When a person turns to the dentist for help, he naturally wants to not only cure the tooth, but also to make sure that he never gets sick in the future. However, the realities of life sometimes make their own corrections and create obstacles to this: some people, after filling a tooth, feel that it suddenly starts to hurt for some reason. It would seem that the doctor did everything as expected: sealed the canals and (or) put a seal, and the tooth still hurts under it.
It must be understood that exposure to tooth enamel and dentin with a drill and, moreover, the cleansing and filling of canals is a kind of small surgical operation to remove infected and necrotic tissues. It is quite natural after it is the presence of minor pain - for the period of recovery of the body.
Practitioners have certain criteria according to which pain after filling can be considered either as a normal condition, or, on the contrary, as a certain deviation from the norm. This takes into account the dynamics of pain, its nature, level of treatment, the presence of errors and complications during it, and other factors.
Let’s try to figure out why the tooth may hurt after filling, in which cases you can not worry about it, and in which you should suspect something was wrong and urgently consult your doctor for advice ...
Why a tooth can hurt under a filling
Pain in a filled tooth can be observed in the following typical cases:
- after treatment of caries (under constant filling);
- after canal treatment (under temporary or permanent filling).
First, we will examine in detail why pain can be felt after treatment of caries and filling.
Dentists-therapists for the most part are always optimistic, as they strive to keep a sick tooth “alive” with any type of caries, that is, without pulp removal (“Nerve”) from the channels. However, in some cases, at the stage of diagnosis and treatment, errors arise that are associated more with the tactics and approach of the doctor.
The most common errors that provoke pain in a filled tooth are the following:
- Incorrect diagnosis. This mistake is the doctor’s absolute fault. Deep caries and chronic pulpitis similar in symptoms and some external signs, so the dentist has a huge responsibility - not to confuse one with the other. If an error has nevertheless occurred, and the seal is overlapped with chronic pulpitis (as well as with other forms pulpitis and periodontitis), then after its installation the tooth may hurt "long and hard." Without canal treatment, in this case, a sealed tooth will not cease to hurt, and moreover, every day of patience with pain is a risk of losing a tooth forever.
- Overheating of the tooth. This problem is still relevant in many clinics (especially in budget ones) when air-water cooling of the treated area is not used, or it functions in a volume that does not meet modern requirements for tooth preparation for caries. Overheating of hard tissues with a drill leads to burns and pulp necrosis, which causes severe pain under the seal. In other words, violation of the protocol for the treatment of caries leads to the fact that inflammation of the pulp leads to new diseases - pulpitis or periodontitis.
- Over-bite filling. In some cases, a sealed tooth hurts when bitten. The fact is that the treatment of caries is most often carried out under anesthesia, so determining the height of the filling by bite can be difficult.The patient cannot exactly say whether the filling prevents him or not, as this is prevented by severe numbness in the mouth (sometimes not only a bad tooth, but even those adjacent to it). If the filled tooth hurts precisely when pressed, there is a feeling that the filling is too high, and you want to “push” it by bite, then you should immediately consult a dentist.
On a note
There is a popular belief among the people that the filling that interferes with the bite of the seal "will itself be rubbed." In fact, this is a false and dangerous idea, since an overestimated filling not only causes pain in a filled tooth, but also provokes trauma to the tissues surrounding the root, which leads to the risk of developing traumatic periodontitis (inflammation of the surrounding tissues), and this already carries risk of tooth loss.
- Polymerization stress. Modern light-cured composites (light fillings) have a negative property - to cause the so-called polymerization stress, or shrinkage of the filling, because of which the tooth begins to hurt some time after filling. During the curing of the material with a special lamp, it loses in volume and causes tension on the walls of the tooth, which are applied by the dentist. The larger the filling layer was introduced, the more severe this stress will be in most cases. As a result, non-compliance with the technology of working with light fillings leads to the fact that after filling, the tooth sometimes hurts a lot, and the pain can be either short-term (up to 1-2 weeks), and it does not go away at all.
The cause of pain after filling the canals
Pain after filling the tooth canals does not always occur and not in all clinical cases. Some dentists are of the opinion that normally, after filling the canals in the tooth, pain should not occur at all. At the same time, individual practitioners believe that, nevertheless, short-term painful sensations in a tooth without a “nerve” are within the acceptable norm, even if the work in the channels was carried out according to the treatment protocol and without errors.
So, what kind of toothache can there be after filling the canals:
- Pain when biting on a filled tooth. After the dentist put a temporary filling on the tooth, after a few hours or the next day, pain may occur when pressing on it. Many patients note that it is especially painful to press on a sealed tooth during a meal. If no mistakes were made during the treatment of the tooth canals, the cause of such pain is the reaction of the tissues surrounding the root of the tooth to the removal of the “nerve”, processing, expansion of the canals and the introduction of filling material into them. Typically, a filled tooth hurts no more than 5-7 days, sometimes up to 2-3 weeks. It depends on the material used for filling the canals and the individual reaction of the body in response to the "stimulus". In any case, a tooth normally treated in the canals should have positive dynamics: the pain should gradually subside until it disappears completely.
- Aching pain after treatment. After the canals have been filled, sometimes a aching toothache under the filling occurs immediately after undergoing anesthesia. As a rule, its duration is no more than 1-2 hours. If aching pain does not pass for a long time, and especially if its intensity increases every day, then you should immediately consult a dentist for clarification.
Is it painful to fill a tooth?
Tooth filling in case of caries can be performed without anesthesia, if during treatment there is no sensitivity. If a good “freezing” is done (anesthesia), then pain does not occur at any stage of treatment. In the treatment of canals, with rare exceptions, anesthesia is always required, which makes the treatment painless.
We can not say about the options for complications that occur during and after treatment of the canals. Sometimes toothache after filling can be a direct result of certain errors on the part of the doctor.
The most common medical errors that occur during treatment of canals:
- Canal filling with the removal of material beyond the root. This error leads to long-lasting pain when pressing on the tooth, despite a properly installed filling.
- Canal filling not to the apex (apex). The channel should normally be sealed for the entire working length. If this does not happen, then it is empty at a certain point. Nature does not tolerate emptiness, therefore microbes accumulate in the unsealed area, which subsequently provoke inflammation at the root. For some people, either immediately or after some time, there is either aching pain under the filling, or a sealed tooth hurts when pressed on it. In this case, retreatment and re-filling of the canal is required.
- Broken tool in the channel. In this case, the complication arises due to leaving a piece of a dental instrument in the canal with a source of infection - an inflamed "nerve" or bacteria that are not washed out of the canal. In the future, this often leads to pain after filling the tooth canals - immediately or after a few weeks (sometimes years).
- Poorly crafted feeds. Due to unprofessionalism or the complexity of the structure of the canals, the dentist sometimes cannot clean them properly. And any area that is left unattended inside the root is a risk that the tooth will hurt under the filling. Often, the transition of infection to the surrounding tissue root leads to a struggle for repeated preservation of the tooth in the future.
How to relieve pain at home after tooth filling
If, after cleaning the canals and filling, you have a toothache (post-filling pain), then there are several approaches to eliminate unpleasant sensations.
Generally speaking, if the dentist did not make any mistakes, then there is no need to prescribe rinses, but some experts recommend relieving pain with warm rinses with soda and salt.
On a note
Salt and soda have long been known in folk medicine as a means of getting rid of many pains. The mechanism of their action is due to the fact that they have anti-inflammatory and antiseptic effects. It is widely known that salt is capable of actively “pulling pus” onto itself, due to which, for example, it is used together with soda as a solution to rinse an open channel with a purulent form of periodontitis of the tooth.
So what to do if a toothache occurs under a filling? If the tooth hurts under temporary or permanent filling, you can start warm rinsing with soda and salt, and preferably as soon as possible. In this case, it is necessary to warm the tooth from the inside, but by no means from the outside (no need to press the cheek against the heating battery).
For the procedure, you need to make a little more than warm (as far as the mouth tolerates), rinse, adding a teaspoon of soda and a teaspoon of salt in a glass of water. Rinse should be 4-5 times for an hour until the pain disappears completely.
From the experience of the dentist
In some cases, 2-3 drops of 5% tincture of iodine can be added to a solution of soda and salt. However, it is worth remembering that for some people, iodine preparations are contraindicated, due to individual intolerance or problems with the thyroid gland.
If you have a home first-aid kit on hand, then you can look for drugs of general analgesic effect, such as: Ketorol, Baralgin, Nise, Ketanov, MIG 200.
When Dentist Care Required
As already noted above, sometimes after treatment of the canals and filling, serious complications arise that can lead to pain in a closed tooth.
Crucial here is the timely appeal to a specialist for advice. This is especially important if, after filling the canals, the gum becomes very painful and the gum swells.
In order to understand the essence of the problem, the dentist will definitely clarify the diagnosis, which was the first treatment.If a filling was placed in case of caries, and the tooth after that hurts for a long time and is very painful, then the dentist will examine the installed fillings, gum palpation, tooth percussion (tapping), and will make an EDI to verify pulp viability and radiological diagnostics. If inflammation of the “nerve” is confirmed, or, even worse, inflammation at the root, then the doctor will conduct extraction of all pulp from the channels and seals them along the entire length.
If a “dead” tooth hurts after filling the canals, the dentist will definitely take an x-ray. If errors are found in the treatment, the tooth will be resuscitated. In rare cases, if it is impossible to treat a tooth, the doctor will suggest removing it, and in its place put either an implant with a crown, or make a “bridge” with an artificial tooth.
Question to the dentist: “Immediately, as soon as I had a filling, the tooth began to hurt a lot, why?”
If a filling was placed on the tooth due to caries, then the pain after its loss is due to the fact that a large area of sensitive and unprotected tissues opens up for irritants. Often the filling flies out because the tooth was prepared poorly: carious tissues were not removed, therefore tooth decay continued under the filling.
An interesting video about the possible causes of pain in the tooth under the seal
And this is how the treatment of deep caries under a microscope looks like, all stages are well traced
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Often, after treating pulpitis, patients, to their surprise, find that the tooth continues to hurt - it hurts to press on it, bite, ...
Generally speaking, there is no such nosology as hidden caries in medical reference books and encyclopedias. Although the dentists themselves and their patients by this term ...
thank you very much for the information
thanks
thanks
A tooth was previously treated for chronic periodontitis, a year ago. Now ill again, what to do?
Need to remove the tooth. I had such a case. I have deleted.
Hello! Tell me, please, how to be? Before treatment, the teeth did not hurt. After replacing the old (cement) fillings with light-curing fillings, my teeth became very sore. Even the one whose nerve was removed a long time ago (they just didn’t touch it). There is no way. I have been suffering pain for three weeks now. I’ll get to the dentist in three more. By the way, after dental treatment, tonsillitis began. Infection? What to say to the dentist? Is all this a warranty case? Since I already took 20,000 to the clinic, and instead of treatment I got sores.
My tooth hurts, which is already a year under a filling with a removed nerve, why does it hurt? And around the tooth, my gum hurts ... Even tooth drops already do not help me.
Ahh, my gum hurts ((
See a doctor
I have the same problem, and none of the doctors will understand even from the picture. But today I made the decision myself - and remove it, tired of this aching pain.
If all the treatment is performed correctly, but the tooth hurts after filling the canals, this means that a residual infection has occurred in the apical region of the root.
If a tooth aches after filling with pressure, this may be due to the treatment of periodontitis, which appears due to advanced pulpitis. The cause of periodontitis can also be the incorrect installation of fillings in the root canals in the treatment of pulpitis.
And what to do with this residual reaction? Looks like I have this situation. The doctor said that the tooth was sealed correctly, but the picture shows a slight inflammation at the root. Therefore, the tooth aches, and what to do now?
Hello! In fact, there are two approaches to the inflammatory process at the top. Most often, anti-inflammatory treatment is performed (a paste based on calcium hydroxide or other drugs is injected into the canal) in order to first eliminate this focus, and only then put a seal. It takes from 1-2 months to 1-2 years, depending on the severity (area) of destruction of the bone beams near the apex of the root.
Now there is an approach, which consists in the fact that with small inflammation on the root, the dentist has the opportunity to immediately seal the canal and not use drugs that are put on for a long time. However, the choice of this method imposes a great responsibility of the doctor for the ideal intracanal treatment, which can hardly be shorter than 1-1.5 hours, usually using a microscope, using hypochlorite activation in the channels using ultrasound - all this leaves no chance of microbial flora to remain in the additional tubules, or inside the walls of the channels. In theory, the dentist should adhere to the same methods in the first treatment option (using pastes). Be that as it may, a number of experts believe that the second approach also leads to success: inflammation at the root is waning, as there is no feeding source of infection.
In your case, it is not yet possible to say for sure whether it is a standard post-filling pain or a consequence of an abandoned infection. I don’t know if they put pastes to remove the inflammation, but I think not. I suspect that nevertheless there is a place to be an infectious process, but it is impossible to draw final conclusions without careful collection of information (questioning), examination in the oral cavity, image analysis, etc. Thus, you need to appear to an independent doctor for an expert assessment of your clinical case (I think that they will definitely recommend taking a picture to check the work of the previous doctor). Thanks for the question.
There was a hole in the tooth, but the tooth did not hurt. Seven years passed, and I put a seal. Somewhere over a year has passed, the tooth hurts, why, what to do? Please tell me.
A little vodka with garlic, vodka must be spit out! Lie the sick side to the pillow, for 15 minutes four times a day.
If the tooth hurts after filling the canals, the restoration process will take a little longer - up to 3-4 weeks. It is important to note that every day a person's condition should improve until the pain subsides.
I put a seal about a month ago, but when pressed, the tooth hurts and its gums are swollen. Tell me why and what to do?
Hello! They closed my lateral tooth, was a little sick and throbbing, and the gum was next to it. But today a bag of watery blood appeared near him and a swelling, a throbbing pain - what is it?
Hello Yulia! Unfortunately, you did not provide x-rays that could confirm or refute some suspicions: complications during the treatment of the canal and (or) treatment of the tooth with an inflammatory process near the apex of the root (s). In this case, we can definitely talk about exacerbation, that is, the occurrence of a serous-purulent or purulent process, which causes a throbbing pain with phenomena in the gums. Most likely, this is brewing a fistulous course, which is not a normal phenomenon in this context.It is recommended to urgently seek help from your dentist (or other) dentist to diagnose the problem and make an urgent decision, since the rescue fistulous course may not form, and the person will take a non-symmetrical shape with the subsequent spread of the infection further. Depending on your capabilities (the level of the clinic, doctor, severity of the tooth condition, financial capabilities, etc.), either urgently treat the tooth or immediately remove it. Tolerating pain and doing nothing with an active infectious process in the peridental region is as stupid as waiting for the appendicitis to pass by itself.
Hello. Tell me please. I got a seal. As the anesthesia began to go away, the tooth began to ache. It has already been 6 hours after filling, now the tooth hurts when the jaw closes.
Hello! This is the result of either minor technical violations or gross. Let me explain: if there was a dentine overdrying, extra time for enamel etching under a light seal, a seal under the seal is illiterate, or the technology of bezkladochnaya restoration is broken, then within 3-7 days the pain should decrease or completely disappear. In the event that the tooth was overheated, the enamel near the seal was sharply polished, microcracks appeared near the seal, a strong vibration of the tip damaged the neurovascular bundle in the tooth, then pain when biting can only be a bell of future serious problems inside the channels. That is, gross errors can lead to pulpitis (periodontitis) and treatment of tooth canals. Since at the moment air-water cooling is used in the doctor’s work, the risk of overheating the tooth is now not so great. Therefore, we hope that you have the usual post-filling pain against a background of some technological inaccuracies or some kind of “adaptation”: forgive me theoretical professors who believe that everything that “hurts” after tooth treatment is the result of a doctor’s mistakes or inaccuracies, but the patient himself (his tooth individually) is not enough, which depends. If the pain when biting for 2-3 days does not go away, you can get advice from your doctor.
Hello ... My tooth started to hurt, I went to the clinic, they said that I need to be treated. For two or three days I walked constantly, put arsenic, then they said that they would put a seal. They removed the nerves (the attending physician still showed and said that it was a nerve), put a seal and made an “extension” on the outside ... After 2 years the tooth started to hurt, sometimes there are pains that make me sob. Already 2-3 weeks I can not get rid of the pain, what should I do? To remove a tooth or to recover?
Hello, Zarina! Unfortunately, you did not provide pictures that could at least somehow clarify the situation regarding possible complications during treatment and show the condition of the periapical part of the tooth roots. It is the x-ray picture that can give the answer: to save or remove the tooth, although in any case, your attending physician will also decide on the basis of intraoral data how to do better for your own benefit.
I cannot but say that there are statistics when a patient confuses a treated tooth with an untreated one. For example, you treated the canals of the sixth tooth, and in the fifth there was a carious spot or already “softening” of the enamel (some stage of caries). Of course, in two years, hidden caries can reach the “nerve” and cause severe pain, which (for some reason often) radiates to innocent neighboring “dead” (or even “living”) teeth. Of course, you decide that your problem is the same tooth that was treated a couple of years ago.
In my practice, I conduct a careful diagnosis. Sometimes in 30-40% of cases you can right in the chair (without a picture) understand that the wrong tooth is not to blame for which the barrel is being rolled. For example, the patient often complains of pain from the cold, which 100% excludes the "dead" tooth (with the removed "nerve").There are some more features of complaints that help to understand: the tooth or the wrong one. You did not write the features of your pains, but emphasized only the acute form (or exacerbation). This does not allow an accurate answer to your question.
Hello, after filling the canal on the left side, after 3 days the numbness of the chin began, a few days later the numbness began to pass, but it did not pass to the end. All three weeks before the doctor’s appointment, the tooth hurt and it hurts to open his mouth, as if something was pulling from the tooth. Yesterday, the doctor prescribed me physiotherapy. Tell me, please, what is it with a tooth and is it possible to attend physiotherapy?
Hello, Yana! I think you have a complication during treatment due to excessive processing of the canal or (more likely) the release of a small amount of filling material beyond the root. If in this clinic this condition is considered within the normal range and physiotherapy is prescribed, then most likely such a traumatic approach to treating canals is considered normal.
Ideally, after a properly conducted treatment according to all protocols, the tooth should not hurt at all. The absence of pain after channel treatment is the norm.
If you attach the pictures after the treatment, I can say closer to the truth if there is anything serious with the tooth. And about visiting physiotherapy - it's hard to say. To understand the causes of complications, and then to adjust the tactics of your attending physician.
Hello! I went to a private clinic with a bad tooth, the dentist said that deep caries ... They cleaned, put a seal, paid a rather large sum for it! But the tooth continued to hurt. I came back to this clinic, they said that pulpitis and it is necessary to remove the nerve. Tell me, is it considered a doctor’s mistake that they filled my diseased tooth without removing the nerve initially ?! They didn’t even do an x-ray.
Hello Anna! I didn’t think that this would ever happen, but from the ethical point of view you asked the most difficult question. If you answer it, not paying attention to a number of moral nuances, then doing this is not at all difficult. The fact is that X-ray does not always help to distinguish deep caries from pulpitis in a “calm” form.
The fact that your doctor felt sorry for the “nerve” is a normal occurrence, given that the main signs were precisely for such actions. Unfortunately, in many clinics there is no EDI device to determine exactly: caries or pulpitis in the tooth. However, according to a number of points, in 70-80% of cases it is possible to precisely determine by which strategy to conduct treatment without this apparatus.
I want to get a little distracted from the topic and say that I observed a lot of patients' opinions in my network and in my practice, like: “Imagine, Masha, she came to the dentist, nothing hurt at all, and for some reason he“ ripped off all the “nerves” from the tooth, and now I’ll walk with a “dead” tooth all my life - I’m already afraid to walk with a hole in my tooth again, suddenly again the same way. ”
Now tell me, Anna, is it a doctor’s mistake to “remove the nerve” when nothing hurt and doesn’t hurt ”?
