Treatment of tooth canals is a high-tech manipulation that requires from the dentist not only relevant theoretical knowledge, but also proven skills in using special methods and tools specific for endodontic therapy. Simply put, this procedure is complex, and involves many possible medical errors.
Unfortunately, there are often situations when the tooth continues to hurt after removing the nerve (pulp) and cleaning the canals. Sometimes the pain is so strong and does not pass for a long time that a person is forced to take painkillers for several days.
And here it is necessary to understand: why does a “dead” tooth hurt at all - after all, after cleaning the canals, it would seem to have no nerves? .. And how long can it last, is it worth it to wait a little at home or you need to immediately run to the doctor for reception.
Generally speaking, all pains that occur after treatment and proper filling of the canals are called by the dentists “post-filling pains”. Moreover, some doctors believe that such pain is a 100% complication, even if the x-ray shows that the channels are sealed without errors. Other dentists are of the opinion that pain in the tooth after nerve removal, cleaning and high-quality filling of the canals is a condition within the normal range, but only if the pain remains for no more than 5-7 days.
On a note
Post-filling pain after cleaning the canals can be both constant and occurring only when biting or pressing on the tooth, which greatly complicates food intake. Most often, pain occurs spontaneously several hours after the treatment procedure and is constant.
It is acceptable to preserve minor painful sensations up to 2-3 weeks, if their intensity is characterized by a gradual decrease with each week. But a sharp increase in pain a few days after treatment requires urgent diagnosis and, possibly, re-treatment and cleaning of the canals.
But what should a person do if the tooth continues to hurt for a long time after removing the nerve and treating the canals? Well, in such a situation, you need to urgently make an appointment with a doctor to assess the appropriateness of a second treatment.
Firstly, in such cases, pain is often an indicator of complications in the tooth that arose due to errors made by the doctor during treatment. Secondly, one should know the “enemy” (complication) in the face in order to be able to correct the situation in time and save the tooth from extraction. Inaction here is unacceptable.
So, let's understand in order why, after removing the nerve and cleaning the canals, the tooth can continue to hurt ...
Filling material removed at the apex of the tooth root
Among all the complications that arise after cleaning and filling the canals, the removal of the filling material outside the root is probably one of the first places, even despite the control systems for the accuracy of this procedure available in dentistry. Almost every dentist with experience of more than 10 years at least a hundred times faced with such situations when, after removing the nerve and removing the filling material outside the apex of the root, the patient’s tooth began to ache severely on the day of treatment.
It is possible to diagnose such a complication only after studying the x-ray or visiograph data on a computer. But panoramic radiography of both jaws does not always allow a detailed examination of the tops of the roots of the treated teeth and identify the problem.
When removing the filling material beyond the root, the tooth can hurt for a very long time - up to 5-6 months. It all depends on how much material is released into the surrounding soft tissues, what material it is, and also what kind of person’s reactivity of the body (after all, filling material is a foreign body to which there is an immune response, the severity of which will be different for different people) .
It is interesting
In 1935, the dentist A.A. Anishchenko proposed a method of filling tooth canals with phosphate cement, and he suggested that the best way to restore the destroyed bone around the root with periodontitis is to bring the material outside the root to this pathological focus. Modern dentists consider this method of treatment a mockery of the patient, because even if positive results are achieved due to the strong sealing of the canal inside and outside the cement plug, in which bacteria cannot multiply, nevertheless, immediately after the end of the anesthesia, a person will begin experiencing hellish pains. They can be even stronger than before tooth treatment.
The phosphoric acid solution, which is part of phosphate cement, has a strong irritant effect, and the hardening cement mass itself is a foreign conglomerate that never "resolves" when it is outside the root. For unknown reasons, in the terrible Soviet dentistry, this method has been used for over 30 years!
Currently, cements are extremely rarely used to treat canals, and the removal of any filling material at the top of the root is considered a complication. Due to the jump in scientific progress, dentists began to use gutta-percha pins and the Thermafil system for obturation (filling) of canals and their branches.
If the working tooth length is incorrectly determined, there is no apical emphasis, the gutta-percha pin is not correctly sized, the material is removed to the surrounding tissue root. At the same time, you can observe in the x-ray how the white strip of filling material passes inside the root, reaches its apex and continues on. Even a person who is not completely advanced in dentistry can easily diagnose a doctor’s mistake when the gutta-percha pin extends beyond the root by 4-5 millimeters or more.
