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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Pain In Tooth Along The Gum Line Despite Tooth Filling?

Hello.

I just had a cavity filled in one of my lateral incisors. While I was there I told the dentist about some of the pain I was feeling a little pain from the tooth, and he said that I would need a root canal.

For maybe the past 10 years, if I put pressure on this tooth in a particular way, I would feel a kind of tingling/itching/minor pain further up on the tooth, to where I think the root is. So my tooth has been like this for a long time. I even remember my old dentist back then telling me it may need a root canal at some time in the future.

I had made an appointment today to do a filling, because there was an obvious hole in the tooth from an old filling falling out. When I had the filling done, the dentist tapped the tooth, and poked at the hole, but I didnt feel any pan from that. He did the filling and told me to make an appointment in 6 months for a cleaning and examination.

This is a new dentist for me, I had a cleaning and some work done by a different dentist about 2 months ago. But I was unhappy with my treatment there, so I went somewhere else. The problem with that is that my insurance only covers 1 set of xrays every 6 months, so my new dentist had no xrays to look at. He also last week extracted one of my molers that had some serious decay.

Now its been about 12 hours after the filling, and the tooth hurts more then ever. The pain is mostly localized above the gumline, like where I think the root is. Its not a high amount of pain, but it does make me worry.

My question is, is this normal? Is it normal to have some pain in the root after a filling? And if I do need a root canal, can it wait for 6 months when I can get a full examination? The dentist didnt seem to concerned, doing the filling and then saying come back in 6 months. He said that as long as I dont feel pain, its ok to wait untill he gets a full set of xrays. (Though he was talking about my teeth in general, not the tooth he recently worked on) But now the tooth is hurting. Its only minor now, but Im worried about it getting worse. Is the root dieing? Is it infected? Will the infection spread? Everywhere I read, they say get the root canal done sooner rather then later. So then why can this tooth wait for 6 months? Or even 10 years?
Thu, 19 May 2016
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Dentist 's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

As per your complain if you were indicated for Root Canal Treatment and now you are done with a filling even without getting ruled out with an x Ray there are chances that the nerves are exposed and a direct filling over it can lead to nerve irritation and pain..

If you still wait for a dental insurance for another 6 months and do not get an x Ray done to rule out the exact cause of pain and discomfort there are chances that the infection and inflammation will keep on progressing leading to severe pain as well as discolouration of tooth and as it is a front tooth it can be unsightly..

Better get an x Ray done and in case of there is nerve exposure get root canal treatment done followed by capping of tooth..

As for now for pain you can take Ibuprofen for relief..

Hope this information helps..
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What Causes Persistent Pain In Tooth Along The Gum Line Despite Tooth Filling?

Hi.. Welcome to HEALTHCARE MAGIC.. As per your complain if you were indicated for Root Canal Treatment and now you are done with a filling even without getting ruled out with an x Ray there are chances that the nerves are exposed and a direct filling over it can lead to nerve irritation and pain.. If you still wait for a dental insurance for another 6 months and do not get an x Ray done to rule out the exact cause of pain and discomfort there are chances that the infection and inflammation will keep on progressing leading to severe pain as well as discolouration of tooth and as it is a front tooth it can be unsightly.. Better get an x Ray done and in case of there is nerve exposure get root canal treatment done followed by capping of tooth.. As for now for pain you can take Ibuprofen for relief.. Hope this information helps..