Money, Anna, often plays the last role here. However, I can not help but focus on your suspicions from the point of view of the financial side of the issue. If this happens in the practice of a normal doctor, he simply does not take money, and the patient pays only for trifles (for example, anesthesia, "cleaning" the channels at an agreed price, etc.). A normal doctor will do everything for you to see his concern for you and honesty regarding the management of your tooth. What can you do if he missed something?
Want to know the options for your problem - please:
1. Initially, you already had pulpitis in your tooth;
2. Overheated tooth during treatment (tip vibration also affects);
3. It turned out to be opened "pulp";
4. The material had a toxic effect;
5. Aggressive drug treatment of the bottom of the cavity;
6. The bottom of the cavity is poorly treated for infection.
In principle, all these points can be attributed to the doctor’s mistake, but the doctor is definitely not a robot with a given program that does not make mistakes, especially in such a delicate matter. In the West, as in some clinics in Russia, there has long been an unspoken tradition of avoiding the concept of "Deep caries", and treating pulpitis immediately, avoiding a possible conflict situation with the patient. If the doctor had done so right away, there would have been no conflict.
If the dentist will not take money from you again for a filling that he will have to re-install after treating the canals, then the well-intentioned doctor just wanted to keep the “nerves” in your tooth, for which I personally thank you (as a colleague), and from errors in the diagnosis and (or) technical imperfection during treatment (not only the hands, but also the equipment affects), not a single doctor is insured. It remains only to "Understand and forgive."
Good afternoon! Tell me please. During pregnancy, I had fillings on several teeth, my nerves were not removed. Six months passed, one tooth began to hurt. When I eat, there is a sharp pain, even in the head gives. The seal is in place. It’s very difficult to get to the dentist, wait a few weeks. In addition, I have a baby (4 months), is it safe for me to treat this tooth now? What medicine is used for anesthesia?
Hello Margot! The fact that you have the only dentist that is difficult to get to is a big minus. From personal experience: my patients often complain about the fact that the tooth was brought to the extraction almost only because I was on vacation. In general, this is by itself, the doctor is to blame for complications due to "not getting to him" ...
I think my answer will be simple: it is unsafe to leave the focus of infection in the body, especially since the first bells (symptoms) require prudence from you. The bell may score in the coming days, weeks, but it will be too late.
It is recommended that you ask your doctor for treatment with modern imported articaine anesthetics. Quotation from the instructions for Artikain: “During lactation, there is no need to interrupt breastfeeding, since clinically significant concentrations of Artikain are not found in breast milk.” Dentists work with nursing mothers without restrictions, as with ordinary people. Moreover, an untimely cured tooth is by no means safe from the development of a purulent process.
Many thanks!
Hello, my husband decided to treat his teeth, everything that needs it. The situation on the last tooth: not sick, but it was clear that he needed treatment (one of the indigenous). First, we set a temporary one for a week to see if it will hurt and whether it is worth climbing into the nerves and channels. The tooth reacted to cold and hot, so the doctor decided to clean and fill the canals just in case. Three weeks passed, the husband complains every day that the tooth is terribly sore, the reaction to the cold and hot. The doctor said that this is the norm, this may be a month. I can’t explain to my husband why, after treatment, a tooth hurts that had not bothered before. Is month really the norm? And one more question interests. Do clinics have to give x-ray pictures?
Found what they were doing:
1. Anesthesia infiltration
2. Sealing with a three-channel gutta-percha pin
3. Radiovisiography
4. Restoration of a tooth crown without a pin more than 1 \ 2
5. Machine drug treatment of one channel
6. Ceram X mono
Hello Irina! A “dead” tooth will certainly never respond to a cold tooth. If your spouse has a reaction to this irritant, then you should look for some not yet treated “living” tooth. Most likely, you are not agreeing something: for example, the fact that on the eve (a couple of days or weeks before the nerve was removed), your spouse was given a filling or fillings with medium and (or) deep caries, and only then switched to the treatment of the molar canals . I just dare to assume that they were mistaken with the choice of a causative tooth. Therefore, your spouse’s reaction to cold and hot, at least from another tooth, and at the very least, is the result of mistakes in the treatment of caries of some teeth the day before.
So it’s strange that for a doctor, a reaction to a cold tooth from a dead tooth is the norm.The month after the treatment has nothing to do with it. Clinics are not required to issue medical documentation, which includes x-rays. However, in court, these documents appear necessarily if controversial issues arise and the reasons for the trial.
Good afternoon, if I didn’t finish it, then out of ignorance. Now I looked at the shemka on the Internet - she complains about a 6 tooth. That same day, the doctor first cured 7, but there he quickly managed, caries, he said, was not deep and immediately put a permanent seal. Then he took up 6 - wrote about him above. I also found a diagnosis of 6 tooth: treatment of pulpitis 3k / k 16. That is, 7 can hurt? When I called the doctor, a week ago, he told us that this is the norm, and you can not come earlier than a month from this date, just spend time, now I won’t do anything.
Hello Irina. I perfectly understood that 3 channels were treated in 16 tooth, that is, the tooth is “dead”. Acute pains in the cold may well give the tooth just treated for tooth decay. This is not the norm - for sure.
If in my practice this sometimes happens, then in this context I do not allow to endure: I am looking for a causative tooth (if with a filling, then with a filling) and I am treating it in-channel. It goes without saying that it is not always possible to foresee everything, but helping a person is extremely important. Moreover, I’m not sure that your spouse is ready to wait a month when the pains from cold and hot pass. In the pulp of a living tooth, changes can occur that lead to inflammation of the “nerve” if technical errors were made during the treatment of tooth decay.
In general, you should look for a causative tooth, treat the channels of the causative tooth, or confine yourself to a seal (reinstall the seal), and then life will return to its normal course. What the doctor in the context of your complaints makes you endure is a matter of concern.
Good afternoon! Tell me what this problem is associated with. After the treatment of caries in three teeth, a certain place of each filling hurts for a month with a light touch with something hard. Even when I brush my teeth, I feel these places, brushing them. The doctor put more fillings on the first tooth after the occurrence of such a problem, but the pain returned again, and also appeared on subsequent fillings.
Hello Maxim! The technique of setting the seal is broken. I am sure that they put light-cured material on you, which is capricious in this regard. Most often, such pain is caused by overdried dentin or bottom separation of the filling. I will not drive your brain into our wilds, but I will only say that a light filling requires 100% compliance with the production technique. Your doctor, out of kindness of soul, tried to correct the situation, but approached her again from the perspective of trial and error.
Many colleagues believe that such problems go away on their own without treatment in a couple of weeks or months. It turns out that it is worth waiting for the weather near the sea and there is porridge. It is not known how long?
Ideally, you should go to the clinic, where there is an EDI device and evaluate the condition of the pulp of the teeth. This will show whether the doctor made mistakes that affect the life of the "nerve." If irritability is reduced, then only the correct treatment of the canals of the tooth will solve your problem once and for all.
If EDI is normal, then it will be important to treat each tooth correctly: do not apply a new portion of the filling, but remove the old one and, observing every little detail of the technology, restore the anatomical and functional parameters of each of your teeth. This is the only way to achieve a promising result.
About the option with putting other material on your tooth - I am silent, as this is too primitive a measure, although sometimes it leads to a normal result. Indeed, the meaning of such seals is that they do not “tear off” anything and do not require strictness in the protocol. I don’t think that you really need cement or some kind of chemical composite, although it only becomes clear upon closer examination of the clinical situation.
Good afternoon! Tell me, please: they treated a shallow caries, put a filling, a tooth did not hurt for a week, chewed on it, drank cold / hot - no pain. BUT! A week later, he started to get sick, ONLY when I chew on him, does not respond to hot / cold. It lasts about a week and a half, because of what it can be and what advise?
Hello Bogdan! I recommend you go to the clinic where there is EDI (electroodontodiagnosis of the tooth). The fact is that a tooth under a filling (if the problem is with its formulation) starts to hurt when it is “pressed” almost immediately after the treatment.
If you have this after a week, then there are risks of inflammation of the "nerve" against the background of overheating of the tooth during treatment. There are still many doctor's mistakes that could lead to this trouble, so it is so important to determine the state of pulp health by EDI. If EDI is the norm, then feel free to reinstall the seal (if the same doctors have it, then it is under warranty): we are talking about treating or changing the seal. If the EDI is greater than 20-30 μA, then we are talking about the inflammatory process in the canals and will have to treat the canals first.
If you do not find a clinic where there is EDI, then doctors can simply offer to immediately treat the tooth canals, which will lead to success (the pain will stop), but the tooth will already be “dead”. Make an informed decision - and be healthy!
Good. Several teeth began to hurt at once from the top right. Among them, the 6th was treated 1.5 years ago, with cleaning the canals and installing a photopolymer seal, the 7th 2.5 years as with a temporary filling on the treated canals. A few days ago, a hole was formed at the junction between 6-7, which did not exist before. The pain is dull, but severe. Sometimes it seems that the bottom row gives. Gives to the cheek. When the tongue touches the cheek at the junction of the 5th and 6th teeth, the pain is pointed and intensifies in the cheek. When pressing on the 4-5-6th teeth with lower teeth, pain also occurs in them.
While the holidays, there is no way to see a doctor. Tell me, what exactly can cause such pain in (or very close to) “dead” teeth?
Hello, Ivan! The dentist will first have to check the 5th tooth for possible hidden caries. If it has nothing to do with it, then there will be an analysis of the situation with the carious cavity, which is located at the junction of the dead teeth, or rather, on the 6th or 7th tooth. A diagnostic picture will be taken to understand which tooth is in the acute phase. That is, “dead” teeth can hurt for various reasons. Most often, the result of this is a violation of the integrity of the seal. I don’t understand why you didn’t put a permanent filling on the 7th tooth, because this almost always leads to an exacerbation. If you close your eyes to this fact, then the carious cavity formed in the gum zone of one of the dead teeth cannot be found anywhere. It is quite possible that its depth already “borders” with the treated canals, and the infection from the oral cavity easily penetrates the inside of the tooth: the tooth is depressed slowly but surely followed by a purulent manifestation. The fact that the body is still able to stop this process can be called some “luck”, since in some cases the result of infection in a dead tooth is a flux on the face. The sooner you go to the doctor and establish the exact cause of the pain (the tooth is, first of all, the patient), the better the prognosis and less risk to the body.
Hello. 8 months ago they put me a seal. Now the tooth hurts a lot. I went to the doctor, the doctor took a picture and said that the channels are clean. He said that I had an infection and prescribed antibiotics. For two days I took antibiotics, the pain did not abate. Took an ibuprofen pain medication. The tooth does not pass. It hurts, pulls.
Hello! I think you should contact another doctor for an independent analysis of the situation. It is quite possible that the doctor is not interested in this treatment for some reason, so the appointments are not reduced to eliminating the cause (searching and treating a diseased tooth), but to the routine treatment of the “consequence”. Usually this only drives the infectious process into a chronic one: nothing hurts, and the tooth inside “rots”. I am sure that you will come across a doctor who can identify the causative tooth and conduct its full treatment. Wish you luck!
Hello! A piece of my upper chewing tooth broke off, but I was not sick, did not bother. While I was able to get to the doctor (three weeks after the cleavage), I slowly began to get sick, sometimes ached, but did not bother much. At the first appointment, the doctor expanded this hole for me, put something like arsenic there (a less toxic option) and temporarily sealed it. A day later, I opened this temporary seal and removed the remnants of the medicine. And a week I went with this hole, nothing bothered me, there was no pain. A week later, I came to the next appointment, where they had already cleared the canals, removed the nerve and put in a temporary seal again, they told me to come back every other day. But the question is: when they cleaned my canals (after having put anesthesia), she climbed somewhere with her thin instrument (types of needles) and hurt. When I grimaced, she began to clean there even more intensively, thereby intensifying the pain. That is, the tooth began to hurt already in the chair, and now does not stop. Is this normal? The doctor said it was a post-filling pain and should go away in a couple of days. Is it worth the wait? Or is it better to go to another more competent doctor? How many she treated her teeth so that immediately in the chair the tooth began to hurt and hurt after treatment - this is the first time.
And another question on temporary fillings: can a tooth hurt with an incorrectly placed temporary fillings? Like going beyond the roots of a tooth, letting in air, and so on? Or is it not scary, because will it be removed in a couple of days and will a constant be put in its place anyway? The main thing is that the constant be set correctly?
Hello! You can evaluate the correctness of the doctor’s work by more than 70-80% from the picture. Of course, this diagnosis is carried out by the doctor on the spot, and the pictures are most often not issued to the hands, since they are considered part of the documentation. The fact is that your anesthesia individually did not work 100%, so you felt pain. Sometimes pain occurs only when a treatment error occurs in the channels (perforations), but more often than not, as I have already said, “freezing” errors.
A post-filling pain reaction is not the norm, but it does not affect the prospect of preserving the tooth if the treatment result is displayed as perfectly treated canals in the pictures. Of course, a snapshot is not 100% control, but something close to that. Usually such pains disappear in 3-5 days, but, depending on the technique and material, can last up to 7-10 days. Their intensity should be less every day - this is a positive trend.
As for the temporary filling: of course, there are risks of its violation, which is why the doctor makes an appointment for the next appointment in the near future: after 2-5 days. Sometimes this period increases, but it really depends on the choice of material for temporary fillings, since there are many materials that can withstand short periods of time (1-2 weeks) even with ordinary chewing loads. Now, dental researchers believe that it is best to put a permanent seal instead of a temporary seal, which is cheaper, and after a few days change it to a new one. However, such reinsurance (no matter what happens) can afford only expensive clinics. That is, these experts believe (probably not without reason) that even if there are risks of accidental infection of the canals through a temporary filling equal to 2-3% for a minimum short period, then this is an occasion to do hermetically immediately.
Goodnight! On April 4, shallow caries of 27 teeth was treated; they didn’t even do anesthesia. The very next day, a tooth started to hurt and reacted to cold-hot. I went to the doctor (who was treating), he says that caries is not deep, nothing can be, and that now the body is getting so used. A few days later I began to have a tingling sensation in my ear, which continues to this day, and at the same time gives a little tooth at 27, 26 and 25. Already does not respond to cold and hot. According to the picture, everything is in order, from the ENT side everything is also in order.
A week ago, she removed a wisdom tooth from above the 27th tooth, as another dentist suggested, but tingling in the ear remains.
Please tell me what it can be and what needs to be treated in my situation? Perhaps it is worth changing the seal on the 27th tooth? Won't it get worse from this? Could there really be such a long addiction? Thanks in advance.
Hello Daria! After the seal is installed, the reaction to the cold is usually caused by grinding the enamel near the contact of the material with the tissues of the teeth. The stronger the tooth is polished, the more pain there is. Often the pain is caused by the conductivity of the material, but more often - by ordinary violations of the technology when filling with light-cured materials. Did you get a light seal?
As for the pain reaction from the ear: in general, pain in the ear is almost always due to irradiation from the lower teeth. And you write that you were treated with 27 tooth: this is the 7 upper tooth on the left. I think that it is advisable to look from the same side for the lower tooth with a hidden carious cavity. In addition, a snapshot, a test for temperature stimuli (cold), and also measuring the readings on the EDI device help. The latter is not in all dentistry, but the search for a lower tooth “due to pain in the ear” is quite worth it.
Svyatoslav Gennadievich, good afternoon!
Yes, I had a light seal. I went and checked my teeth for EDI, the top 27, 26, as well as the bottom under them. The indicators were like healthy teeth, that is, the nerve is not inflamed. They re-took the picture, also everything is in order. And the ear still pricks and sometimes the 27 tooth and gum ache over it. The doctor offered to wait another week and redo the seal. But can a filling installation give such reactions and is it not harmful for the tooth to disturb it again? Everything is very strange, but it all started the day after installing the seal.
This time they told me that they would only redo it with anesthesia, they had never treated caries like that.
Hello Daria! In general, all this is strange: if the human factor did not play a role, and you really do not have inflammation in the pulp in either your lower or upper teeth, then you get the feeling that it is worth checking only the ear itself. In theory, the filling itself cannot give irradiation to the ear. I heard about the fact that it’s painful to press the installed seal, I also heard about the reaction to the cold near it, but irradiation is something new for me. With healthy pulp conditions. Not sure if the usual remake can bring success.
In general, I treat caries in 70-80% of cases under anesthesia. Patients are almost 100% asked, as it is comfortable.
In principle, your case is already complicated in order to disassemble it in absentia and advise something in absentia. It sometimes happens in my practice that it takes about an hour only to search for a causative tooth. I think that perhaps we are missing some important diagnostic moment. Or does the ear hurt on its own? ..
Hello. After filling the canals, 16 tooth, a tumor appeared on the cheek, the tooth hurts with a throbbing pain, especially at night. Pills hardly help. The tooth also hurt before filling, I told the doctor about it, but they told me that there was no other way out and was sealed. I do not know what to do, but there is no more strength to endure.
Hello! There are only two options: either try to treat the tooth again, but using a different technique (it does not matter which doctor), or remove and not suffer. At the last - it can be difficult to decide. To know what mistakes you made during treatment, to see a picture with the treated channels. Most often, the tooth continues to be aggravated due to insufficient processing of the canals or formed complications: perforation of the root, bottom, breaking of the instrument, etc. I do not think it is worth to endure and swallow tablets. This does not always give an effect, but if it does, it is almost always temporary - until the next accumulation of a new portion of “infection” in the channels and beyond.
Hello, Svyatoslav Gennadievich! I cleaned the canals and installed a temporary filling - the tooth did not hurt, even when the anesthesia was gone. A day later they put a permanent seal - there was no pain. But another day later he started to hurt, reacts more to pressing. The doctor opened the seal, looked again and cleared the canals, put in a temporary seal, which I removed the next day. The tooth continues to “whine” and responds to pressing. Gum tumor and no other. Yesterday they washed the tooth again and put another temporary seal. My tooth has been sore for a week now, but I feel a little less since last night. I would like to ask how long a tooth can hurt and what is the possible cause of the pain?
Hello! I think that many questions have disappeared by themselves if you provided a snapshot (possible as a link). I will analyze it and possibly reveal inaccuracies in the work of the doctor.
As for why there are pains when “biting”, there are many options: from the doctor’s excessive zeal regarding top filling work, to removing filling material at the top of the root. It is clear that pain when pressed can be caused by breaking off tools in the canal, perforation of the root, or casting “sawdust” from the dirty walls of the canals beyond the apical opening.
The most common case is post-filling pain amid fresh fillings with small or gross errors. Understand what you have, will help 70-80% percent shot of the tooth.
Thanks a lot! I'll try to make a link to the picture.
Hello. Unbearably painful after 2 months after treatment of the front lower tooth. Immediately after treatment, nothing hurt. The nerve is preserved, the tooth is alive, although a light-cured filling has been installed on it for the second time (the first has fallen out). Over the past month, this tooth has been sore for the second time, and from it the whole jaw (according to sensations). I noticed a trend: legs froze - recently treated teeth fell ill. The last time I was saved by ketorol (the tooth hurt for 3 days), then it stopped. Now again I am suffering the same pains for the third day, ketorol helps for 1 hour. What could it be? And what to do? The gums did not swell or blush, but it feels like even the chin hurts.
Hello! The pain is spontaneous, that is, without an external stimulus already refers to the destruction of the pulp inside the canal. I think that the factor you are writing about (“your legs are frozen”) is only a provocation of the inflammatory process in the channel: from sleeping to the active process. That is, you have an aggravation ...