It is not worth waiting for the pain to pass. It is regrettable, but sometimes the most effective solution is to contact another doctor if the dentist who allowed the removal of material outside the root has not corrected the situation and is not going to correct it, telling you that everything is fine and the pain will pass sooner or later herself.
Modern filling materials are most often removed without problems, provided the clinic is properly equipped. As soon as the excess material is removed and the tooth is sealed correctly, the pain will immediately or within 2-3 days pass by itself.
It is interesting
Phonophoresis with hydrocortisone, a helium-neon laser, fluctuating currents, microwave and UHF are sometimes used as physiotherapeutic methods for relieving pain in the tooth after nerve removal and channel cleaning. These methods are suitable both for “classical” post-filling pains and as an additional treatment for pain after eliminating the consequences of various complications.
Incorrectly sealed channel
If the tooth starts to hurt when removing the filling material beyond the apex of the root in the near future, then with insufficient filling of the canal or canals, it may not react at all. As a rule, when a tooth does not hurt in such a situation, an effect of imaginary well-being is created. And the question here is how much he can not get sick after such a bad treatment.
Dentist Comment
In my dental practice, I have repeatedly faced with retreating of teeth, which sometimes were not completely filled inside the canals, or the filling material was simply “smeared” along their walls for a period of time from 5-6 months to 7-8 years or more. If the patient himself came for help, then the complaints were something like this:
“So many months (years) ago I treated a tooth, and, being dead, it did not hurt (or almost did not bother) until the other day there was a strong spontaneous pain, especially when pressing on the treated tooth while chewing hard food ... "
In many such clinical cases, due to the multiplication of bacteria in empty or half-empty canals, certain changes occurred in the bone tissue near the top of the problem root: from a slight discharge of bone tissue to the formation of a granuloma or even a cyst.
Vyacheslav, dentist, Samara
The sooner the root filling is removed and the tooth is re-rescued, the faster the pains will pass (if any), and there will be no conditions for the growth and reproduction of the infection in the canals with the transition to the near-root area.
Chipping a tool in a channel
If the dentist first encounters such a complication as an instrument is broken off in the canal, then in most cases the doctor will panic (the psychological moment is triggered - after all, this is a medical error). However, this, albeit not the most frequent, but, nevertheless, quite an ordinary working error, can be corrected taking into account modern technologies and methods, and the tooth can be saved.
If during the cleaning of the canal a part of the endodontic instrument broke in it, then if it is left in the canal, the tooth will begin to hurt either immediately or after some time. This is due to the fact that a piece of the instrument stuck in the canal does not give the doctor access to the apex of the root, due to which there remains a part of the nerve or an untreated infection that will necessarily begin to multiply, and can lead to very big problems in the future.
The breaking of the tool most often occurs due to the fault of the doctor, and here the following reasons are possible:
- excessive pressure is applied to a sharp instrument;
- the technique of using the tool is broken;
- lubricant gels are not used to prevent “jamming” in the channel;
- the old “needles” are repeatedly used to clean and expand channels (examples and files), which went through the processing steps many times and are no longer suitable.
Even in narrow and strongly curved channels, you can work accurately and correctly without breaking the tool.
To avoid possible future complications, immediate removal of the debris is carried out using various methods. For example, the ultrasonic method of "knocking out" a fragment is currently actively used. Another extraction method is to pass a channel next to a piece of a stuck tool, expand, rinse, grab, and then remove it.
If it is impossible to extract, conservative surgical methods can be used, when the passed part of the canal is sealed with cement, and the part where the fragment is located is resected (the tip of the tooth root is cut off).
The dubious method is still the impregnation method of eliminating the complication, when a powerful antiseptic mixture (most often resorcinol-formalin) is poured into the channel over the debris of the instrument and a seal is placed. Usually, after some time, such patients again turn to the dentist with the question - they say, they removed the nerve in the tooth, but it still hurts. The specified method with the use of resorcinol-formalin paste does not always give a result, it is much more reliable to remove a broken tool from the channel.
Perforation of the tooth root
A crude but understandable analogy of this terrible term is “a hole in the root”. Generally speaking, statistics on the number of perforations made in the roots of patients' teeth in modern clinics only increase every year.This is due to the fact that more and more dentists are moving from the routine treatment of dental canals manually to machine technicians, when instead of the usual intra-channel instruments, endodontic tips are used to pass, expand and clean the canals, which rotate the working part of the instrument under the control of a special device.
