does nt find any thing thn think for migraine
dental pain geneally doest not go upto the mid of the head but migraine does
there are plenty of different types of migraine
migraine happen due dialatation of extradural blood vessels
commomly prescribed drugs arte sumatriptan or ergotamine
for prophylactic purpose propanolon,methysergide is given
i suggest u to go for flunarizine (ca chanl blocker) it is quite safe drug u can use.
if symptom reliefs ,thn u definitely hav migraine ,other o.w u have to consult with other dpt also like eye
Answered: Thu, 9 May 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

After successful root canal treatment the canal are completely devitalised, disinfected and sealed to the apex, so there are no chances of pain.

Pain after the treatment can be due to re-infection of the tooth, accidently left unexplored canal,or incompletely done procedure.
I would suggest you to take an x-ray of the tooth, depending upon which treatment will be either re-RCT or extraction of the tooth.

Take tab Augmentin 625 mg twice and tab aceclofenac twice all this for three days, maintain a good oral hygiene use antiseptic mouthwash gargles twice daily.

Hope this helps out.

Answered: Wed, 10 Apr 2013
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

See your dentist again / Injury to the nerve during the procedure is a possibility and will heal with time?

It may be an unrelated issue like Trigeminal Neuralgia? Neurological assessment and assistance will be necessary - especially because of the change in the nature of your migraine...

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Thu, 11 Apr 2013
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