But only a doctor will make a specific diagnosis: periodontitis or pulpitis. From the picture it is sometimes difficult to do, but the fact that it is necessary to treat the canal of this tooth is 100%. However, I cannot but say that the dentist must carefully examine the remaining teeth so that there is no mistake. Suddenly there is another tooth, which gives spontaneous pain. It is intracanal treatment that will help relieve you of pain and prevent tooth extraction in the future.Contact your dentist for treatment of the causative tooth canal so that the effects of rotting inside the pulp canal do not lead to edema or "flux", as it is popularly called. One seal is definitely not enough. Health to you!
Hello, I treated periodontitis. The next day, the tooth both hurt and hurt, it hurts to bite. This is the norm and how much more can he get sick?
Hello! Treatment of periodontitis in many clinical situations can be unpredictable in relation to subjective sensations. Despite this, a number of reputable dentists claim that with perfect treatment of the canals, even with periodontitis, you can achieve 100% comfort for the patient. It is clear that in ordinary life, treatment is often accompanied by a number of nuances-errors that give such pains, although this may not affect the final result and long-term perspective. For a more critical and detailed analysis, you do not have enough control shots. It will help to identify possible errors and predict the fate of further tooth treatment.
Good afternoon! Please tell me what to do ... A hole has formed in the tooth (bottom 6, if I understand the location correctly). There was no particular pain, but because of the fear of dentists, she reached out to severe pain. I went to paid dentistry. Diagnosis: pulpitis of a three-channel tooth, it seems, somehow. The tooth is destroyed by about 30-40%. They cleaned the canals (as I understood), put a temporary seal, told to come back in a week. So, they propose to put a crown. It is expensive. I asked about the seal. They said that it is possible to put a seal, but it will fall out in about 3 months. Since there are a lot of reviews about the clinic about the clinic, they’ll make money, I would like to know the opinion of other dentists on this issue. And another question ... The whole procedure with cleaning the channels and installing a temporary seal was performed the day before yesterday. After the anesthesia was gone, the gums started to hurt a lot, from an injection, as I understand it. But today the tooth that was being treated was very ill. The nature of the pain is mostly aching, sometimes tingling, sometimes pulsating, and when pressed, it hurts unbearably. To the doctor only on Tuesday. Or is it worth it to sound the alarm and run to the doctor as quickly as possible? Thank you very much in advance.
Hello, Elena! I think that you are faced with the problem of post-filling pain after treatment of the tooth canals. This, of course, is a complication, but it does not often affect the prospect of tooth preservation. Rather, the inner sensations of a person and the comfort of his existence. Of course, there are cases when serious mistakes by a doctor lead to such pains, but everything can be checked by taking a picture of a tooth: if the canals are treated properly, the problems will go away within 5-12 days.
As for the crown, I can say so. Not seeing the degree of tooth decay, I can’t tell you how feasible the doctors suggestion. However, I can comment on what usually happens in practice. If the tooth becomes “dead”, then the nutrition of its remaining walls does not occur. The result of simple filling (without a crown) often becomes a splinter or break of the wall under the gum with an accidental simultaneous load on a dead tooth. With a correctly made crown, the tooth is in this respect safe, as its walls become a monolith for loading. That is, to break this design is much more difficult.
Even tooth restoration according to the “pin + seal” principle does not save 100% of the tooth wall from future chips. Of course, when chipping, you can re-treat the tooth and extend its service life, but a tooth restored by the same principle (without a tab + crown) is doomed in the coming years to 40-50% percent already to be removed. Since it is “falling apart” thoroughly, and these finishing touches only create imaginary prosperity, turning all this “business” into roots.
Of course, people who are not from a good life are ready to restore the same tooth again and again (as long as enough), neglecting the indication for orthopedic constructions (tabs, crowns). That is why it is difficult for me to definitely recommend (or not recommend) something in this situation, without seeing you, your tooth firsthand and without talking for 5-15 minutes to form a complete picture. But I’m sure that you will make the right decision. If you need to understand what has been done with the tooth channels (one way or another), then you can send a picture of the tooth to the post office. I will be glad to help you in full.
Hello)) Tell me, please, a toothache after putting the medicine under a temporary filling, pulpitis was found. The doctor said that he would come in a week, and I was worried, why it hurts, and as if still close by a tooth, do not touch at all? Thanks ))
Hello! I think you have been given paste for pulpitis, which does not contain arsenic. Similar, as their patients affectionately call “medicines,” in a short time they can begin to behave as “poisons”. Of course, these are travel drugs, which, in theory, can be set for up to 1-2 weeks. However, it is ideal in each individual case to install the paste on the opened "nerve" is not obtained by all doctors. Many dentists generally do without such preparation of a multi-root tooth for endodontic treatment.
If a doctor treats pulpitis with exactly the method that you have used, then you should be prepared for the fact that the tooth "ripens" for treatment extremely quickly. That is, the pain when you click on it may well spread to neighboring teeth, as in the maxillofacial region there are many relationships. My suggestion to you is extremely simple: you should immediately consult a dentist-therapist for the full treatment of dental canals. They (canals) are already ready for this, and there is no sense at all to torment a tooth and “cook it in its own juice”.
Here is a snapshot [link is available only to the doctor]
I highlighted the tooth in a red circle. A tooth without nerves, canals were treated, about 7 months ago. When chewing bread and when cold or hot, the tooth reacts. I will not say that there is severe pain, but still there are sensations. Sensations do not increase. That is, for about a month now they are the same. I can live with it, but I'm worried about development. Will the deterioration begin within a year?
Hello! I think that in such a situation, a thorough examination in the oral cavity can help. To a cold depulpted tooth never reacts. That is, you should look for a problem tooth next to it: check the reaction to the temperature of neighboring teeth. Then comes the percussion of the teeth: it is important to note that a tooth already treated 7 months ago can react with a “tapping”.
Finding hidden caries on adjacent teeth is an important diagnostic point. I’m more than sure that it is about caries on one of the teeth, in addition to the one that is currently “dead” (about which you are writing).
The last question cannot be answered due to the fact that we do not know the size of the carious cavity and the real dynamics of the carious process. In any case, it is almost impossible to predict the timing of the transition of caries into its complications, since everything is individual.
I studied the picture of the depulped tooth in detail, but it does not give all the answers to the questions, but only an approximate idea of filling the canals. There was a suspicion that some channels were not sealed to a physiological narrowing. In order to concretize this fact and search for an additional channel (which could not be detected), it is necessary to make an aim shot of this particular tooth. This will be an enlarged version where you can consider everything. The best option may be pictures on a visiograph in different projections. However, “film” contact radiography may be appropriate.
For a long time I was worried about getting food debris between the bottom 8 and 7. There was always a subsequent pain, after flossing it went away. Last month, the pain did not go away. I went to the dentist. Knocking on the teeth, he said that he could not determine which tooth hurts, gave time 3 days, removing the gap between the teeth. The pain remained, but aching, and again it is not clear where. Having laid the medicine for nerve removal, putting a temporary filling in both teeth at once under anesthesia, he said to come in two weeks, and if it hurts, then sooner. They ached all the time, but tolerantly, and I came again. Sealed 6 channels, one channel only with paste without a pin, did not hit, made the diagnosis: three-root pulpitis. I sent it to the picture, said that everything was just fine, but if I knew that I had such bad channels, I would not take it. One of the sevens under forty-five degrees goes under the eight. I couldn’t get into one channel in the eight with a pin, narrowly and curved. In the end, everything is wonderful, as he said. And I sealed the canals, and immediately put a permanent seal on two teeth. But the next day, night and daytime aching with shooting pains when pressed, when tapping the teeth with these two long-suffering, began. Third night at the tempalgin. It becomes a little easier for a while if you rinse with warm salt water. Relief, as you write, is not gradual. What to do?
There is a snapshot, but how to provide it? Can I remove it to the phone?
Hello! I think that you have encountered, at least, pronounced post-filling pains. Two three-channel teeth are treated at the same time, and one of them - the wisdom tooth - is an exclusive case. It is clear that the doctor could do anything there, especially since he talked so indistinctly with you. I think that the main reason for such a violent reaction is the traumatic treatment of the canals of the tooth (teeth) and, possibly, the removal of filling material outside the root.
Checking the pictures would not hurt. Making a photo on your phone is, in principle, possible. Send photos of the pictures through feedback on the site for detailed analysis.
Hello, Svyatoslav Gennadievich. Please advise how to be. Light fillings are installed on the front lower teeth along the inner edge in order to hide the gap between the teeth. That is, there was no caries on these teeth, they just turned them and installed fillings. Before installation, dental deposits were removed. On one of the teeth the seal fell out twice, and under the guarantee I was restored once, the second time I had to pay again. And now, in fact, the problem: at times the tooth hurts a lot, after more than one month, it staggers. Even the chin goes numb. There is no flux. Aching pain, worse at night. Can I ask a doctor to reinstall the seal on this tooth under warranty so that my nerve is removed? Or would it be better in this case to immediately install a crown on it? Sorry, if I ask stupid things, I know that it’s impossible to save on teeth, but at present it’s limited in money, so I ask for advice. Tolerate these pains is no longer strength, they are repeated regularly, once, or even two a month, and it hurts more than one day. I can’t even imagine what these pains are associated with, but it can hurt from three days to a week, then it goes away, as it never happened.
Hello, Elena! I think that, judging by the symptoms, it goes to your point that the pulp gradually dies in the canal or canals (since there are often 2 canals in the front lower teeth). There is hope that the pulp is in the "intermediate" stage and there is still time before the clear purulent process. Therefore, it is worth hurrying to depulpate a tooth, or already treat it like periodontitis, that is, a tooth with dead pulp.
I think that this is the result of overheating of the tooth during the preparation of it under a filling. That is what is most often the cause. To prove that the doctor is to blame is complicated.I can say that when I started my work, I often came across the fact that I could not find a compromise with my supervisor in private dentistry. Personally, I wanted to put a seal for free, and to take money only for the treatment of the canal, as an additional and necessary service, but my manager believed that the consumption of material was an important criterion, and the tooth began to hurt for some reason.
I don’t even know what to advise you on such a budget: I don’t think that putting pressure on the doctor’s conscience will bring results, and it can be expensive and often ineffective to prove one’s right. I don’t think that according to my personal example, doctors can work, but it’s worth trying: clarify this nuance in the clinic where you did it, and only then think where to urgently treat the canal to prevent complications.
Continuation to the above ... After three days of pain, an abscess on the gum came out under a staggering tooth. There are already no options, running to the doctor. They took a picture, and they explained to me, as a person who did not understand, that the pulp had rotted in both teeth and suppuration had begun on the roots. They drilled holes in both teeth, opened the canals and left it until the gums healed. When I asked why the “pulp rotted” on healthy teeth, I never received an answer ... Alas. One can only hope that I will not lose these teeth after treatment.
Hello! I have the following question. She appealed about the formation of a small hole in the upper upper tooth, while there was no pain in this tooth or in any others - neither when chewing solid food, nor from warm or cold exposure, in general, no pain. I just got a seal. Starting from the day of filling, severe pain began, which at first lasted 2 weeks without stopping, then completely disappeared for a week, then reappeared. These pains began to be given to the neighboring two teeth, on which the old fillings were installed. We replaced the old fillings on these adjacent teeth with new ones (with treatment and filling of the canals) - nothing has changed. X-ray images after all these manipulations with three teeth showed that the canals were sealed correctly - namely: there is no removal of filling material beyond the root, the canal is sealed to its entire working length, there was no piece of dental instrument there. Fillings on these three teeth were installed photopolymer - of the same material - filtek. When installing fillings of the same material on the teeth, on the other hand, no problems were caused. She walked around two dozen doctors, all of the examinations and x-rays said that the problem was not in the teeth. The problem lasts two years. New pictures and examinations by dentists again showed nothing. Advised to consult an ENT specialist and a neurologist. ENT took X-rays of the maxillary sinuses, CT scans of the head, examinations - and they did not find anything related to the ENT organs, despite the fact that, in addition to pain in the teeth, there was an infiltrate pain in the ear and neck. Neurotropy also did not find anything. For the third year now I have been going around in circles - to dentists, ENT specialists and neurologists who cannot make a diagnosis, even no assumptions. Everything is in order with the heart. For two years, the pain lasted for a month, then disappeared for three months completely, then for two weeks, and again disappeared for different long periods. There was no tooth injury. None of the dentists found: caries, flux, pulpitis, enamel cracks, gum disease, tooth cracks, temporomandibular joint syndrome, exposure of sensitive dentin at the neck of the tooth, tooth fistula, hypersensitivity of exposed roots, gum drooping, filling by bite is not overestimated, a wisdom tooth (the last not removed), even in a panoramic picture. Question: what could it be?
Hello! If the pain radiates to the ear, then the lower tooth should be sought. It is the lower teeth that give similar irradiation.If the search for a causative tooth does not bring the proper result, then emphasis should be on neuritis or trigeminal neuralgia. You already mentioned in passing that you went to a neurologist. I think that the reason is more in the lower tooth. The most difficult thing remains - to understand which tooth can go into exacerbation periodically. Diagnosis is the most difficult not only in dentistry, so only by careful examination and study of the situation can you find out something. The Internet in this matter is not a salvation of the situation, since the task you set is not the simplest.
A tooth was made to me 2 weeks ago: the nerve was not removed, motivating by the fact that the tooth bottom is good. During brushing, the sensitivity was on the tooth wall. Now, after 2 weeks, the tooth hurts badly. It feels as if the floor of the jaw hurts, day 2 on painkillers. Tell me why and what to do?
Hello! You are hinting that you could have caused some kind of complication in this tooth during complex intracanal treatment. Normally, there should not be any increase in pain, moreover, soreness when biting on a tooth, on the contrary, completely disappears during this time. That is, according to the description, you have an exacerbation of the chronic process, which is very reminiscent of a complication during the treatment of canals. I am sure that you should take a picture of the tooth and contact an independent dental expert with him to find out the details. The snapshot will answer a number of questions on this issue.
Hello! After installing the light seal, sharp sharp pain occurs when pressing on it. Tell me, please, what could be the matter?
Hello! I think that you may have post-filling sensitivity amid a doctor’s mistakes. They can be small or more serious - overheating of the tooth and excessive vibration of the tip (work with a faulty tip, old boron, etc.). In the latter case, the “nerve” of the tooth may suffer so that it is necessary to treat the canals of the tooth. Most often, pain when pressing on the filling occurs due to over-dried dentin during operation, improperly applied gasket under the seal, excessive time of “etching” of the tooth, etc. Almost always, such small misses enable the body itself to correct the situation within 3-10 days. Most reputable experts recommend waiting about 1-2 weeks, and then contact your doctor to replace the fillings, but without any technology violations. If spontaneous, aching or acute, nocturnal or throbbing pains are added to pressure pains, then a complication after treatment has definitely arisen - only intracanal therapy will help.
Thanks so much for the consultation!
Hello! 3 days ago they treated the canals of the already treated 4th dead tooth. The canals were sealed, after the treatment they took another picture, and finished with the seal. The tooth aches, in the evening, with pressure, mainly, and a little after. With what it can be connected? I called the doctor, she said that within a week or two the tooth may hurt. This morning, dizziness appeared, could it be due to the tooth? I am worried.
Hello Anna! I do not think that dizziness is somehow related to treatment. Moreover, 3 days have passed since the moment of intracanal therapy. As for post-filling pains: this is undoubtedly a complication against the background of processing and filling the canals. Reputable doctors believe that this result of small and (sometimes) large mistakes of the doctor during work does not allow calling this the norm. However, in Russia it’s worth getting used to the idea that for the “beauty” of a picture, doctors sometimes neglect the comfort of patients.Apparently, they were simply taught by bitter experience and insulting remarks from colleagues, who can complain about even minor errors after filling. That is why such an effort leads to the fact that the tooth is forced to adapt for 2–3 weeks to traumatically performed work and excessive filling of the canals (often beyond the apex of the root). If you provide a picture, I’ll tell you more precisely where the doctor made mistakes, but I’m almost sure (given your doctor’s confidence in his work) that there is only post-filling pain in the background ... The rest is from the picture.
Dear Svyatoslav Gennadievich! This is again Natalya with a problem that lasts for the third year. When the dentists were looking for the cause of my problems, they examined all the teeth without exception (above, below, right, left). I know that trigeminal neuralgia can be caused by hypothermia, trauma, and, for example, an allergy to filling material and other problems associated with teeth. In this case, neuropathologists recommend eliminating the root cause. If the filling material was removed outside the root or an allergy, then such teeth must be re-filled. Of all the dentists, not one has suggested remodeling, since all teeth are defined as healthy. And they just didn’t advise touching them. If you can, tell me, please, the following. Could one of the causes of trigeminal neuralgia be the excessive pressure of the filling from the photopolymer (placed on the lateral surface of the tooth) on some nerve (which may have been pinched by this filling)? And, excuse me, for two and a half years, other consequences, if they were caused by that long-standing treatment, would have manifested themselves long ago, but even today, dentists say all teeth are healthy. And I, excuse me, have no choice but to search for the cause itself, since not a single clinic that collected a consultation on my problem could find anything (including doctors from the department of the regional hospital for maxillofacial surgery).
And one more question: even if it was a lower tooth, in two and a half years, could it be found at least for some consequences (for example, caries, flux, etc.)? Respectfully!
Hello Natalia! I think that due to the pressure of the seal, neuralgia would hardly have arisen. As for a bad tooth: he would, of course, prove himself in 2.5 years. The bottom line is that it is impossible to conduct diagnostics in absentia for such a complex case as yours (you have to be realistic). I need an examination of the oral cavity, percussion of the teeth, palpation of the gums in the area where there may be a causative tooth, image analysis, etc. In my practice, it was so that I worked with patients several times to diagnose the problem for about 1-1.5 hours. It is only a search for a tooth and determination of a causal relationship. This is difficult, of course, morally both for the patient, whom they cannot help with anything, and for doctors who do not see the reason, and you won’t be fed up with just guesses. It’s a pity that the consultation of doctors shrugs their hands: I don’t think that doctors who are lower than my level of qualification have worked with you. It can sometimes be extremely difficult for me 1-2 times a year to face the absence of an obvious cause of the disease. Detailed descriptions + inspection + images + EDI help to find a tooth, but in my practice, too, were a fiasco. I don’t know why it is so arranged for individuals that the doctor cannot understand the cause of the pain: there are no suspicious teeth, neurologists do not find in their part, and who is wrong, who is deceiving and confused in their “testimonies”? Pain is a subjective thing. It sometimes happens that 1 badly treated tooth long ago (5-20 years ago) gives such "malicious" periodic aching pains that even when the teeth are tapped, nothing is found, and sometimes the pictures do not diagnose anything so obvious. Just in one of the channels of the tooth there are voids that, due to infection, provoke painful sensations.I work like this: first I look for hidden caries in a living tooth, then I examine the "dead" for any violations + give clues to irradiation and pain from irritants (cold, hot, etc.), if any. Honestly, your problem is definitely not the subject of an in-depth discussion. So what could he do, but for the rest - the hope is only for a doctor who will cling to something specific in his search.
Hello, 3 days ago we put a seal (sealed the canals), before that we put arsenic for 7 days. Now the tooth hurts when biting, it really hurts. Then it subsides, but the aching pain remains. Tell me, please, what to do? Is it dangerous?
Hello! I think that you were given a non-arsenic paste for 7 days. Arsenic paste is placed for no more than 48 hours, but modern dentists hardly use it because of multifactorial harm. To understand why post-filling pains, as a complication after treating the canals, give you such vivid symptoms, it is important to analyze the images of the tooth. You can provide me with the pictures, and I’ll say with almost 100% accuracy where the “legs grow” from. Thanks for the question.