Due to the lack of experience of the doctor, either jamming of a rapidly rotating tool or simply rough passage of the channel can occur, resulting in perforation of its wall. An improperly selected set of tools also sometimes leads to the passage of the channel not by its real curvature, but directly, that is, into the wall with access to the soft tissues surrounding the root.
If the perforation is done after removal of the nerve and initial cleaning of the canal with hand tools, then severe bleeding from the tooth and pain occurs (although anesthesia smooths it or almost completely blocks it). If this complication is ignored, when filling the canal in the usual way, the filling material most often gets outside the root in the place where there is a “hole” in its wall.
The result of this in almost 100% of cases is acute pain that occurs immediately after undergoing anesthesia. A tooth after nerve removal with such a complication can be very painful for 2-3 weeks or more.
From the observations of the dentist
At the time of root perforation, most patients feel an “injection” even with severe anesthesia, after which pain may not occur until the doctor again goes beyond the boundaries of the root wall. Usually competent patients describe this moment as if “the instrument went into the gum”, and further pain after passing the “freeze” is easily associated with this doctor’s mistake.
So that a severe toothache in a treated dead tooth with a “perforated” root does not become a nightmare, and also to prevent suppuration around the root, it is important to detect the error in time and eliminate it.
For a favorable outcome, the dentist is required to go through all the channels in the tooth, clean them from the remnants of the pulp and infection, without affecting the false passage in the root wall. The root perforation must be closed with a calcium-containing material (for closing such perforations it has proven itself, for example, with the ProRoot MTA material).
Allergy to filling material
Cases of allergies to various materials and substances today are almost a “classic of the genre”, and filling materials for filling channels are no exception. When they are introduced into the tooth canal to a person prone to allergies, severe pain can occur in the tissues surrounding the tooth, which sometimes do not even stop with painkillers.
In these cases, an allergic reaction occurs in response to the material located in the tooth canal (and especially when it extends beyond the root). The local manifestation of allergies is swelling of the gums, severe pain in a dead tooth, and sometimes swelling of the lips and cheeks.
Local swelling of the gums may not subside for more than a week, and the pain increases significantly with pressure on the tooth, as a result of which the patient cannot fully eat. Sometimes the dentist, faced with this complication, cannot understand anything: during the work with the channels there were no problems, the channels were filled perfectly, and the tooth with the removed nerve in the patient continues to hurt, and is stronger every day.
Patients often themselves ask the doctor to urgently remove a diseased tooth so that it no longer torments them. Of course, a dentist-therapist, confident in his abilities, usually does not agree with this, but out of ignorance he often chooses the same filling material when treating a tooth, from which the tooth continues to hurt.
Only the replacement of filling material with an alternative one, which has a qualitatively different composition, can eliminate all the phenomena of allergies and the associated severe toothache.
An interesting video about the possible causes of pain in a dead tooth under a filling
Removing a fragment of a broken instrument from a tooth canal
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Hello! A couple of weeks ago I went to the dentist with pain in 2 teeth, one of them was treated, just a filling fell, and in the second tooth the channel was cleaned from my nerves and filled with a temporary filling. As she left, she didn’t notice anything of this ... By the evening pains began, as if she hadn’t gone anywhere. I went back the next day to the doctor. She said come in a week. I came up already after a week and a half. The pain did not subside ... She told me to rinse my mouth, gums sore. I do not want to return to her, but I already gave the money! How to be, tell me ?! Under my crown, moreover, the onset of pain ((
Good day. I am writing to you on 10/31/15, the last visit to the dentist with the resultant filling was on the 28th of the same month. For three days now I can neither eat nor sleep. The effect of painkillers is rapidly falling, and the pain intensifies. Together with the tooth from which the nerve was removed, pains are observed in a number of neighboring ones, in the ear on the same side, and half of the head on the other side. Even a light touch of the teeth of the upper jaw causes incredible pain, sometimes driving me into a panic. Even spatial movements and temperature changes cause pain. They removed arsenic, without anesthesia, in free dentistry. But the pictures showed that the channels were sealed normally. It would be most pleasant now to learn in some way about the normality and duration of these unbearable pains. The information in the article is even more than exhaustive, but still. It seems that everything is normal, not an allergy, not a medical mistake ... But, nevertheless, the pain has an increasing character. The doctor said that this hell will last in the region of 2 months, which I’m afraid will lead to my death, because there is no more urine to endure, and if the pain does not subside, but only intensifies at the usual pace, then my death will be very fast. Help with advice or any more advanced information, if there is such an opportunity.
Hello, Sophia! Of course, it would be nice to see the pictures - at least in order to understand whether the “channels are really sealed properly”. The growing nature of pain that shoots in the ear and causes unbearable suffering every day is not the best option to continue a normal life, as you will have to regularly drink painkillers, and a long course of drugs is a certain risk. There are two suggestions regarding your problem. The first concerns rough filling, when the introduced material deliberately irritates the apex of the roots of the tooth. Such materials are even in extrabudgetary dentistry: beautiful in the pictures, but, brought to the end of the root in the picture, they are considered bred. Understand the fact that the exit hole from the root often does not coincide with the x-ray tip, so the top-like tissues adapt for a long time to such a coarse "cement-like" material. Your doctor’s advice may also indicate this: wait "in the region of 2 months." There is a second assumption that there is still a bad tooth.While you suffer from pain when biting in a treated tooth, there is a diseased tooth that was not found right away, although this version is less likely, but for a budget institution it takes place due to the rush of doctors. If the pain really provokes the material, then to alleviate the symptoms and even to reduce traumatic inflammation, you can try physiotherapeutic procedures, such as: ultrasound therapy, microwaves, electrophoresis of analgesics, laser.
It is advisable to consult a physician at the physiotherapy office for you personally for the specific procedure. It is possible that in your city there are such services that can ease your situation. However, it would be advisable to see the pictures with another dentist, for an objective opinion.
I had the same situation. The doctor also could not say anything. Everything hurt, and wildly, that was on the right side of the head: all the teeth, ear, head, muscles. Osteopath brought back to life. I don’t remember what exactly I had, and at that moment I didn’t have any understanding, but one visit to a competent osteopath returned to life. It seems that it was either a pinched nerve, or something else from a long open mouth.
I had something similar, I’ll tell you right away that you can be mistaken in a particular tooth. When such pains occur, it seems to you that this is this tooth, and the reason is in a completely different tooth. When I came to the dentist, I really couldn’t say from the pain where it hurts, everything hurt, and it all gave in my ear. The doctor took pictures of almost all the teeth on that side of the ear, and looked until she was convinced where the cause of the pain was! Moreover, she nevertheless correctly identified the problem tooth, but was not 100% sure! It’s just already: well, let’s check this one, although the filling is whole and there were no signs of caries, and an infection started inside the tooth, which gave hellish pains to the ear. Look for a reason, before doing something, take pictures on all your teeth from the side where it hurts!
Good afternoon. I was depulped more than 2 years ago, the lower left 6-ku. The tooth continues to hurt sometimes, but I always thought it was something like “phantom pains” (as the dentist told me). And now for a week the tooth hurts almost without stopping. I drink an anesthetic (I got the top 8 removed, I still drink from this). I think - can I go to remove it or repair it? ((Or is it still the norm?
Hello! Unfortunately, without a diagnostic image of the “lower left 6”, it is impossible to say exactly what mistake was made in the treatment of canals. However, if your dentist believes that there are no signs in his field of vision that can accurately tell the cause of the pain, then you should carefully consider the adjacent teeth, and even the condition of the teeth on the upper jaw. Often the symptoms of "acute" pain appear from teeth that have not yet been treated in the canals, but extend to depulped ones. If tooth extraction occurs, then severe pain may occur on 3-4 days due to alveolitis - “suppuration” of the hole, and the pain radiates (“gives”) to the same lower 6. Bottom line: without a detailed diagnosis, you can neither remove the lower left 6-ku nor repair. I wish you health and a speedy solution to problems!
Good evening! 8 weeks ago was deleted. Three days after the removal of the 8-ki, I decided to treat the 7-ku, since it was sensitive when eating. They cleaned the channels, closed with calcium. For three days the tooth ached to death, the pain passed into the ear, the temple, and the throat. Today they removed the calcium, opened the tooth, took pictures. Bottom line: the canals are clean, everything is fine, but the doctor cannot understand the reason why the tooth hurts. Especially severe pain when clicking on the tooth, as well as when the tool touches the top. I’ve been awake for 4 nights already, I drink Nise. I also have a congenital heart disease, I feel how it started to hurt. Today, the doctor prescribed the antibiotic Azitral, but it did not become easier.Tell me, what are my next steps? The tooth is open, a rinse in the form of soda with salt is prescribed. Thanks for the tip.