Hello, Svyatoslav Gennadievich! Thank you for the comprehensive answers and useful tips. Again I want to hear your opinion. During the treatment of periodontitis on a single-channel tooth, the canal first remained open for several days, then with the medicine under a temporary filling. Now the canal is sealed with paste, which went beyond the root (it was visible in the picture), also under a temporary seal. The tooth (or gum under it) constantly aches, the pain is tolerable, but not passing. The next appointment in 3 days. They warned me that they could ache, they advised me to rinse with soda (which, incidentally, does not bring relief). If the pain subsides before taking, then this tooth will be filled with a permanent filling. Very interested in the question: the paste that went beyond the root when filling the canal can subsequently lead to some consequences? And isn't she the cause of today's pain? Thanks in advance for your reply.
Hello, Elena! I think that the cause of your pain is the traumatic treatment of the canal and the removal of material beyond the apex of the root. This, of course, is a complication, but many people can tolerate this attitude of doctors to work. That is, the withdrawn material after some time ceases to be perceived by the body as foreign, but not everyone is so lucky. Firstly, in 3-5% of people, pain can remain for life with a certain frequency. Secondly, it takes about 2-3 weeks or more to wait for the restoration of normal tooth sensation. This is the result of a series of errors during intracanal treatment. According to your description, the work is carried out using several routine methods. These rinses for several days, again, soda "to relieve possible pain", the continuing sharp pains - suggest that the doctor is a little too clever. However, it is important to know more precisely: take a picture and provide it for analysis (you can link), then I will tell you more precisely on your question.
Good afternoon, I woke up on Saturday morning with a swollen face, about 25 teeth on top of my gum ached terribly, there were ulcers in the hard palate and on my lip near my teeth. Pulpitis was treated just on this 25th at the end of April. I came to dentistry, my doctor was not there, they sent me to the one who was. She looked, took a volumetric shot with sinuses (I do not remember what they are called). According to the pictures, everything is fine, the doctor did not understand that with me, and just in case, I cut the gum in the area of the lip above the tooth, supposedly there was a flux, because of which I was swollen. Prescribed antibiotics, horse dose, rinse salt + soda, Nise and Kestin. By Monday, everything remained as it was ... I came to my doctor, she looked at the pictures, and then at my palate and immediately said: it's just herpes ... But because of the prescribed incorrect treatment, he was in terrible condition: the salt rinsed everything during rinsing around, antibiotics did not help, well, etc. I tormented like this all weekend.
The question is:
1) Is this herpes related to the fact that pulpitis was treated on this tooth around which it is localized? I attach the photo, one was made on Saturday, the other on Monday [... only the doctor sees the links ...]
2) From an ethical point of view - a doctor who cut my gum and prescribed such an aggravating treatment, can it work with patients ?! Since, they say, looking at my sky, even a first-year student of a medical institute understood what was the matter. Well, my case is not so dangerous, on the one hand, and on the other, someone will come to her with something more serious ... And it is not clear how this will end.
Hello! Although I have not been a student for almost 10 years, I can’t guess the true cause of the problem due to erosions and ulcers on the mucosa alone. Even if it seems to be herpes (the key word is “it seems”). However, I had a suspicion that you had one undetected and unresolved problem that gave rise to less dangerous, but unpleasant moments, on which you focus. That is, the dentist was not able to identify the tooth from which the “flux” arose, and the picture was considered biased: either the tooth was treated poorly, or there is another problem tooth nearby. The point I want to convey to you is this: a chain of incorrect tactics by doctors could create new problems. It is possible that lesions on the mucous membrane are all secondary (the same herpes occurs when the immune system is weakened, and the body's immune resources can be depleted if there is an inflammatory process). It makes sense to assess the presence of a problematic tooth that causes the inflammatory process on the gums in the form of edema, or, as you say, “tumors” (it is better to contact an independent dentist in another clinic). Health and good luck to you!
Hello! I treated caries, put a light seal. After a week, the tooth begins to hurt a little, every day the pain becomes stronger. It hurts when pressed, taking cold and hot food, the rest of the time the pain is not strong, aching in nature. What to do?
Hello! I think that there can be several options: either the initial diagnosis was not caries at all, but already beginning pulpitis, or during the treatment the tooth was overheated and after filling the “nerve” inside the initial stages of inflammation passed. To confirm this assumption, an EDI should be done. This diagnosis helps to determine the excitability of the pulp, its state of health and further tactics. If the pulp is healthy (which is less likely by your description), then the dentist can restrict himself to redoing the fillings again, and with inflammation, the device will show that the fillings should be removed faster and the canals should be treated with subsequent filling of the tooth.
Hello! A little more than 2 weeks ago, the doctor decided to remove my nerve on the 6-ke in the lower right, put some arsenic-based paste and told me to come in about 10 days later. As a result, I got an appointment only after 2 weeks, the doctor tried for a long time to find the nerve, looked at the picture and said that the channels are thin as hairs, and even the needle does not climb. I applied another medicine for a couple of days to expand the channels and said that if it doesn’t work out and then the nerves are removed, then it will simply seal the channels. Can this be done? After all, a dead nerve will probably decompose or something, and then you have to remove the tooth altogether?
Hello! I think that you, Victoria, if the canals are not successfully unzipped, plan to “formalize” the tooth. That is, apply resorcinol-formalin-paste mixture according to the Evdokimov scheme. If the details are interesting - I can throw off the information on this technique. Now all over the world, except for Russia and a number of countries, this method is prohibited, so to one degree or another it can be harmful and entail risks. Since bans do not take root well in Russia, the method is widespread, especially in small towns and villages. With such failures in the channels - this is the first way to keep the tooth as simple as possible, for a long time, but somehow.That is, the result is a chronic focus of infection at the apex of the roots, which can “shoot” in a couple of years, or maybe in 10-15-20. That is, the answer to your question: it is possible, but it is not very useful. It would be right to go to a clinic where there is a microscope + ultrasonic activation during channel expansion. That is, these “hairs” can be expanded skillfully and can go along the entire length, too. Another question is whether you are ready for the financial side of the issue, because the treatment of channels with a microscope is at least 2-3 times more expensive than classical channel therapy. Good luck and health!
Thank you very much for the informative answer. They could not remove the nerve, so they just put a seal. I’ll go now to a paid clinic to treat to the end, since I really don’t want to lose a tooth.
Two teeth were filled, and they began to respond to cold and sweets. I went to the same doctor, told what and how. The doctor looked, did not see anything, they say, everything is fine. Then he took a thing that sticks with air, and began to blow through the channels. And just in these channels during the purging I felt pain.
The doctor said that the seals are sitting as they should, only the material itself lets in somewhere cold and sweet and replaced it with other material for free. And after that, everything became gorgeous. So it goes.
Hello. I went to the dentist, as a quarter of the upper distant tooth fell apart. My nerve was removed. Then several times they shoved something into him, according to sensations - such as a needle or a wand. Constantly did not fit in depth. In the end, she inserted and said to close her jaw and tightly squeeze. Oh yes, cement was used as a seal. After the anesthesia was gone, the tooth began to hurt slowly. The first 10 hours are still normal. But the next day, I started to get sick very much when I was writing, and just with a light jaw closure. The pain is similar to the loss of the same, only milk tooth. So I want to swing it and pull it out. But now the pain, as for me, is stronger, as it is deeper in the gums.
Hello! Judging by the description, you have encountered a complication after treating a tooth canal. The severity of complications is difficult to assess without additional research. If you send a snapshot of the tooth (you can mail it, or specify it as a link), then you can approximately 70-80% evaluate the quality of the doctor’s work in the channels. I am sure that there is sure to be something to catch on, according to your symptoms. Pain after canal treatment is not the norm, although many dentists believe that a post-filling tooth reaction (pain when biting) up to 7-14 days is not a reason for panic, since excessive “care” for the tooth and its canals falls into the category of passing situation. I’m not sure that it is worth waiting for more than 5-7 days after the treatment of the canals - it is important to know in advance what has been done with the tooth. Good luck to you!
Hello. I was treating my teeth (one molar and front), the doctor put me the medicine and filled it. Everything was normal at first, only the front teeth (I filled them) react to cold and hot. I thought that if they put a medicine, then it means that the seal is temporary and you need to come then put a permanent? However, the doctor did not set a time and date to come and set a permanent. And already for two nights, as soon as I go to bed, the teeth in which the medicine lies are aching. The pain is unbearable, passes to the adjacent teeth, as if they are getting numb, but if you touch, they hurt a lot. Painkiller does not help. It is impossible to eat or brush human teeth. I thought that medicine usually kills the pulp. But why did the pain appear only after a decent time?
Hello! There are two working options:
1. Either the doctor made a mistake with the tooth and put the devitalizing agent (to kill the “nerve”) on the wrong tooth as a “medicine”.If this paste stood on the tooth that is required, then the pain from the cold would not immediately exist.
2. This option is the most plausible: you have been treated with deep caries in two stages. At the first stage, the doctor treated the carious cavity and installed a preparation based on calcium hydroxide on its bottom. Either the initial diagnosis was no longer “caries”, or the modes and techniques of treating a tooth with air-water cooling were violated, but pulpitis, an inflammatory process of the pulp (“nerve”) of the tooth, turned out to be so. It is against this background that the tooth aches acutely.
Now it’s up to you to: refuse the services of this doctor, or offer it to him to still find the causative tooth and treat its channels as expected. Good luck and health!
Hello. About 6 months ago, pulpitis in the lower tooth was treated, now there is pain. It hurts for 2 weeks already. But for some reason it hurts not only this tooth, but also the upper front one on the same side, the nerve is also removed there, the gums are not swollen. The doctor said that everything was fine in the picture and all the channels were sealed perfectly. Painkillers do not really help, the doctor still prescribed lincomycin and sent her to a physical room. The pain it was, it is. Tell me, please, what can it be? The pain is terrible, I don’t know how to deal with it.
Hello! I think that you should contact another dentist and study in detail your clinical situation in the chair. Search for a causative tooth is still worth it. Pain from it can radiate along the trigeminal nerve to any tooth and even to the ear, nape, temple, eyebrow, etc. It is important to study the nature of the pain, the frequency, the external condition of the teeth, the presence of carious lesions and hidden cavities (in the spaces between the teeth at the contact points). Sometimes it helps to assess the reaction of teeth to the cold + selective images of teeth that cause suspicion. Physiotherapy does not bring relief, since the true cause is not found. Contact a qualified dentist immediately.
Hello. 2 weeks ago I treated pulpitis of the eights on the left, with filling the canals (after the manipulations the doctor did not do an x-ray). During the treatment and a week after, the tooth did not bother at all, 3 days ago I woke up with swelling of the face on the left, after a couple of hours the swelling subsided and I felt a heat of the face on the same side. The tooth itself does not hurt. My attending physician is on vacation until next week, I am very worried, can something serious happen during this time, or is it worth running to another doctor?
Hello! It is worth thinking about an exacerbation of chronic periodontitis, which, perhaps, even already comes with a complication in the form of periostitis. You shouldn’t joke with this for sure: immediately consult a doctor. Do not rush to remove the treated wisdom tooth, trust the doctor. It is important to diagnose and clarify the exact cause of the purulent process, sometimes it happens that the causative tooth is not treated at all, but “new”, which has long been destroyed by caries. If it is confirmed that the problem is with the treated eighth, then it is more advisable to remove the tooth, otherwise it is only up to the dentist who will take you for emergency care.
Hello, Doctor. 5 months ago a tooth fell ill, went to her dentist, he said that it was periodontitis and said that canal treatment was necessary. He put the medicine, but the pain was unbearable, and they opened and treated me again, put the medicine, and after a couple of days again the unbearable pain. I turned to another doctor: I opened a temporary seal and left it open with the medicine for a couple of days. Then I went again to another doctor, and he put me the medicine and I went with him for a month. Then he cleaned it for me, did everything under a microscope, put the pins ... And everything seemed to be normal, but after 3 months I feel pain when pressed ...
Hello! Before you “throw slippers” at the last doctor, it’s worth checking the adjacent tooth decay for hidden caries. This is normal practice, even if you are confident in your subjective feelings. Next, you can send a picture of the treated tooth under a microscope for analysis by mail, I will tell you the possible reasons in it (if any). After filling the canals, the material could slightly go beyond the root. At some point, if something hard came to the treated tooth, it could lead to the return of post-filling pains. This is like micro trauma. Often happens at night with a strong compression of the teeth. Usually takes 2-5 days. In general, it’s worth checking the picture, and then looking for adjacent teeth for hidden caries. Thanks for the question.
Hello. A month ago, chronic deep caries was treated - old fillings (3) were replaced and one new one was put, all on the left side. Before treatment, the teeth did not bother ... First, the upper 7 was filled - after filling, the tooth ached and reacted to everything (hot, cool, pressure - in general, it was impossible to chew). The dentist covered it with fluorine glue and said that it would pass. In a week we will fill three more teeth, below - 8, 7 and 6-ku. The upper one continues to hurt ... Anesthesia has passed, now all my teeth hurt, but tolerantly, I did not drink painkillers. A week later, I felt pain in the back of my head, which then increased intensity, duration and spread to the cheek and temple for 10 days (the neuropathologist said it was trigeminal neuritis, prescribed antiepileptic drugs). Teeth continue to hurt! They whine weakly during the day, now stronger, then weaker. At night I’ve been drinking painkillers for a week and a half, to fall asleep (pain is worse at night), they even react strongly to room temperature water.
Made EDI: LOWER TEETH: 4-25, 5-25, 6-250, 7-250, 8-35. UPPER: 4-250, 5-175, 6-250, 7-170 (they checked my norm - 12 on an untouched tooth). X-ray without features, but my dentist wants to open the bottom 6 and 7! Tell me, how likely is it that my suffering is a dentist’s mistake? When I asked about the pulp burn, she replied that this was not the case in her practice, and "if you still trust me, then I am waiting for you on Tuesday" (now she is sick). I really don’t want to “kill” my teeth! They were normal! Should the dentist give me a discount on the manipulations waiting for me? Thanks, I hope for a quick response.
I will add: the doctor claims that the problem is unambiguously with the lower teeth, and in the upper - the radiating pain.
I’ll also add: cooling the instruments with the doctor’s air - when I asked why they were so cold, the doctor answered - “This is air, I don’t like water when it cools” ... That is they drilled all the time and only occasionally rinsed with water to wash off the dust. Lord, do I have 3-4 teeth killed right away ?!
Hello! When I worked without water cooling many years ago, I had to treat tooth canals in every 4-5 treated caries. The risks of overheating teeth without water are large, the standards of modern treatment of “living” teeth are only with water and nothing else. I’m almost sure that there was an overheating of the lower tooth, you were misled about neuritis. I think this is the confidence of the dentist, and more than sure that she periodically “overheats” her teeth. Perhaps due to accuracy - not so often. Now we need to find out exactly which tooth was overheated and treat it in the canals until the nerve collapsed and turned into “pus”. I don’t think that 3-4 teeth are overheated, only 1.
I did not understand the EDI data that you provided. I know a metric where 2-6 μA is the norm. With deep caries, it can be up to 12 μA. All that is more than 20 μA is already pulpitis, about 70-80 μA is pulp gangrene, for 100 μA is periodontitis.
Look carefully, do not treat two teeth at once, let the doctor find exactly the causative one, with EDI or with a diagnosis in the oral cavity, but two teeth cannot immediately respond.
It is difficult to prove a doctor’s mistake in court.The fact is that with him everything was correctly documented correctly, and you signed the consent to treatment, where such nuances are discussed.
Thanks for answering. The torment continues. About EDI - I have written in mA measurements. Where there is 250 - there is no sensitivity at all (at the EDI they said that the teeth are "dead", or the innervation is so radiating). I also read somewhere that with trigeminal neuritis such a picture can be ... Confusion is complete (the neuropathologist wrote in the diagnosis not neuritis, but neuropathy, said that they often go to them after dentists, and that it’s from nerve irritation, something like that ) The dentist does not want to kill the nerve now and says, perhaps, the teeth are “overestimated” - they did a grind twice with an interval of 3 days, and then apply the fluoride varnish. He also says that it doesn’t look like pulpitis, otherwise I would not have sat so calmly in the chair (when she taps on the teeth). When sawing, unpleasant soreness is in all teeth, but especially in the upper seven (the doctor says this is a sign that the pulp is alive). At the moment, the teeth themselves do not hurt, but when they ate a watermelon (at room temperature), they began to whine (especially the top one) and ache with a return to the temple for about 20 minutes. I can chew something dense only carefully, it can be especially painful in one point on the border of the upper 7 and 6, when this place falls on a solid piece of food. The last two nights it’s not the teeth that hurt, but the back of the head, temple, aching under the cheekbone on the left (this doesn’t happen during the day or is very weak - I don’t drink painkillers during the day). I also noticed that the temporomandibular joint began to crunch more strongly on the left after sawing - I do not know if this plays a role, but I have already read everything - about bites, etc. Is there anything else to go to an osteopath? The madhouse is just ... The dentist wants to remove the seal from the lower seven (he thinks that the problem is in it, because on the x-ray his pulp sticks out one "horn" close to the surface of the seal) - and make another laying of calcium, thicker. He is in no hurry to kill a nerve - he says it’s never too late ... And if you tap, then this tooth is just the least sensitive (and temperature too). Could the problem still be in the top seven?
When they sawed the top seven, it began to whine so that its teeth were numb and it was even difficult for me to chew on the copy paper later, so that I could cut out more places ... The lower ones reacted less.
Hello! I think that the upper seven should be depulped, since there is supposedly a problem in it - pulpitis. But it’s up to the attending physician to decide. Since I understand that your situation is difficult, you need an extremely individual approach, so as not to make a mistake, not to “pad” the teeth of the wagon and a small cart. In my practice, a long time ago there were rare situations where, due to doubts and perseverance, the patient had to get to the causative tooth through the depulpation of those adjacent to it. By the way, these teeth are in many ways even better (for almost 10 years) than those that were not treated at all. This is to the question: "Is it not harmful to make a tooth dead?" Watching with what enthusiasm and soul all this is done.
However, I do not suggest that you try to make mistakes and involve the doctor in this thankless task, but it is extremely important to look for a pulpitis tooth. Almost 100% sure that this is pulpitis of the tooth. Perhaps it makes sense to try changing the doctor. I don’t think that there are a couple of good diagnosticians in the whole city.
Yesterday, we finally got to the top 7 and depulped it. We put a temporary seal. The doctor said that, obviously, the pulpitis provoked “denticles” and pulled out a small “chip” from the pulp (well, they were so dentical, I suffered so much with this pain for a month and a half that I don’t give a damn about the reason) ... The condition improved, along the trigeminal it doesn’t shoot, there is no pain in the back of the head as it was, but the gum is slightly swollen medially from the neighboring 6, and also at the border of 7 and 6 - this place was aching at night.And when I pushed him, it began to whine even more - with irradiation into the temple and behind the ear. I drank a pill ... The edge of the gum medially from 6 (6 is not sealed and “healthy”) has a dark red thin bezel. Tell me, what kind of complication could this be? Does it make sense to have a CT scan of these two teeth so as not to miss a problem? The same 6 hurts when biting ...
Hello! Tell me what it can be and what to do? 6 years ago, nerves were removed in the upper 5 tooth on the right, the canals were filled and since then it was painful to knock and press on the tooth, more from the side of the cheek. I went to the doctor with this problem about two times, in the picture all the channels are made as needed. And that was the end of the matter. They recommended putting crowns on this tooth and on the neighboring 6. The question really worries is, will the 5 tooth under the crown respond as it does now? And, perhaps, at first it is better to do something with a tooth, so that under the crown this would not be? And what can be done if everything is fine in the picture?
Hello! I think that the reason for the installation of crowns was a wide gap between the teeth, where food is constantly clogged, causing trauma to the gingival papilla. Injured gums can provoke pain when “tapping” a tooth. If this did not happen, then I would like to take a look at the “good shot” to answer a number of your questions. You can send the photo of the 5 tooth image to the mail (see Feedback).
I’m answering your main question so far without a picture: if the tooth hurts when biting due to the treated canals or the inflammatory process outside the root, then everything will continue under the crown, the pain will be.
If the picture is really “all is well”, then without a face-to-face consultation it is definitely impossible to do. Almost always, a visual inspection allows you to establish a causal relationship. It is impossible to do this via the Internet, except for the diagnostic analysis of the image.
Hello! After installing the seal (second molar), 1.5 years have passed. The tooth never bothered. There was aching pain when biting, and in appearance, and also if you draw your tongue along the surface of the tooth, the seal does not fit snugly against the wall of the tooth. There is no pain when hit by hot or cold, or if you hit on the tooth. Unfortunately, I don’t remember if the nerve was removed ...
Hello! This information is not enough to make a diagnosis, but the fact that the tooth should be treated is for sure. If there is a violation of the fit of the seal, then it is definitely required to re-supply it with high quality. However, it is necessary to take a picture of the tooth before the final filling, as you can skip the inflammatory process at the root, or pulpitis (if the tooth is "live"). Health to you!
Good health to all)) There are no particular questions yet, but there is paranoia that does not let me go. I decided here for a company with a friend (she is a frequent guest at the dentist) to check my dentition, which has not bothered me all my conscious life (at the moment I am 28). After the examination, they drew the following situation to me: removing all 4 “eights” (third molars), filling 15, 16, 47, 46, 45, 37, 36. At the moment, 28 molars (like, all without complications) have been removed and put 4 seals on 15, 16 and 47, 46, if I do not confuse anything. A day has passed from the moment of filling, until nothing bothers, but paranoia does not give rest: after reading many comments on the Internet, many begin to have problems with their teeth just after filling ((Plus, the fact that I live abroad and between me and the doctor there is a certain language barrier ... I think you need to go to the check in another clinic, see what they say.
And, and yes, there is still a question: did you first have to remove all the eights, and then fill it? Or is it possible, as they do to me now? (as I understood them in the clinic, they told me that first the fillings, then they will delete the eights). Thanks for the answers and for your attention) All health)
P.S Probably, I was mistaken that after the check in this clinic I didn’t immediately go to another for a follow-up check, I just believed my friend - she’s been treated in this clinic for a year now and the reviews about her are pretty good.
Hello! Since I did not stand behind the doctor’s back, I can’t categorically say whether it was necessary to remove all the wisdom teeth and treat the teeth you listed. The fact that many clinics wind up services for the sake of obtaining benefits takes place everywhere: in Russia and abroad. Let's hope that there were indications for the listed works.
As for the sequence of "removal-treatment", then the doctor proceeds from many practical considerations. Personally, before prosthetics (especially urgent ones), I first try to remove the teeth, and while the holes heal, treat the remaining teeth, on which the crowns will make. On the other hand, if there is no urgency, then you can first cure everything, and at the end (“for sweet”) leave the tooth extraction.
Good afternoon. In April of this year, I put a crown on one tooth, I still feel aching pain and discomfort! After a month, I turned to the doctor who put the crown, he looked, blew air and said that everything was fine, there were no complications. But the pain still does not go away! Tell me, what is this connected with? And what to do? Thank you in advance.
Hello! I recommend that you take a picture of the tooth to exclude complication after its treatment. I am sure that before setting the crown, the tooth was preliminarily prepared for prosthetics. It is possible that the tooth canals were treated - then they should be checked to exclude possible complications after the treatment.
Good evening. Crowns were advised not to be placed because of the large gap between the teeth, they are, on the contrary, very closely spaced. It’s just that at 6 the wall broke away from the side of the cheek and there the seal is huge, it doesn’t look very beautiful. And at the 5th wall in place, but the seal is also in the whole tooth and on the wall on the same side cracks on the enamel are visible. There is no picture, it was an orthopantomogram, it remained with the doctor. I wanted to do a regular x-ray of the upper jaw in another place, but I didn’t have a direction, and they also said that it makes no sense to take an X-ray, because everything is better seen on the orthopantomogram. In general, something was said about a papilla there a very long time ago, but I'm not sure what exactly in this 5 tooth, and the food constantly falls into the gum area between the teeth. I have already set the crowns. Now it’s not painful to pound a tooth from the cheek, but from above, when a hard tooth hits a tooth and when a tooth hits a lower tooth, it hurts. I'll wait a bit and go to the doctor again ((I just can’t imagine what can now be done with this 5 tooth.
Hello! Again, I insist on clarifying everything from the picture of even this single tooth. I am sure that the picture will be visible, which led to painful sensations. Although it’s all the same for you to decide: you can wait simply, but only if there were no complications during the treatment of canals in the 5th tooth. Otherwise, a surprise awaits for the future. Not the fact that in 1-2 years, but certainly not at the right time.
Hello, 2.5 weeks have passed since the treatment of pulpitis. At first there was very severe pain, it was impossible to even touch the tooth, the lymph node of the submandibular was inflamed, the temperature rose 37.2. Upon examination, the doctor put an antibiotic in the gum and prescribed an antibiotic to drink for 3 days, Nise. The picture, she said, was good, but I did not see it. Now the pain when biting, when tapping and constant aching pain, gives pain under the jaw in the area of the lymph node. The doctor says that these are residual pains, you need to rinse with soda. I went to another clinic for a consultation, where they took a panoramic picture, it turned out that there was a slight removal of material beyond the apex of the root and one channel was "loosened" sealed. The doctor said that the material will resolve, but the channel offered to redo them.But I did pay a considerable sum for this tooth, can I expect that the doctor who treated me will redo my mistake? It hurts constantly, the quality of life has noticeably worsened, help, what should I do?
Hello! The fact of complications after treatment takes place, the doctors of the other clinic clearly described the problem to you, immediately noted two errors. Which one of them provokes the symptoms described by you to a greater extent is difficult to say. You can count on the fact that you can correct errors. Often the clinic does not want to enter into legal conflict with the patient and spoil the reputation. If you are denied free treatment, or everything goes wrong, then you have the right to collect the necessary evidence of poor treatment or to conduct an independent examination. Although at the moment it is extremely difficult to prove the presence of objective errors, especially in those cases when you sign an agreement that you agree with possible situations when the difficulties that arise during and / or after treatment of the tooth canals may not depend on the doctor.
The practice of medical lawyers shows that winning money is more difficult, although you have every right to do so. First, try in a good way: delicately and politely, and there you will see.
Hello! He treated the lower seven, with the resorcinol-formalin method, the tooth is now dead. Only one channel has been cleaned to the end, the other 2 impassable - if I am not mistaken, the doctor said that they are calcined, they are not visible on the X-ray and there is no way to pass them. Tell me, what are the consequences for the tooth with such channels?
Hello! The consequences can be very different, depending on the quality of the mummification itself and the honesty of the doctor regarding the verdict that “the channels are calcified”. If the technique is carried out correctly with such channels, then the tooth will stand without the development of an inflammatory process on the roots for more than 10-20 years. If errors arose, then the tooth can become a source of chronic infection: a limited focus will develop on the root for a long time. Sometimes now I meet patients with resorced teeth treated more than 20 years ago. “Cystic growth” is not in fashion and is not approved by modern dentists, even if the teeth in the pink state can stand until they are removed for more than 20 years.
In general, this technique is budgetary, on the verge of a foul, as an extreme measure, when there is almost nothing at hand. Many dentists (especially budget ones) praise her for her effectiveness in many ways. In fact, a good saving of time when an aggressive paste can itself to one degree or another deal with microbes and dirt in poorly or untreated channels and turn its contents into a “mummy”.
But in the future, if you need to treat a tooth, put a crown, and even more so remove it, many “flattering” reviews can be heard from doctors who will get this tooth. The point here is no longer in the canals, and not even in the fact that the tooth managed to stand up to a problem situation for 20-30 years, but in its fragility due to the resorcinol-formalin mixture and fusion with the alveoli of the bone. It goes without saying that re-preparing the channels in order to cure the source of inflammation at the root will be extremely problematic, although the technology does not stand still. It is possible that after some time, resorcinol-formalin teeth will cease to be a household name for dentists. But while the technique itself is officially banned in most developed countries of the world, except for Russia and a number of other states - supporters of such conservation of teeth (not from a good life).
Thanks for the informative answer. When I was in the dentist’s chair, I couldn’t think of such consequences. I have all my teeth alive, and this is the first dead tooth. The doctor said that there is no other method with such channels (doctor in a private clinic).I also have the top six does not respond to cold and hot, to tapping, too, but there is a seal and a tooth darkened under it. I plan to treat, but having done an x-ray twice, it became clear that there are the same impassable canals, they are not there at all. Apparently, the same fate awaits this tooth with formalin, or are there any other methods of treating such a complex tooth?
Hello Maria! There are, but they are not budgetary, more expensive than conventional methods, especially resorcinol-formalin. Treatment of tooth channels under a microscope + the use of ultrasonic tips and gels (solutions) for the passage and expansion of narrow channels. Typically, these measures allow you to treat even a complex system of narrow channels, “knock out” areas of calcination and completely seal. Sometimes it happens that the channels are not so narrow, and the doctor, due to his little experience working with such channels, will make steps in them and can no longer go the full length. Then the microscope also helps. Many experts advise the treatment of tooth canals under a microscope - as one of the best ways out of the situation. If it already fails in this way (which is rare), then mummification. This is the last thing, since the mummifying method is outdated and controversial.
Hello, I have 4 months of pregnancy, yesterday I treated a tooth, put the fillings. I was ill a bit yesterday, today I am tormented all day - when I eat, it hurts, and when I touch it, it hurts too. The doctor said that supposedly it will pass, is this normal?
Hello! Unfortunately, I don’t know all the nuances of the treatment: were the canals treated, or were they just fillings, like with caries, was air-water cooling used, anesthesia, are there any other symptoms besides these?
If you coordinate treatment with your doctor, it is advisable not to panic yet, but to look at the tooth in dynamics. Due to lack of information, it’s hard for me to say exactly how much. The only right direction in this monitoring is the importance of reducing symptoms (decreasing), and not increasing every day. If the dynamics are clearly alarming, immediately contact the dentist for treatment correction. The rest I can say only after your additions on a clinical occasion.
Good evening. I decided not to go yet. And what kind of “surprise” may be at the most inopportune moment? It's just that everything is so beautiful there now, and it hardly even hurts. And it’s even uncomfortable for me, they will think that I’m cuckoo because I already asked five times about this fifth tooth both from the doctor who was treating and from the one who set the crowns. And they believe that in the pictures everything is as it should. True, during the installation of crowns, the doctor said that the pin was not very secure in this fifth tooth, but somehow I did not specify what was there and how, because by that moment I was tired and all the time I thought, as if the rest the teeth didn’t completely fall apart, and I didn’t care. And now there is definitely better than it was without crowns, both in sensations and outwardly (outwardly, it is simply unearthly beauty). I will probably wait for a "surprise". If I go now, they will take me for a madman. Because in order to feel suspicious sensations in a tooth, it is necessary either to move the lower jaw so that it hits the fifth tooth, or to press the gum very hard.
Hello Karina! By "surprise" I meant the inflammatory process at the root, which can occur against the background of errors or errors in the channels. If the dentist tells you that everything is fine - I’m still ready to check this fact. However, I have no right to insist on anything - it's up to you. As for excessive suspicion, it is your right to check all stages of treatment whether the doctor likes it or not. It’s good that you feel better. I am glad that I can at least help something. Health to you!
Hello, Doctor! Please explain this situation. I treated 7 the lower right tooth, caries, nerves were not removed, anesthesia was not done. Immediately after this, the 6th tooth was removed nearby (of course, with anesthesia). Almost a week has passed, and 7 tooth hurts when pressing on it. He began to get sick immediately after treatment, the pain, it seems, does not increase, but does not decrease, as if. Tell me, how long can this last and can it be because a tooth was removed nearby on the same day? Also on this day another 1 tooth was treated on the opposite side, also without anesthesia and nerve removal. He is normal, no problem.
Hello! Almost always, after tooth extraction due to trauma to the surrounding gums, adjacent teeth to one degree or another react when biting. Usually this goes away in 2-3 weeks, but sometimes (depending on the complexity of removal) it drags on to 1-1.5 months.
It goes without saying that there could be a reason associated with a violation of the formulation of the seal itself. What you are comparing with the opposite side is logical. Without anesthesia, treatment is most often more controlled and there are significantly fewer risks that something bad will happen. Although sometimes there are cases that dentin is nevertheless overdried, and the filling begins to interact with tooth tissues in this vein - with post-filling pains.
Let's try to ignore this thought for now and wait another 1 week. It is important that your dynamics begin to decline, even if the pain immediately does not go away when biting a tooth. This will allow thinking about the prospect of its complete disappearance. Thanks!
Hello. Two months ago, the nerve was removed and the canals were filled, the tooth began to ache, they told me post-filling, but it ached anyway. They took a picture, the doctor said that everything was fine and could not understand what was happening. They opened my tooth again, put a makeshift, but he again aches. The doctor said that there might be something wrong next to the tooth. But he is excellent and without a seal, and I feel that it is this dead aching person, I tap on him and understand that it is he. I don’t know what to do, I drink painkillers and I understand that drinking them is harmful every day. Three days later, again to the doctor, I worry what she will do if she gets lost and herself does not understand what is happening to him. But I'm afraid not to touch the living good.
Hello! You correctly describe the situation: it is difficult both for you and for the doctor who is confident in his work, but does not understand the cause of the pain. Unfortunately, a case like yours is not uncommon. Personally, I had to treat a lot of teeth from those doctors who can’t technically properly seal the canals of the tooth, don’t wash the canals properly, don’t know that some groups of teeth often have additional canals, use aggressive materials (allergenic) and mistakenly remove them beyond the root. All this and much more often affects the patient's well-being after canal treatment. In the best case, these are post-filling pains that can go away in 2-3 months, or they may not go away. At worst, constant aching tooth pain, discomfort, etc. become companions every day.
Not knowing the capabilities of your doctor (his experience, level of training, equipment of the office, the capabilities of the consultation, etc.), it is difficult for me to judge how objectively the doctor speaks about your situation. I know a lot of stories when a consultation with 3-5 dentists did not give a positive result, but most often (in 70-80% of cases) another independent dentist still has a “jamb” created by the previous doctor, or is really found an adjacent tooth that requires primary treatment. Accordingly, you need to find a professional doctor, a higher level than your doctor, in order to have accurate information. Be sure to take pictures there in order to evaluate the doctor’s treatment in different projections and identify (or not detect) errors.You can try 2-3 face-to-face consultations to collect opinions and compare them. Thanks for the question.
Hello. After filling the front tooth canal, a month later there was an unpleasant sensation when I pressed the tooth. Do not pass within a month. The picture is all right, consulted with another doctor. Physiotherapy did not help. Can the pain go away if it is allergic to filling material? Or is it the beginning of inflammation? And is it necessary to retreat? Pain on one level. Thanks.
Hello! Here you need to check the tooth picture and the tooth itself comprehensively. I will explain what to look for:
1. Is there an inflammatory process at the apex of the root - in this case, pain may well arise;
2. Is the filling material removed at the top of the tooth root;
3. What material was used for filling.
I think that after analyzing the image with high probability you still have to retreat the tooth, but you need to exclude any repetition of errors. There are a lot of nuances, I would like to see a tooth picture: if there is one, you can send it to the site’s mail (see the “Feedback” section).
After removing the nerve, a filling was placed on the top 6, an hour later I began to feel that something was interfering with me inside the tooth and aching pain began. This is normal?
Hello! After filling the canals, there is often aching pain (post-filling reaction against the background of traumatic manipulations in the canals, as well as errors when filling them). Usually this does not lead to long-term consequences for the preservation of the tooth, but this is only if there were no the following complications during treatment: leaving a fragment of the instrument in the canal, removing material beyond the apex of the root, creating a false canal, obstructing the canal, and some others. So whether this is normal or not depends on the result of the treatment: the “beauty of the image” and the exclusion of serious errors in treatment made by the dentist, which the x-ray may not catch. Thanks for the question.
After a couple of days everything went away! Now there is no pain at all. Thanks for the answer.
Hello! I have such a problem: when removing the 8-ki, the doctor demolished half of the 7-ki, a healthy, live tooth. To the pulp, she shone through. Then they sealed it to me the next day. X-ray did not. Now is the third day of filling, the tooth is very sore - both at night and in the afternoon. I do not know what to do, why is it dangerous?
Hello! The doctor, when removing the wisdom tooth, made grossest mistakes, relying on the seventh tooth with an instrument, or causing him direct injury. To cause such damage to a living tooth, you need to use tremendous force. As a result, one problem gave rise to another, but, again, it seems to me, due to the lack of professionalism of the dentist.
After filling the canals, the tooth should not hurt "day and night." I think that we can also talk about poor-quality extraction of a wisdom tooth: it is worth checking the hole with the help of a picture, at the same time in the picture you can analyze the seventh tooth. Moreover, your task is not only to find a problem with or without a picture (it is better with a picture confirmation), but, first of all, look for a competent dentist. There is a feeling that you are not in the best specialists.
Good afternoon! Such a question - there were pains in the left sinus of the nose, a sense of smell and taste of some kind of rot. ENT previously (so far without a CT scan of the sinuses) poses a suspicion of a polyp or cyst. But the point is that it all happened right after the treatment of pulpitis on the upper tooth, just on the left side. Could this be the result of improper tooth treatment? And what do you advise in this situation? Thanks in advance!
Hello! To be more precise, it is important to have a snapshot of the treated tooth canals. If everything is in order in the tooth picture, then this relationship can be eliminated. In any case, this is a rare situation, I think that the connection between the treatment of canals and sinus pain may not be confirmed. Take a picture and send it to the site's mail (see "Feedback"). After analysis, you can draw some conclusions.
Good afternoon! I decided to put the seal on top four, there was a small hole that I myself did not feel - the doctor suggested what should be done. Prior to this, the tooth never bothered or reacted to hot or cold. As a result, the dentist drilled the whole tooth for me, removed the nerves and sealed the two canals, put a temporary seal. She said come up in a week and that could hurt for several days. Immediately after treatment, severe pain appeared, now the second day - the pain does not go away, the head and the entire right half of the face hurt, I can’t sleep, the little bump appeared on the gum (it’s not painful to touch the bump). With what it can be connected? The husband says that antibiotics are urgently needed.
Hello! What about your possible claims that you drilled the whole tooth: I’m sure that the dentist did not leave carious tissue even within the border with the pulp (“nerve”), made the inner walls of the tooth clean, and as a result had to remove the “nerves” from two channels 4 of the tooth. As for severe pain after treatment of the canals, which does not stop with analgesics and is even accompanied by a “bump” on the gum - I can say that the quality of the canal treatment was most likely affected here. Without a tooth picture, it’s hard to assess how serious everything is. In addition, an allergic reaction to the filling material removed outside the root is possible. In general, the search for a possible error at the stages of treatment (if the pain does not subside) should begin with a tooth picture.
Hello, the tooth hurt badly for 2 days, I went to the hospital, put a permanent seal. The pain does not pass, it is impossible to endure, what should I do?
Hello! Urgently contact the same or another specialist for diagnosis and treatment correction. According to your data, you can assume anything: either a seal was placed at the beginning of pulpitis, when the canals should be treated first, or it is a post-filling pain when the technique of filling the filling is broken (dentin is dried, the time of etching of the enamel is increased when placing a light seal, debonding, etc. .d.).
Again, maybe you still received treatment for the canals, since “the tooth hurt terribly for two days,” but you are not writing to me about this? Then the reasons can be even more diverse. The detailed descriptions could give me more opportunities for preliminary diagnostics, but for now - hurry up to the doctor for timely help!