Hello! Unfortunately, without a diagnostic image of the 7th tooth, nothing can be said about possible errors in its treatment or, in general, about the prospect of its intracanal treatment. If you are talking about the 7th tooth, which was next to the extracted tooth, then we can assume alveolitis - purulent inflammation of the tooth socket, which, in terms of symptoms, extends even to normal teeth. In other words, after tooth extraction (immediately or after some time) adjacent teeth can be extremely sensitive, but this does not mean that their treatment is urgently required. Most often, it is important to take care of the successful healing of the hole. Honestly, without seeing the pictures of your tooth and having difficulty guessing your doctor’s tactics, actions regarding the sequence seem to be dubious: introducing a calcium hydroxide preparation into the tooth canal, followed by rinsing the open canals with soda and salt, which is now considered to be even “harmful” to measures , since the infection again penetrates the canals. Your actions are simple: consult a dentist-surgeon about a hole of a removed tooth, take pictures of the 7th tooth and find a good dentist-therapist to form a different opinion and position on endodontic treatment of canals than in your case. I wish you to deal with the problem as soon as possible. Sorry for the long answer.
Hello! My situation is the same! I removed the lower right 8, diagnosed pulpitis of the neighboring 7. Immediately after the termination of the anesthesia, the right half of the jaw became ill. A week later, she came to treatment 7. Depulped, filled with calcium, put a temporary seal. On the same day we flew to the sea. Today is 3 days after treatment, and the pain does not subside. I am on HB, drink ibuprofen, the effect is weak. Very tormented.
Problem 1 in 1, as you have.
I treated my teeth recently, in 2 they removed the nerve, cleaned the canals. They did everything well, in a paid company, with a trusted doctor. The teeth are located side by side, the lower side. The next day, the front lower teeth began to whine. It's been two days already ((Help, what could it be? ((When I push the lower jaw forward, something pulls unpleasantly from those teeth.
Hello Camila! Without pictures of treated teeth, it is difficult to judge the quality of their intracanal treatment. However, just like that, the lower front teeth will not whine. Most often, it’s worth looking for one problematic tooth that has not yet been treated by you in the canals, because because of it the pain can “give” to neighboring teeth. You have not yet indicated the nature of aching pain: from irritants (which ones?), Independent or when “biting” a tooth? Please write in more detail the symptoms based on my criteria, otherwise the diagnosis will not be accurate.
Hello! I got the nerve removed in the 8th tooth, cleaned the canals. The next day, this tooth and other teeth started to hurt. What could it be?
Hello Eliza! Most often, the pain occurs against the background of the post-filling reaction of the treated tooth. This cannot be called the norm, however, in most cases, this does not affect the prospect of preserving the tooth. If you have pain when you “click” on the tooth (s), then within a few days they should gradually completely disappear. However, it is worth remembering that symptoms (or their absence) may not always be an indicator of the quality of the doctor’s work in the channels, especially since the 8th tooth is so difficult to treat. Here the analysis of tooth images and a detailed study of the quality of the passage and filling (filling) of the channels are important. His future for many years depends on it.
Good afternoon, what to do already - I do not know.My torment began 20 days ago, the seven broke, and the next day a sharp pain began. In the budgetary regional dentistry they put pulpitis 6 and 7 from the bottom left, opened and put arsenic. The next day, the pain only intensified and the gum around the teeth turned gray. On the same day, she again turned to the regional clinic, where another doctor already made another diagnosis: arsenic necrosis of the gums. They removed arsenic, washed them with antidotes, removed nerves, put an antibiotic and put a temporary filling. A week later, the canals were filled and the fillings were placed under anesthesia. The pain appeared as soon as the anesthesia was gone. Every day it hurts more and more (the pain is constant, the seven hurts the most, but it also radiates to the ear and the lower jaw. It is impossible - the pain intensifies with pressure. They did an x-ray, everything seems to be OK, the doctor says it will pass.
Hello! Unfortunately, you are faced with a situation where one mistake led to a chain of certain failures in the treatment of a tooth. The fact is that the arsenic method of pulp devitalization itself is considered to be doubtful in terms of the prospect of preserving the tooth (especially it harms the tissues surrounding its root), especially when this paste is placed close to the gum. That is why it can have a negative effect on the tissue surrounding the tooth. However, even in such a situation, it is possible to carry out a full intracanal treatment and save the situation. In your case, for some reason this did not happen. Perhaps, a full cleaning of the canal system from pulp and (or) microbial factor was not carried out, or there could be an excessive filling of the canals / not bringing the material to a physiological narrowing of the root. There are other complications that can lead to your complaints. In any case, post-filling pains is not the norm in itself, but in practice, even if they occur, they definitely should not intensify every day, but exactly the opposite. Here, the advice is very simple: to apply with pictures of the treated tooth canals to 1-2 doctors to explain all the details, since in 80-90% of cases you can see the reason for the deterioration after endodontic treatment in the pictures.