Hello, two large fillings fell on the bottom six and seven. They took pictures, and it was decided to remove the nerves at all. They removed the nerve on the seven and laid the medicine on the seven. Six the next day began to respond to hotter, two days later came to treat the six, an x-ray showed that 4 roots and one curve, at 45 degrees. During treatment, it turned out that it was this curved root that was still alive; there was pain when it was removed. Three days have passed, and the tooth reacts to the hotter, the pain is the same in sensations as when laying the medicine in it.
Do you think these symptoms may not result from the end of the removed nerve and should I rush to the hospital urgently?
Hello! A reaction to the hot is most often a symptom of periodontitis. I think that technically there could be difficulties in treating a 4-channel tooth, especially with a curved channel.This can be detected from the picture, but conditionally: the picture will have an unsealed canal, and the fact of the infection process will appear for the future (after 5-12 months), when bone rarefaction occurs around the root. A doctor, entering a poorly passed canal, can understand that closer to the apex of the root exudate and an unpleasant putrefactive smell are determined.
Running to the hospital now is, at a minimum, to understand what is going wrong (diagnosis), and then it will become clear how serious everything is and how to treat it.
Finish the tooth, treat the canals, fill them and control the image. If you wish, send a snapshot for analysis (to the site’s mail). Thanks.
Good afternoon! I have periodontitis 7 teeth. The nerves were removed, for the first time they put a temporary filling for 10 days with the medicine. During this period, I was blown away, and a tooth fell ill, after it warmed up - everything passed. At the reception, the doctor said that the root of the tooth was inflamed, and again put a temporary filling for 13 days. Before going to the doctor, on day 12, my tooth started to hurt (sometimes there is no pain, then it will “hurt” from time to time). At the reception she told the doctor everything. He sealed me the channels and took a picture. He said that the tooth will ache a little, that there is a small infection, it is likely that the body will cope with it and the tooth will serve for a long time. Tell me, please, how much will the tooth hurt? How can it help the body fight this infection? But what if you don’t stop getting sick, after what time should you see a doctor?
Hello! The treatment options for periodontitis are currently wide: there are conservative and conservative surgical methods. Your doctor has chosen a conservative option. I am sure that his tactics should be beneficial, and as for the recommendations (antibiotics, sulfonamides, antihistamines, rinses, etc.) - this is decided only by the attending physician, individually. If you wish, you can provide a picture (via the site’s mail): I will analyze it and comment on the work of the dentist in the channels.
As for pain, they should not be very strong and their intensity should decline every day. If there is no such dynamics within a week, then it is useful to consult a doctor again.
Good afternoon! Periodontitis of the top 6. The doctor removed the nerves, cleaned the canals, put the medicine and put a temporary seal. A week later, removed the seal, sealed the channels (in my opinion, even soldered something hot) and again applied a temporary seal, but from another, softer (crumbling) material. She said that she still needed to walk for a week and then without anesthesia it would be necessary to put the main seal. The fact is that at the moment the tooth is a little aching and there is pain when pressed on it.
There is also a problem that the last temporary filling was placed not only on a bad tooth, but also captured a healthy, as well as (as I suspect) the gap between them. In this regard, there is a terrible tightness of other teeth, up to the front, as if all 8 teeth were pressed very strongly against each other. The doctor says that this is normal and needs to be uncomfortable for a week. But already on the first day I feel how all these teeth “beat with a pulse”. Should it be so in reality?
Thank you for your reply.
Hello! A temporary dressing placed on the gum is harmful if this is not the case when the “temporary barracks” is also a therapeutic agent in combination (put on the gum). In principle, even if this is the case, then your complaints are enough to remove a piece of temporary filling that holds the gingival papilla. That is why I propose to start by nevertheless to clean (between the doctor) the gap between the teeth so that the gum feels comfortable.
If you send a tooth picture to the site’s mail, then perhaps I could comment on the situation regarding pain when biting.I am almost sure that there is a slight removal of the material beyond the apex of the root of the tooth. Thanks for the question.
Hello! A few months ago she turned to private dentistry, the doctor put me a few fillings with a difference of a month (pieces 6). When the seals were placed, nothing was said about the canals. I only know that caries often turned out deeper than the doctor had expected. A week after installing the last fillings (6 and 7 teeth from the bottom left, as I understand it) - they began to respond to cold and hot. It became painful to chew. Suddenly, pains were added on the other hand - 6, 7 from the bottom right (there are also new fillings). As a result, I could not bite hard. After I went to the doctor, it turned out that it hurts me when dental instruments are scraped by teeth (sorry, I don’t know how to explain this correctly). The doctor suggested that he excessively filed his teeth, and I have problems with dentin. He sawed them a little and put small fillings directly on top of the ones already set earlier. It was very painful, although it seemed that only the surface of the tooth was drilled. But the pains did not go away after a week, and on the one hand, they even intensified.
I went to the same clinic to another doctor, under warranty. He completely replaced the fillings on 6 and 7 teeth from the bottom right. Again, when drilling was very painful (but not when drilled from above). On the other hand, the doctor did not begin to change the fillings, as he said that he had to wait until the pain went away where he completely replaced the fillings. But she didn’t completely leave (a week passed). It became much better, but there are discomfort when chewing. If something small and hard to bite your teeth - a sharp pain. Moreover, recently, when biting, I felt pain on the upper tooth, where there is a filling from the first doctor (given that before that I had to chew only with my front teeth, I think the pain could have arisen there for a long time).
What the second doctor advises is to resemble laser procedures to reduce tooth sensitivity. Tell me, please, does this make sense? Or do you need to run to other doctors and redo all the fillings?
Both doctors did the X-ray, they said that everything was in order on it. EDI in our city is not done, but I can go to the neighboring one, I often go there. Now the pain is tolerable, it is rather an unpleasant sensation when chewing, but I am afraid that in the end it can lead to sad consequences. I would be very grateful for your advice.
Hello! I think that the direction of your thoughts is correct: it is worth making EDI of the treated teeth in order to clarify the condition of the pulp. If the teeth, for example, were overheated during the treatment of deep caries, then the device will show pulpitis, and treatment should already be carried out as a complication of caries. Sometimes it happens that after errors in treatment the tooth does not hurt acutely, but then everything smoothly, in a matter of weeks or months, flows into periodontitis - inflammation at the root of the tooth. I would not want you to pull with such an important diagnosis. This is especially important because they treated deep caries with a large number of teeth. Now it’s difficult to understand without EDI what to start with so as not to break firewood.
In principle, if the device shows the normal state for all teeth that have been treated, then it is worth focusing on replacing fillings, since post-filling sensitivity is often the result of a violation of the technique of working with light-cured composites. A number of medical experts claim that with such individual sensitivity, but with full adherence to treatment protocols, one should expect an independent passage of pain no more than 7-14 days. Opinions on this issue are different: pains when biting can actually go away on their own, and the dynamics are such that every week it becomes more and more comfortable to chew. But this is provided that they did not “touch” the pulp during treatment.
Bottom line: since a lot of time has passed, I recommend checking the pulp on the treated teeth with the help of EDI, and then planning the retreatment of a tooth.
Hello! The crown was removed from the 25th tooth and a metal insert was installed, after which a feeling of fullness and burning sensation periodically appears in the gum. In the picture - the channels are closed to the end, they only suggested that perhaps the tab is too large for this tooth. In the sixth tooth, the tab is also on the lower gum, but it does not bother. The doctor insists on putting crowns. Tell me what to do? I'm afraid that nothing will change.
Hello! A snapshot of the treated tooth is needed to analyze the doctor’s possible mistakes (you can send it by mail or give a link). I do not rely on the opinions of the doctors who performed the treatment, and I always check. Only by eliminating possible errors in the treatment of canals, it will be possible to think about the problem directly with the tab in the tooth. I am sure that the exact reason should be established before the crown and a correction should be made, since otherwise everything could get worse with the crown.
Hello. A month ago, I was treated with 5 teeth from the top left and 6 from the bottom left. From the top, the tooth started to hurt the next day. Reacted to cold / hot and to bite. Now heals gradually, the pain is weaker and weaker. I can chew, but still difficult. Is this normal?
2 weeks after the treatment, I went for a second appointment to treat the lower 6. I was ill again the next day, reacting the same way. But it hurts in the area near the filling, along the edges, the pain does not go anywhere with time, it reacts strongly to cold and pressing. Before treatment, a piece of the filling broke off there, the tooth ached quite strongly, and could not chew. And now it is in the place where the fragment broke off, and now it hurts. What to do about it? Could this pass and heal over time?
Hello! It makes sense to wait a while, watching the dynamics. If the doctor has not made serious mistakes during the treatment of caries, then the pain will go away in about 2 weeks. We can talk about post-filling sensitivity only when pain does not intensify over time and other symptoms do not join (acute pain, spontaneous, etc.). So I’m answering your question more specifically: the pain can go away on its own if the doctor did not make serious mistakes during treatment (he did not overheat the tooth, did not open the pulp chamber, etc.).
Dates are purely individual. Some experts believe that you can wait a month before the full completion of post-filling sensitivity (pain when "biting"), although usually it takes two weeks. As for the reaction to the cold: this may be the result of grinding the enamel. If it was not critical, then this reaction is also temporary, but with a more serious and gross intervention in the enamel tissue, the problem may not go away at all until the seal “covers” this area of the exposed tooth structure.
Good afternoon, can I ask a question? I am pregnant, 20 weeks. Terribly ill teeth, went to the doctor, he removed the nerves, cleaned from caries, put temporary fillings in the canals and on the upper part of the tooth. He quit, said to come in a couple of days. I went to another doctor, he filled one tooth with a permanent filling, and left the second one - he said to wait a little longer, as he was ill when pressed. If it does not pass, then clean the channels. So the question is: I found the number of that doctor, he said that he put temporary fillings in my canals, and I already filled them with a light seal, what should I do? To remove, clean the channels and put permanent in the channels, or so walk? This tooth does not hurt. What could be the consequences of wearing temporary fillings in the canal?
Hello! Only negative consequences: this is due to the fact that the tooth should not remain with empty channels - untreated.It is necessary to check: what was the effect (and whether it was) in the channels of both teeth. While taking pictures is not recommended - doctors keep medical records, and records allow you to restore the picture of what is happening a day ago, a month, a year, 5 years, etc. If the doctor didn’t keep the card or wrote there something wrong, then this will complicate the situation: you can’t take a picture, the cards are not documented, no one knows exactly what the canals are, and it’s even difficult to say if one of the teeth in the canals is treated exactly ?
As for the consequences: if the canals were left untreated, then after a certain time the tooth will react at best when “biting”, at worst, an exacerbation of chronic periodontitis will occur.
Hello. 2 years ago I treated a lateral lower tooth (they pulled out a nerve, closed the canal and put a seal). A couple of days ago I started to get very sick with pressure, and the gums hurt. Nearby there is a sick wisdom tooth - can this pain give from a wisdom tooth to a dead tooth?
Hello! Can. It is worth checking both teeth for the presence of an inflammatory process at the root (either it may be a question of a difficult eruption of a wisdom tooth or pulp of it - it is not entirely clear what you had in mind when speaking of a “sick” wisdom tooth). After the examination, the doctor will issue a verdict and determine the exact cause of the pain. It is difficult to say anything else based on the information provided, the only one is that for clarification, you may need a picture of the roots in the area of a previously treated tooth (sometimes inflammation develops on the roots of endodontically badly treated teeth). Have a good treatment!
Good day! A year ago I was treated with 3 teeth (23 - fang, 24 and 25). 24 and 25 with pins, and the canine is just caries, even the channels were not touched. Before the new year, it became painful to press the fang and a ripple appeared. In the new year itself, the ripple intensified so much that I did not sleep all night. It was impossible to hurt the tooth. After a couple of days, the pain completely disappeared. Today it pulsates again and slightly aching. It hurts to push. What could it be? I can’t go to the doctor yet, I have no one to leave the child with. Thanks in advance for your reply!
Hello! It is more likely that you have one of the forms of periodontitis that has arisen amid errors in treatment or diagnosis. Perhaps the doctor did not notice the beginning pulpitis or, for some reason, incorrectly conducted the treatment. It is important to begin treatment of the canal to save the tooth. Fangs, like single-channel teeth with a wide canal, respond well to therapy even with complex forms of periodontitis. Hurry up, otherwise this form often turns into periostitis ("flux").
Hello. More than 10 years ago, they resected the roots of the 6-ka (top left). Immediately a fistula formed, and lived with him all this time. 2 months ago a tooth fell ill, the fillings were opened, the canals were cleaned. They treated the canals for two months, laid the medicine three times. The tooth could not stand it; the tooth walls were broken. Yesterday the canals were sealed and sent to put a crown, since the tooth was destroyed. Bottom line: today the tooth began to hurt and a fistula appeared again.
Hello! The appearance of a fistula is a negative trend, since it is considered an exacerbation of a purulent inflammatory process. It is generally impossible to perform prosthetics (to place a crown) in such a situation - there is no sense in blocking a deliberately "purulent" tooth. Judging by your description, this tooth cannot be saved. If everything that you wrote is true and performed a resection of the roots of such a complex tooth, then everything goes closer to removal. The last word, of course, is with the attending physician.
In no case do not replace an untreated tooth. Thanks for the question.
Good afternoon. Tell me, please, I began to treat the five below, it was under a seal and it was painful to chew on it. The doctor opened, cleaned, put a temporary seal.Chewing became even more painful. I came again. They opened it, the nerve was removed, the canals were cleaned and sealed. Again, a temporary set. And again it hurts to put pressure on the tooth, I can’t eat from this side at all. After 3 days I go to the reception. But I’m already scared - will it really fail? The picture was taken, everything was fine, the doctor said.
Hello! After treatment of the canal, the tooth can respond when biting for an average of 2 to 7 days. It depends on what material was set, how traumatically the canal was treated with tools and medicines, and also whether there were errors in the filling. Severe prolonged pain occurs when removing the material beyond the apex of the root. This, in fact, is a complication, but in fact many of these teeth have been safely standing for years without consequences, although it is uncomfortable to chew at the stage of treatment and after it (up to a month or more). Therefore, I believe that the ideal option is to treat a tooth according to the protocol, without fanaticism.
Well, in your case: it would be nice to look at the cause of post-filling pains - it’s possible that not everything is so scary (if you wish, you can send a picture to the site’s mail, I will comment).
Hello! My lower tooth hurt (deep caries), I went to the doctor, she put arsenic to me. A day later, she came, she began to clean - it hurts, the doctor said that the nerve had not completely died, arsenic was needed again. And so three times, deeper and deeper, she put me this arsenic. In the terminal, she removed all the nerves to me, cleaned everything and put a permanent seal. BUT after a permanent filling I can’t touch the tooth, I eat only on the other side. There is no pain until you click on this tooth. I contacted the doctor, she says that it’s normal - it’s supposedly the seal settles into the canals and therefore it hurts when biting ... She said that it will pass over time! But after reading the comments above that every day the pain should subside, I can say that it does not subside in me, but it hurts even more as soon as this tooth with a seal is touched. The right side of the jaw already hurts, it even pains me to touch the face (cheeks) on the right side! Already in the ear gives. Tell me it will pass? Or do you still need to see a doctor again? I have no strength to endure!
Hello! The fact that there were such problems with anesthesia (we will not analyze how much the dentist’s guilt was here) may indicate that the quality of the treatment for the canals was probably far from the highest level. The most objective moment of diagnosis in your clinical case could be a picture of a tooth with treated canals. If there is something suspicious in the picture, I’ll tell you “where the legs grow from.” In the event that the image does not show errors in the treatment, that is, the probability of the presence of an extra channel not found in the tooth or the laying of channels in the medial root. So far, the picture that can be taken in any clinic or hospital where there is a dental x-ray machine is important. A referral for a free diagnosis should be taken from any dentist at the place of attachment of your policy, in extreme cases, from the attending dentist (this is not forbidden). Private clinics will gladly give you an X-ray of the tooth, but for a fee. You can send the photo of the photo via the site’s mail (indicated in the “Feedback” section): I will comment on it in more detail. In the meantime, only guesses: the channel (s) were not found, the channel (s) were not passed, the channel (s) were not sealed or excessively sealed, perforation of the tooth wall, chemical burn of the periodontium, creation of a false channel, etc.
If the dentist has not critically “sinned” in the channels, then the pain should go away on their own. Judging by your subjective data, it does not seem that the dynamics are positive. In principle, you can go to the doctor who provided treatment again, but I have a suspicion that it will be difficult for him to work with you for some reason, and I'm not sure that he will be able to save the situation, although everything is possible.
Hello, I was treated for pulpitis on the 6th tooth from the bottom a week ago. At first, the doctor thought that there was a deep caries, then she still found pulpitis (although the tooth did not hurt before and did not bother me). First they put “arsenic” for 2 days, then they cleared 3 channels, took a picture, sealed the channels, put a pin and put a light seal. Since then, the tooth aches a little when biting, but it feels like it hurts only on one side! When I try to chew on it, there is aching pain and a feeling of fullness in the tooth, as if the tooth was pressing on the gum from this side. When upper teeth are pressed to lower teeth, this pain and pressure respond when chewing. The pain is not strong, but this bursting feeling is strange.
Hello! Considering that the work on filling the tooth canals and setting up a permanent filling was not done in one day, we can assume post-filling pains against the background of serious (or not so) errors in the treatment of canals, such as:
1. Excessive removal of filling material at the top of the tooth root;
2. Traumatic passage (expansion) of the canals with endodontic instruments;
3. Creating a false channel in the tooth;
4. The passage of the channel (s) along the anatomical "curvature";
5. Throwing infected sawdust (shavings) beyond the apex of the root;
6. Broken tool in the channel;
7. Periodontal burn with rough jet medical treatment of channels.
Or others. As you can see, there can be a ton of options.
Post-filling pains themselves (when biting on a tooth) can be the result of several small flaws and errors, as well as one serious violation. Something more definite can be said only after a thorough study of the tooth picture. If you have one, you can send it to the site’s mail, I will comment.
One thing I can say for sure: even with gross errors of the dentist during the treatment of the canals, post-filling pains can go away from 3-5 days to 3-6 months. But the severity of these errors will directly affect the prospect of the existence of a tooth (up to a possible tooth extraction within 2-3 years).
Good evening. My husband had a tooth filled, first went with arsenic for a week, then all the channels were filled, an x-ray was taken - the doctor said that everything was in order. But he has such pains that he gives to the temple and to the head, to tears, in general, does not want to live. It has been 2 days, but the pain does not stop. What could it be? And what can you drink from this? He cannot live without Ketorol. Thanks.
Hello! I think that for a week your husband went with a non-arsenic paste, but these are the nuances. If he did not have an improvement at the treatment stage, then one should not exclude the possibility that the doctor could mistakenly put the paste in another tooth decayed by the caries, and not the one that caused acute pain. If after setting the paste there was an improvement (even for a while), then the intensification of pain after filling the canals can indicate gross errors at the stages of endodontic treatment. Here there may be a removal of a large amount of material beyond the apex of the root, and a passage of the channel, and breaking of the tool in the channel, and perforation of the tooth wall, etc. There are many options.
If there is a picture of a tooth - you can send it to the site’s mail, I will comment in more detail. But it’s better not to waste time - run to a doctor for an in-person appointment (to another, not to the one who was treating) in order to find the true cause of the problem and immediately take up its elimination.
Hello! Today, the dentist put a permanent filling, everything is fine, the tooth does not hurt, but she came home and saw a relief on the tooth, it is felt quite strongly. Please advise what could be the problem? Bad polish? And what to do in this case?
I forgot to clarify the relief on the outer wall of the tooth.
Hello! I think that the dentist badly polished and polished the grooves and pits that he modeled in the process of filling the tooth. Generally speaking, not all patients like the shape with grooves - it looks, perhaps, beautiful, but the language is unusual. The problem is sometimes solved by perfect polishing with special heads, discs, or reducing the relief, especially on large molars, where, in principle, these “arts” do not play a big role. So you can turn to the same dentist and try to find a compromise: either perfect polishing or reducing the relief - all according to your desire, since this, in principle, takes 5-7 minutes.
Good afternoon! About two years ago, my nerves were removed at the bottom left. The pictures were taken, it seems, everything is fine. A year ago, my teeth got sick. I went to the doctor, took pictures, they say there is nothing there. Now they are sick again. Three days already hurt. When they eat, they react to hot-cold. What could it be?
P.S. Now pregnant.
Hello! With 100% accuracy, cold teeth do not respond to cold teeth (without a “nerve”), which means that you will have to look for problem teeth adjacent to your treated teeth. If you have a reaction only to cold and hot, the doctor will need to look for the place of destruction of the "living" tooth. This is done simply: a stream of water is supplied to the area where pain takes place approximately. If you react, then the tooth is selected in which the nerve was not removed, it looks in which place it has a carious cavity. If after such a diagnosis there are still doubts, then, in theory, a picture is to help, but you are not recommended to take pictures again. At a visiograph at a later date it is possible, but not all doctors are resolved, fearing later (in which case) charges against them, it does not matter that they are baseless.
If you experience spontaneous pain, acute, nocturnal and all that stuff, then there is an option to try the diagnosis of EDI in the clinic where it is used. Now in clinics there may be electronic apex locators, without which adequate dentist work is not possible, with built-in EDI. EDI (electroodontodiagnosis) will show in which tooth the infection begins - without the use of an X-ray, which is contraindicated for you.
So, answering your last question: it can be either caries or pulpitis. In an extreme case, a “dead” tooth from the number of treated ones (without a “nerve”) reacts to a hot one, but it is definitely “live” with a caries or pulpitis to a cold one.
Hello. There was a big caries, they said they would be removed. Came again after 3 months, they said that you can try to treat. Arsenic was delivered, 2 weeks passed. I went to the doctor - said that there is pus and bleeds, again put arsenic. A week passed, then they said that it was clean, the tooth was filled. Everything was fine, but after 3 days a throbbing pain began. It hurts day and night, sometimes stops, but after an hour again. The gums are swollen. It lasts 3 days. What's happening? I do not understand.
Hello! Judging by your description, the dentist’s tactics can hardly be called correct: firstly, arsenic is not used at present because of its harmful effects. Secondly, in the purulent process they never put arsenic paste, since this is not only pointless, but also extremely dangerous: an active infection with a potent drug is sealed. It is because of the wrong treatment that you most likely have an exacerbation of purulent periodontitis. I recommend to contact another doctor (or urgently to a surgeon to remove the tooth).
It is possible that the attending physician undertook to treat a deliberately unpromising tooth, or he could spoil a difficult, but completely preserved tooth. Be that as it may, everything went wrong as we would like, and urgent measures must be taken.
Good afternoon.Tell me, please, I began to treat the six at the top, the doctor found only 2 channels - he says that this is rare. Therefore, only 2 channels were sealed and a temporary seal was placed, she said that if there is a reaction to cold or hot, then there is another channel. 4 days have passed, the tooth does not respond to cold and hot, but it just hurts from any touch. I was told that this is a post-filling pain. Can the absence of pain in the cold guarantee that there are only two canals, or can it appear after filling?
Hello! The absence of pain in the cold cannot guarantee that there were still 2 channels, since the coronal part of the pulp is damaged, and when a part of the “nerve” is left in the channel not found, it begins to die, ceasing to give a reaction to the cold. After removing the pulp from the coronal part, the tooth already ceases to be “alive” (with rare exceptions, when this stage is part of one rare method of preserving or preserving the pulp). A tooth can react to hot while leaving the pulp in the canal, since the pulp begins to die and swell, and heat intensifies the swelling with the corresponding sensations (but there may not be a reaction to the hot - everything is individual).
The pain when you touch the tooth really looks like a post-filling reaction. The severity of this complication depends on where exactly the doctor screwed up. If the treatment of the canals is traumatic or the material is slightly removed outside the root, then this may not affect the prospect of preserving the tooth at all, but if there are serious errors (an unidentified canal, a broken instrument in the canal, wall perforation, etc.), the risk of losing the tooth is coming soon is great.
Since we are talking about the sixth tooth, I note that according to modern statistics, in more than 80% of cases in the sixth tooth there are four channels and a little less often - three. Rarely comes across five channels. Moreover, we are not talking about branches, which may be 15-20 pieces and which are in the treatment of tooth channels under a microscope. So, I’m afraid that the doctor almost certainly didn’t find all the channels (it is possible that there are even 2, not 1, channels not found).
So, answering your last question - the lack of reaction to the cold does not guarantee that the doctor did not make mistakes during endodontic treatment of the tooth. If possible, then contact another dentist (if you have the means, go where the channels are treated under a microscope).
Hello! Tell me please. Recently treated a tooth. Diagnosed with pulpitis. Removed the nerve. Sealed. But only a week later began to whine and throb and hurt when pressed. Does not respond to cold. What do you advise? Thanks.
Hello! I will advise the following: take a picture or pictures of the tooth in different projections, so that the treatment can be seen and consult a dentist (preferably another). Or send a snapshot to the site’s mail, and I will comment on it in a reply letter.
In the meantime, I will assume two options:
1. Incorrectly treated tooth (canals not passed, canal not found, perforation, output of material beyond the apex, etc.);
2. The tooth is incorrectly defined (the wrong tooth was treated, or there is still a tooth that just started to hurt).
In principle, clarification of the root cause is extremely important, as this will determine the subsequent treatment. I think that with a probability of more than 80% we are talking about an incorrectly treated tooth.
Hello! My front tooth was healed, it broke off: 4 channels, nerves were already removed, a pin was inserted, restoration. The tooth did not hurt immediately after treatment, but became ill after 2 days at night, and continues to hurt for 4 days. Every day more and more, it hurts to touch even the tongue, not to chew. Desna also hurts, when pressed it hurts too. For one day they put the medicine and a temporary seal during treatment. Probably, one should go to the same doctor as he was treating the tooth, but I no longer trust this doctor - as if I hadn't done worse. What could it be?
Hello! Firstly, in the anterior upper tooth in almost 100% of cases there is only one canal, and in the lower anterior one or two canals. There can be no talk of four channels. This is for reference.
Unfortunately, I do not know in what form and with what diagnosis you went to the doctor, nor do I know the tactics of treatment and many of those points that would allow me to say: "Yes, the doctor has done it." Now, only one thing is clear: it is urgent to consult a doctor for your symptoms.
As for the choice of a doctor - if you do not trust your doctor, then go to another. The best option is to get a consultation in 2-3 clinics and compare them. The benefit of consultation in many clinics today is free or cost-effective.
Hello. I had a toothache, seven, reacted to the cold. They treated me for a chipped tooth, they filled it. But the tooth continued to react to water even at room temperature, and then it began to ache with pressure. We put arsenic, it got better. After removal of arsenic (it was removed on a day off), pain again appeared when pressed. Yesterday the nerve was removed, the canals were sealed, and a temporary seal was placed. During treatment without anesthesia, nothing hurt. I drink 2 times. When biting, it hurts again. What to do? Rinse has not been appointed, I’m afraid to rinse myself.
Hello Olga! It’s a pity that arsenic paste is still used in your area. It is recognized as unsafe for devitalization of the pulp, since in many cases it causes periodontal irritation and worsens the prognosis even with good treatment and filling of the canals.
Pain when biting a tooth can say many things: for example, poorly treated canals, perforation of the tooth root, removal of material beyond the root, periodontal burns with an antiseptic, purulent exacerbation during channel therapy during treatment of periodontitis, etc.
This is a little that can lead to pain. Some options are not critical (for example, the removal of material beyond the apex of the root), and some significantly reduce the life of the tooth in the future (perforations, purulent exacerbations due to a poorly washed canal). So if in the next couple of days the pain does not go away, diagnosis is needed: you need to take a picture of the tooth and get an analysis of the picture from the doctor. If there are errors in the treatment, they are likely to be found, and it will become clear where to move on. And just rinse nothing in this context to do.
Thank you very much for your answer. I took a picture, the channels are very narrow and curved, but well sealed. I went to another doctor for a consultation. Arsenic because it is allergic to painkillers. I can only tolerate ultracaine, and then itchy, so they anesthetize a little. If you don’t touch the tooth, it doesn’t hurt, when pressed, it doesn’t hurt either, but after eating it aches for a long time. Sorry for the tooth, the last and the only one on this side.
Good evening. There is a hole in the upper left tooth, 7, and it was previously filled, but the seal fell out, 50% of the tooth remained. When a piece of food gets into the hole, a very sharp unbearable pain appears, even tears from the eyes. What to do? Clean channels? And close the seal, or is it better to put a crown? What will stick better?
Hello! It’s absolutely certain that the channels should be treated: remove the “nerve”, process it and seal it with high quality. It is no longer possible to save the pulp, or there are serious risks that without treatment of the canals the tooth will give the same pain in the near future or even stronger.
As for the last question, it is more complicated here. The fact is that the dentist solves this issue individually. Of course, it is more rational and reliable to save a tooth with a loss of 50% or more of the crown part with the tab + crown. There is even no question of a seal in this context.But prosthetics with an insert and a crown is one of the most expensive options for tooth restoration. The fact is that treatment of canals in such cases costs about 6-10 thousand rubles, plus a separate stump tab (about 3-8 thousand) and plus a crown (depending on the material, from 3 to 12 thousand rubles) .
Such complex treatment can cost an average of 20-30 thousand rubles. If we confine ourselves to a filling, then there will be a budget, but there is a great risk that the seal and tooth walls will crumble in the coming years - cases are especially difficult when the thin native wall of the tooth breaks under the “gum”. This in many cases is very painful, the tooth is difficult to restore, and it happens that such a destruction involves the further removal of tooth residues.
A slightly more expensive, but to some extent more promising option is the restoration of the tooth crown using light-cured material and a pin (titanium or fiberglass). The pin is placed in the canal and is a kind of reinforcement for the restored tooth. However, often the walls of the tooth also break off in the coming years, and the stump (pin + seal) remains. And yet, even such restorations in many clinical cases cannot be done with the exact reconstruction of the relief of the (primordial) tooth shape by bite, therefore, a 100% return of the lost function to this tooth does not occur (it simply exists in the dentition and partially performs a chewing function , and sometimes completely turned off from the chewing process).
Therefore, if the tooth loses the crown part in an amount of more than 50%, the best option is prosthetics with the insert and crown created by the dentist's bite: it is expensive and cheerful, but it will last more than 10 years.
Hello! There was pulpitis, a piece of tooth fell off. I went to the dentist, he put a seal, after a while she fell out. I came to the dentist again and said that when I click on the top of a sick tooth, there are pains (this is the fourth tooth on top). He sent to the picture, after which he said that everything was fine and put the seal again. Exactly a month later, she fell out again, but now there is pus, evident when pressed. What to do? Tell me please.
Hello! If you describe everything correctly, then the doctor’s tactics are largely incorrect. I think that there are certain reasons for this (the doctor doesn’t work this way from a good life), but it will not be easier for you from them.
Now to the point. Firstly, it is worthwhile to find a specialist who will take up such difficult work as redoing the treatment for the previous doctor. It is important to begin treatment of periodontitis in the acute phase (or exacerbation) as early as possible in order to preserve the tooth. The upper teeth (especially the fourth) are somewhat easier to maintain than the lower ones, but it all depends on what the doctor did wrong at the treatment stage.
First, a snapshot of the tooth is taken, the cause is determined, the root tip (inflammatory process) is analyzed. Then the material (if any) is removed from the canal, it is carefully processed and sealed (temporary or immediately permanent obstructive composition). As for the need for "incisions" in the transitional fold of the gums - this is decided by the doctor on the spot (according to indications).
If you don’t have an opportunity to treat a tooth for some reason, or 2-3 doctors insist on its removal, then you should remove such a tooth immediately, since the further presence of a purulent tooth creates serious infectious risks, up to spilled edema and the prospect of being in the jaw - facial surgery or resuscitation department.
Good afternoon! I really need your consultation, dear Svyatoslav Gennadevich! The front tooth was depulped more than a year ago, but after about three months it began to react with food, with light pressure on the hand. They opened it again to me (although the picture was good, there were no granulomas), I went with a temporary seal for about 4 months. He was sanitized twice, then the canal was resealed.For a while the tooth ached, then, it seemed, calmed down. But as soon as I feel cold, wet my feet, he begins to respond to the experience of touching with his hand, as if "breaking". I rinse with salt and grass all the time. Made 3 laser sessions. What could it be, everything is really bad, right? I have a picture - as they say, everything is fine on it (I just don’t know how to attach it here), and this is inflammation in the bone ...
Hello! There are two possible options:
1. Either the picture is not as good as it seemed to the doctors;
2. Or there is a problem tooth next to one standing, the pain of which radiates to the neighboring one.
The first option is more common, but 2 is also not a rare occurrence. Therefore, you can say for sure only after a careful analysis of the image. You can send it to the site’s mail (see the “Feedback” page), I will comment on it.
I can’t help but say that in one projection everything is not always well visualized, sometimes it is necessary to twist the channels at different angles in order to find the cause of the problem.
The fact that you have some kind of post-filling pain (relatively speaking) is not the norm, you should definitely look for the cause, examine the “dead” tooth and determine your neighbors. The best diagnosis is a simultaneous examination both in the oral cavity and in the picture. I can advise on the picture, but a more effective option is a face-to-face consultation with an experienced dentist in a clinic with normal equipment.
Hello, tell me, please, what could be. In early April, he treated a tooth in paid dentistry. The dentist immediately said that the problem tooth (6 on the lower jaw on the left). Took a picture. He said that when opening and cleaning the canals, the type was pus. The bone tissue is weak or damaged, I don’t remember now ... He made it to me for the 4th time only. Before that, he put the medicine and cleaned the canals with a temporary seal. Near 7 years ago, six months ago, too, was sealed, treated in another dentistry, and also cured. If 7 was cured and I forgot about it (everything is fine), then 6 suddenly became ill for some reason almost 1.5 months later. The pain is painful, as it was before, that is, similar to that when the nerve hurts.
The 6th dentist asked if that dentist took a picture of me. If so, then he could see that 6 soon will make itself felt and problematic. I'm sitting on ketorol and temppalgin. Well, the first week there was a slight pain, well, this is understandable - after filling and treatment. But then everything was perfect. Then he went to the country to plant potatoes. And closer to night, he began to whine at me. And he fell ill suddenly. I began to sin, that, perhaps, from the stove from heat. Or eaten sweet. Well, he ate hotter, of course. But before there were no problems before that with him, I don’t know. As luck would have it, there were no pills at hand. He was saved by salt and soda, a solution in warm water. And he noticed that it helps when he went out to smoke - that is, in the cool and cold air he calms down. I got up, you walk - it's normal. Only lay down - again growing pain, which even gives in the gums. That is, as if the gum aches, but there is no swelling. Such a feeling from the gums, as if pinching, but very sick. In general, without really sleeping, he left for the city at 6 in the morning by car for pills. Just happened on the weekend, today is Monday, everything is by appointment.
Do you need to go to dentistry, or is it the way it should be, will the pain disappear over time?
In general, the dentist who treated 7-ku did not take a picture. Both 6 and 7 were treated as if there was pulpitis.
Update as of May 24, 2017. In general, I went - it turned out that the radiating pain from 4 (molars 1) from the left upper jaw gave in 6 (big molars 2) of the lower jaw. This is the first time in my practice and life. A small chipping in the tooth is almost invisible to the eye and did not feel the tongue. Treatment: removed the nerve and cleaned the canals. Temporary filling, of course.But the most interesting - as if so far, and 6 hurts after the anesthesia passed yesterday from the top four. And squeamish 4, as it turned out. I always heard from dentists that the lower jaw always hurts when my teeth hurt (I would not say that). The tooth even now, when pressed, hurts when you touch or eat. Anyway, no matter how hard I try, it turns out that you press on him, if you want, you do not want. Maybe just while the medicine under the temporary seal acts like that, I don’t know.
Hello! Such an irradiation of pain is possible, on this occasion there are even such lines:
... From the lower teeth the pain is directed to the ear:
In the back of the head, in the temple, in the upper tooth gives.
From the top on them - such is bad luck -
In the cheekbone and in the eyebrow, already does not give sleep ...
Irradiation of pain most often occurs on one side, but there are even more interesting cases when one pulpitis, for example, the upper left wisdom tooth, gives a sensation of pain in all teeth of the jaw, that is, it “shoots” everywhere.
Glad you found a problem tooth. More than once I came across cases when a pulpitis tooth gives sensations in already treated teeth. This greatly complicates the work of the doctor in finding the cause of the problem.
The fact that pressing a tooth hurts - generally speaking, it can mean anything. But so far there is no reason for panic: post-filling pain after channel treatment is not terrible, if the pictures show that everything was done in the channels with high quality. Most often, the pain disappears in 3-5 days, depending on the material used and the nature of the treatment errors. If these errors are not critical, then everything passes without consequences for the tooth in the distant future.
I think that while irradiation still remains in the residual form, therefore, the lower 6 tooth hurts. But this fact is worth checking in dynamics: it is worth observing a little, so that everything becomes clear.
Hello. Tell me, please, what can it be. 2 weeks ago, I was treated with upper left 2 and 3 teeth. They removed the nerves, sealed the canals, put temporary fillings. A week ago, aching pains began, which are not relieved by painkillers, only become dull. There is no acute pain. Especially for some reason aching when moving and walking. There is a feeling of tightness in the area of a healthy unit. The unit does not hurt, but it also starts to whine. Unfortunately, I can’t provide a picture, but according to the dentist, everything is fine on it. I just don’t even know what it is from, because the pain did not start right after the treatment.
Hello! Your comment on the exact cause of the removal of 2 and 3 teeth would not hurt here - were there any symptoms characteristic of pulpitis, or were the canals treated for prosthetics? In principle, a snapshot could shed light on the causal relationship of your pains. I think that it’s worth checking not only treated teeth for errors in the treatment of canals, but also those adjacent to them, in order to identify possible hidden carious cavities. It’s just that no pain will arise. It is possible that pain radiates generally from another area (sometimes even from the opposite jaw). Finding the cause, that is, diagnosis, is often the most difficult stage in the work of the dentist, but it is important not to break firewood. It makes sense to go to the other (uninterested) dentist with the picture, as soon as your doctor says that everything is fine in the pictures. Sometimes the doctor who conducted the treatment is not able to objectively evaluate its results.
Hello. I treated the tooth a year and a half ago, front 2. There was a blow to it, they said that the ligaments allegedly broke and you need to remove the nerve. The tooth was very sick. The nerve was removed, but a month after treatment, the tooth, when you click on it, aches, the pain is not strong. It remains one and a half years to this day. I went and took a picture - they said that everything was well done. I changed the filling, but the pain does not disappear. Where can I send a picture? There is no such function on the site to attach a snapshot.
Hello! You can send a picture to the site’s mail in the “Feedback” section. If we are talking about the front upper tooth (most likely), then treating pulpitis in it is technically not difficult, so you should look for the cause of damage (maybe microdamage) from an impact from either the root or periodontal, although the latter should have been within 2- 3 months to regenerate itself. I think that somewhere there is a microtrauma of the root wall or something like a subluxation of the tooth.
I can not deny the possibility of removing the filling material beyond the root. Even though the doctor considers the picture exemplary.
Good afternoon. She treated the tooth in 2010 (3 channels were treated, the upper left 7th tooth, pulpitis). A seal was installed, never any pains and problems after treatment.
Last week, for no reason, the tooth began to hurt a little when pressed and began to respond to hot. Today we took a picture - everything is in order, the channels are completely sealed, there is no inflammation. The doctor is very surprised, offers only to treat the canals, if the pain does not pass. When tapping on the walls of the tooth, all sides are sensitive, the next six are in order, there is no pain, the walls are not sensitive.
I remembered - a couple of months ago there was a similar situation with the same tooth - the pain was about a week and gradually completely disappeared. Now it is repeated, but so far does not pass, the intensity has slightly decreased. I can’t understand - what kind of miracles with a dead tooth after 6 years and what treatment to choose? I don’t want to spend huge amounts of money on treating the canals, if in the end it also turns out that it’s in vain - the canals will be normally made. Have you had this in practice?
I think maybe it’s a matter of filling - the other 3 teeth (six) I also have treated channels, but they are under the tabs - they cost almost 9 years. The doctor is the same, she does not see the difference between all the treated teeth in the picture ...
Hello! Sometimes such cases do occur with “dead” teeth, when everything is in order in the picture, and the tooth hurts with percussion and from hot. I think that the material in the channels or channel was delivered to one degree or another loose or even loose, and now there is a depressurization of the channel or channels. When the gutta-percha starts to “hang out” in them, the tooth starts to hurt exactly according to the principle that you describe. In extreme cases, all this then leads to purulent edema and severe pain, which can follow without timely treatment.
I agree with you that it is important not to make a mistake here: check several times that the specified tooth responds to percussion, and the neighboring teeth have no hidden caries and are insensitive.
In my practice, such strange “dead” teeth are encountered - during retreatment when opening access to the channels, there are all signs of unfastening, although formally everything is very beautiful in the picture.
Hello, two weeks ago I was healed. There was pulpitis. Two channels were cleaned without pain, and the third began to be cleaned - and the pain was as if there was a live nerve nearby. I told the doctor about this, anesthetized, brushed, and closed the tooth. And I can’t eat on the other side. Even soft food. It hurts, it hurts to touch. Could it be that the tooth has not 3, but 4 channels? I took a picture, but I can’t understand what is there. The tooth was being treated in another city, and where the picture was taken, they said to go for clarification to the one who was treating.
Hello! There can be four channels in a tooth, especially if it is the 6th upper tooth (often) or the lower. From the 1st to the 5th there are no 4 channels in the teeth, sometimes in the 7th and 8th. You did not indicate which tooth you were being treated.
As for the fact that you did not want to professionally diagnose the cause of the pain, I can say that the motivation can be anything, up to the fact that the doctor has done something, but they simply do not want to expose him in a bad light (unethical). Or they don’t want to redo the work for him - it can be difficult and in many ways problematic.
You can send a picture via the site’s mail (the address is indicated in the “Feedback” section), and I will comment on it in the reply letter. In some cases, a good view of the channels requires pictures from different projections (angles), that is, from different angles.But sometimes errors can be seen in one sighting shot.
Guessing about the causes of pain without a careful study of the pictures, perhaps, it makes no sense, since anything is possible here (from removing material outside the root of the tooth to perforating its walls, breaking off the tool in the canal, or not finding the fourth canal on which you are making accent).
Tell me, please, today I made a tooth, inserted a seal. After the departure of anesthesia, the tooth became very sick, I have been suffering all day. Pregnant 9 weeks. From pain I drank pills, but nothing helps. Help, what to do? Until tomorrow I will not endure.
Hello! To help, it is important to know the cause of the pain, and it’s not even clear from the question for what reasons you were given a seal: either they treated caries, or its complications (pulpitis, periodontitis). Be that as it may, it is urgent to consult a doctor for emergency assistance in order to guide the tooth according to a different diagnosis (most likely, pulpitis). Otherwise, if there was a tooth filling after canal treatment - the described symptoms indicate the development of complications or the doctor’s mistakes made during treatment. So urgently to the dentist.
Hello, Svyatoslav Gennadievich! 5 days ago I had a seal on the lower last tooth on the right. The doctor removed the old seal, and put a new one. The tooth is alive. The first day the tooth hurt, now it simply reacts to cold and hot. But the problem is that the upper lip began to twitch for 5 days now, and on the one hand, to the right. What is it?
Hello! The idea that problems with twitching of the lip are the result of any errors or complications in the treatment of the tooth is doubtful. Rather, we can assume the option of stress on the background of treatment, but no more, that is, we are talking about the neurological nature of the problem. Accordingly, I recommend that you consult a neurologist to clarify the situation as soon as possible.
Hello, dear Svyatoslav Gennadevich. My situation is not from the “simple” ones. Six months ago, they put a seal on my 36 tooth (I don’t really understand the numbers, but it was written on the map). After about 2 weeks, he became very ill, and I went to the clinic with "acute pain." They removed the seal, removed the nerve and set up a temporary one, saying that in two weeks I should come up and put on a permanent one.
At that time I didn’t have to go to the doctor, and then I somehow forgot about this tooth. In general, it took about 5 months with this temporary filling.
One fine day, this tooth started to ache again. I went to the clinic - they said that the seal was "resolved", so he got sick. They removed the remains of a temporary seal, once again cleared the canals, and again put the temporary one.
So, I have a question for you. When they put a temporary seal for the first time, the tooth went almost the next day. Now a tooth with a temporary filling does not pass already the second day, it aches, it also hurts when biting. The pain also extends to the adjacent teeth, the jaw also hurts, and not under the tooth itself, but under the teeth, in which it pains from this tooth.
I was told that if it hurts for 2-3 days, this is normal, but it scares me that the first time the pain went away the next day, and now the tooth aches constantly, it hurts to eat, the pain intensifies at night.
Tell me, please, what can it be? Is this normal? Waiting for your reply. Thanks!
Hello! Firstly, you behaved very carelessly, without putting a permanent seal in the near future after treatment of the canals. I would not advise walking with a temporary filling even for more than 7 days, since the canals are re-infected from the oral cavity, and the doctor’s work is in vain.That is, the first time you were treated for pulpitis, everything went as calmly as possible, but when you violated the treatment regimen, you turned it into an exacerbation of periodontitis in 5 months of walking with a sealed temporary dressing. Do not be surprised that the process of tooth retreatment is not simple, as you and the doctor would like. Of course, a lot depends on the professionalism and tactics of the attending physician, who took on a complex and not always grateful work (in some cases, the tooth cannot be saved, it is necessary to remove it, and the patient may at the same time think that the doctor could not cope or screwed up somewhere )
2 years ago I had a toothache - the upper left, in front of the wisdom tooth. They made a small hole, put arsenic. Nothing hurt, then they said to come in a month to remove arsenic. As a result, they removed arsenic and did nothing. It seems that it didn’t hurt, but then it started to hurt again. I went to the same dentist, he made a hole in the tooth, did nothing else, and said to rinse with chamomile and soda. A week later he came, they put me a seal for 2 months.
I don’t know why, then I come, and there I am not in the list of appointments. The tooth did not hurt, over time the seal fell out and I went to another doctor. He put me medicine 2 times (not arsenic), temporarily filled it for 10 and 11 days. Then they said that everything was clean and put a permanent seal. And they said he could get sick, but this reaction is ordinary, it should be on a permanent seal. On day 1, nothing hurt, on day 2 it started to hurt when pressed, on day 3 it started to itch under the tooth. I don’t even know how to scratch. Then, still nearby, he began to whine. For 5 days now the tooth aches when pressed, the pain subsided a little + swollen cheek, although they did everything to me without anesthesia.
Hello! In my opinion, in your case, on the part of the doctor, you can observe a typical example of a routine intake - in other words, the treatment is not aimed at the result, but at the mechanically doing something and letting go until the next appointment. Often the logical outcome of such a “treatment” is tooth extraction. If you turn to another doctor in a timely manner, who treats at the pulpitis stage without arsenic and performs endodontics in one visit, and puts a filling in the next, then the tooth can be qualitatively and fully preserved without unnecessary troubles and nerves.
Now you are dealing with an exacerbation of periodontitis, which is fraught with negative consequences. It will probably be difficult to correct the situation, but it’s worth a try: I recommend finding a clinic where doctors perform endodontics using a microscope and ultrasound canals using sodium hypochlorite - this may give a chance for the complete destruction of the infection in the canal system. However, if the previous doctor made serious mistakes, then saving the tooth may not be so easy.
Svetoslav Gennadievich, hello! Please help me figure it out. On July 11, 2017, a tooth filling was installed in connection with the detection of caries that did not bother me (previously sealed). I had to make 2 injections, because after the first it was still painful to “drill”. The doctor said that this is possible, since we drill deep enough. After anesthesia passed, it was painful to chew on this tooth. The doctor said that this is normal, but if the pain does not go away within 2 weeks, then we will remove the nerves. They didn’t take a picture of me. Now more than a month has passed, I can chew on this tooth soft for a long time, but if something hard to chew - it still hurts. In a calm state, the tooth does not disturb. Question: what to do to immediately not just remove the nerves (suddenly you can do without it)? Wait? Maybe it will be final? X-ray, EDI? Help me please. Many thanks! Sincerely, Elena.
Hello! It would be wonderful to make an EDI, as you will immediately know whether the pulp is healthy or not.But this diagnosis is not found in all clinics. However, EDI is the most ideal option in your case.
As I understand it, a positive trend has been outlined, since chewing every week is becoming more and more tolerable. Therefore, I think that all the same, we are talking about overdrying dentin or a bottom separation of the photopolymer from dentin, which sometimes gives a painful reaction until dentin is restored at the border with the filling, or rather, until its thin structures adapt to this situation .
Regarding the question of the appropriateness of waiting: I advise you to wait if there really is no way to find a clinic with EDI. If acute pain occurs, then naturally you will already purposefully go to treat pulpitis.
Svyatoslav Gennadievich. My nerve was removed and the canals were picked for a long time, then they put a temporary filling with medicine. After that, I got to the doctor only a month later, all this time there was pain when pressing on the tooth, and a fossa in the gum appeared nearby. Despite the pain during chewing, they put a light seal on me and let it go, saying that everything would heal. For a month now I can’t chew on this side, tooth 7. I went to another doctor, said that it would heal due to inflammation and a fossa in the gums. Here is a story. The pictures are perfect, but even when brushing, this tooth reacts like a bare nerve. Could this be due to inflammation and how to treat it? Thanks.
Hello! The situation is complicated, without looking in the chair and analyzing the picture, it’s hard to say something definite. It is possible that the second doctor does not see errors in the treatment of canals, although they are. It is also useful to carefully analyze the condition of neighboring teeth, and check their reaction. If there is any problem on the gingival side, then it is also important to emphasize this.
If nothing is done, then if there is a serious reason, this can lead to a dangerous purulent process. Therefore, I recommend that as soon as possible contact another 1-2 doctors in a clinic of a high enough level to clarify the situation.
I treat a tooth, put arsenic. Two days later they said to come - she went, cleaned, put a seal. Prior to this, the tooth sometimes ached during treatment. But after the filling, the pain intensified, giving in the ear and head. I went to the doctor, took a picture - everything seems to be fine. The doctor looked at the tooth itself. He said that everything is fine, but why they didn’t understand why the tooth hurts. I went home, drank painkillers. The tooth did not hurt. And now (in the evening) is aching again. What to do?
Write a claim for a refund if you are not sure about the doctor. Unfortunately, there is a lot of “hand-on” now and nobody wants to redo anything (standard excuses: there is nothing, but everything seems to be normal, you come up with it yourself, etc.). And if they redo it, it’s as if they are doing a huge favor. It’s better to take the money and carefully look for a specialist for remodeling.
Svyatoslav Gennadievich, please help. I got a seal, and after 1 year the tooth began to hurt. What is it?
Hello! There are two options. The most likely, taking into account your question, is pulpitis, as a complication of caries or a traumatic treatment a year ago. That is, either the caries were not “cleaned up” or the doctor overheated the tooth during its preparation. Overheating of the tooth, taking into account the past year, is slightly less likely, but it happens that the acute form does not immediately appear after improper treatment, and the already sick tooth “freezes” in anticipation of exacerbation of pulpitis or even acute or chronic periodontitis (inflammation at the root) I, too, cannot rule out, since you did not specify the nature of the pain, the presence of temperature, as well as the condition in the oral cavity: is there swelling of the gums, pain when pressing on the tooth, etc.).
The second option: if you were treated with canals a year ago, then we are talking about exacerbation.Most likely, also against the backdrop of incorrect treatment. In addition, there are situations (and not uncommon) that the patient confuses the pain in the untreated tooth with the one that was treated. That is, simply mistaken with a tooth. That is why, according to the principle of "trust, but verify", each dentist determines individually: whether the tooth hurts, which the patient points to. So for an accurate answer to your question, a thorough diagnosis is necessary.
A hole has formed in my tooth. I tried to sleep, but nothing worked. Mom gave a pill, I don’t remember which one. The doctor accepts only in February. It's one in the morning, I woke up, the tooth still hurts. What should I do, please tell me? All this time it hurts, I cry from this pain.
Hello! While you will be waiting for a doctor who takes only after 10-12 days, you can bring the tooth to an extraction. The fact is that against the background of the transition of pulpitis to periodontitis, a purulent infection can be activated - in this case, a deterioration in the general state of health may suggest an emergency tooth extraction, and its treatment.
Urgently run to another doctor without waiting 10 days. Otherwise, there will be a high probability of negative consequences.
Hello! I took treatment with canal filling. Now that they had a permanent filling, I began to feel aching pain when biting, although when there was treatment, I did not experience pain under a temporary filling in several stages of the canal treatment. Is this a normal reaction?
Hello! Post-filling pain associated with canal treatment often occurs on day 2 after treatment, so it is not surprising that you did not experience discomfort during the manipulations. As for the fact of the appearance of these symptoms, I can say that most often they do not indicate a doctor’s mistakes, although small errors could very well be made at the endodontic stage. As a rule, pain passes within 7-10 days.
If, nevertheless, the doctor made significant mistakes, then the pain can last for a long time, sometimes for months. The presence of errors can only be checked with the help of a picture from different angles.
08/30/17 a tooth was sealed (photopolymer, 2, top left). 02/09/18 the same tooth began to be pulled, and then released, then again. Such sensations lasted three days. 02/12/18 stopped pulling, but inflamed, it was even impossible to touch his tongue. What to do? Maybe a solution of soda with salt will help? Or doesn’t it go, go to the doctor? Answer please.
Hello, Larisa. Most likely, after installing the seal, your nerve inflamed. After 3 days, the infection moved to the root canal and further to its apex, so it became painful to touch the tooth with the tongue. In such a situation, it is urgent to consult a doctor - most likely, removal of the filling and further treatment of the tooth canals will be required. Do not pull with it.
Hello! Today I got a seal. Earlier, more precisely 5 years ago, they filled this tooth for me. Now it hurts terribly, intolerant. What to do?
Hello, Potassium. If the pain does not go away or even intensifies, it becomes paroxysmal, then this is most likely pulpitis, which could occur due to the fault of the doctor in violation of the rules for the preparation of the cavity in the tooth and its filling. I recommend urgently contacting a doctor to assess the condition of the tooth, and it is useful to monitor it even if the pain suddenly passes (when the “nerve” inside the tooth dies away with pulpitis, the pain goes away, but then the neurovascular bundle gradually decomposes, producing pus - with treatment in it’s better not to delay such a situation).
Hey.Put a seal after removing the four-channel pulpitis. With light pressure, the tooth hurts, the gum has a hole on top. I went to the same doctor - they did an x-ray, they said that the tooth should not hurt. What should I do?
Hello, Alexander! After treatment of pulpitis, the so-called post-filling pain is often quite often observed (after tight closure of the tooth channels and filling). The causes of such pain can be very different (from a dozen) - from excessive removal of filling material beyond the root of the tooth to an allergic reaction to the material itself. On average, pain can be present from a week to two months. If there is no positive dynamics, I recommend to fill out the tooth (open) and treat again.
As for the “hole” in the gum - with inflammatory processes inside and on the roots of the tooth, a fistulous passage may occur through which pus leaves the inflammation zone in the oral cavity. It would be useful to have a CT scan (computed tomography) for a more detailed determination of the cause of the problem.
Sealed the lower 7 and 8 teeth. The second day already hurt and a little swollen. The pain does not subside. What to do?
Hello, Galina! You did not write whether the treatment of dental canals was performed before installing fillings. Usually, long-term post-filling pains are characteristic of endodontic treatment - pain normally disappears in about a week, but in rare cases, amid treatment errors, can last for months.
If during the week there is no positive dynamics (the pain will not gradually decrease), we recommend that you contact your doctor to clarify the situation. Sometimes, for example, correction of bite fillings is simply required. However, there may be more significant problems (there are a lot of options, at least a dozen, and a full-fledged diagnosis is needed here).
Hello! I have been treating periodontitis of 2 teeth (4, 5) for about six months now. In the 1st clinic they said that it was pulpitis and caries, put in fillings, gave money. And the pain was terrible - as it turned out later, they still pressed the gum with a filling, there was a pressure sore. Then a friend sent me to a doctor, to whom, it seems, everyone is trying to get with us, who takes even the most difficult cases. Although he did not call my case very complicated. But heals for six months. There is dynamics, but is it normal? Endless washing, preparations with iodine and calcium.
On an X-ray, everything is fine: the channels are filled with paste until the end, there is no inflammation (I saw it myself, I am a doctor, but not a dentist). They tried to fill - after there is terrible pain. As he explained: will hurt or burst, the paste hardens. But it was unbearable, woke up at night, barely thinking, found Ketorol. Then she could not stand it, asked to remove the paste and put on the soft material again.
Month 2 passed. Now is another attempt. It seems that the tooth did not hurt at all. But again the same thing ((the 3rd day I live only on tablets, and it’s painful to bite. I don’t know what to do. Maybe I need to remove the tooth? This doctor insists that everything will be cured, it’s not necessary to remove, and long rinses are good. Just in case: he doesn’t take money for washing, this is not the case when they want to lure money.
Hello, Lily. If the canals are well processed, there are no rinses and inflammations in the picture, then you should try to fill the canals with permanent material - gutta-percha pins. Pain for about a week after filling is a normal occurrence. Within a few days, it usually goes away. Do not rush to remove the tooth, but walking with a temporary medicine for a long time also does not make sense.Since your problem has not been resolved in six months, and there are no positive changes, I would recommend consulting with at least 1-2 more specialists. Different people have different experiences and there may be completely different approaches regarding the same problem.
thanks
Hello. He treated tooth decay. A seal was placed (the canals were not processed, the tooth remained alive). After treatment, the tooth ached for several days, reacted sharply to cold / hot and was sick when chewing (if the food got on the filling itself).
Two weeks passed. The tooth does not ache, the reaction to the cold almost disappeared, but the pain when pressing on the fill remained. What could be the reason? Should I still wait, or should I go to the dentist?
Hello Oleg! Such sensations can be, for example, if initially you had a deep carious cavity, or with a slight overestimation of the filling. In any case, if there is no further positive dynamics (that is, if pain is felt when biting), it is useful to visit the attending physician to eliminate inconvenience.
I tried all the painkillers I had, but not a single remedy helped! And I tried to apply all kinds of fluids to the tooth, like hydrogen peroxide. After applying, the tooth pinched at the side, and then the pain passed. But then, after about 20 minutes, the tooth began to hurt again, stronger than before. Also, I have repeatedly noticed in the mirror that I have constant bleeding on my tooth. That is, if I just press, then a small amount of blood will begin to flow. Why is this happening and what to do?
Hello, Michael. Bleeding can occur for various reasons, often this is due to chronic inflammatory processes in the gums. It is also possible that your long-term self-medication made a certain contribution. Be that as it may, I highly recommend contacting a specialist for help - clarify the diagnosis and draw up a treatment plan. In case of inaction, problems with the gums often lead to tooth mobility.