Hello, yesterday my nerve was removed, everything was fine. The doctor said that he could ache, whine a tooth. He said that in this case you can drink the Tempalgin tablet. I drank does not help. The injection sites still hurt. Help answer me. I beg.
Hello Anastasia! In fact, the injection site of the anesthetic can cause some discomfort, since this is still an artificial trauma of the “gum” in order to exclude any pain during the treatment of the tooth canals. The more the doctor makes “injections”, the greater the likelihood of pain, which normally disappears in 1-2, maximum 3 days. After canal treatment, according to a properly conducted treatment protocol, the tooth should not hurt. However, in practice it turns out that during processing of the channels certain difficulties may arise that the doctor cannot cope with for a number of reasons: lack of experience, knowledge of generally accepted methods, materials, time, etc. Sometimes serious errors can even occur, which the doctor either copes with or not. As a result, on the first day after treatment, pains of a different nature occur, which sometimes do not even stop painkillers. However, if the canals are sealed according to all the rules in the tooth picture, then this is not a reason for excitement: pain within 2–3 days gradually disappears, and pains when “biting” the treated tooth completely disappear in 5–10 days. Be healthy!
Hello, I faced this problem a week ago: I was at the dentist’s tooth, where the nerve had been removed before, the canal was not completely sealed, and everything was redone for me again. They didn’t do anesthesia.When the dentist inserted the needle into the canal, there was a sensation of the needle falling into the gum (previously felt this) with a sharp pain radiating to the ear. After the procedure was completed, the chin, lip and several lower teeth became numb (and treated the lower left 7-ka). After a day, the numbness did not go away, and after a week, too. The doctor says that this cannot be. The tooth aches when biting, but the lip, chin, and lower 1, 2, and 3 teeth, which remain numb, bring more discomfort. Even under the tongue, on this side, the gland swelled and pain under the jaw, as if with a bruise. Please tell me what it can be, and what to do?
Hello, Victoria! Unfortunately, you did not provide pictures of the treated teeth for study, and they almost always help determine the main cause of suffering. I’m sure that the feeling of “getting a needle into the gum” is nothing but an exit of the instrument beyond the apex of the root. Most likely, the scenario was as follows: during the processing of the canals, the apical root aperture was unnecessarily widened and filling material was removed. Sometimes it takes quite a bit for pain to occur, as evidenced by the unique (for your situation) proximity of the mandibular canal to the roots of the treated tooth. Maybe, therefore, the doctor is perplexed. There are more rare cases when numbness occurs due to the antiseptic jet treatment of the tooth canals under high pressure. Thus, the tissue surrounding the tooth is injured. An even more incidental point: if the doctor, suppose, forgot that the picture may be all right, but the sealer (paste, as an addition to the gutta-percha pins) is actually taken out of the box, but not radiopaque at the same time. That is, the doctor analyzes only the pins that are visible to the eye, and additional material that is mistakenly removed in excess is not displayed.
Under certain working conditions in a number of dentists, and this is possible. Pain can also be said to “extrude beyond the root” when “biting” a tooth, especially since this doctor redid it due to a mistake of another doctor (an unsealed canal) and tried (maybe even with excessive enthusiasm) to do a lot of work times better from the point of view of the X-ray "picture" - a picture.
As for the pain under the jaw and the sensation of a "tumor" - this is of great concern, since in the process of treating a tooth they often deal with an infection that was left to the empty canals. With some nuances, the calmest tooth can respond to treatment with exacerbation. In other words, a tooth stood and silently “rotted” inside, the dentist processed the canals, sealed them (maybe somewhere he violated the protocol moments of treatment), and throwing the infection outside the root led to the accumulation of purulent exudate under the gum. That is, this point should be excluded. Here, either edema due to infection, or in response to treatment and filling material, as a form of "allergic reaction" with the production of certain substances that provoke such symptoms.
It is important to consult taking into account the pictures and complaints at the time of contacting an external doctor and to find out his opinion.
Hello. The nerve on the very last chewing tooth was removed and filled. 2 days was discomfort, came to the reception, filed on top! After a month and a half, the discomfort reappeared, increasing every day. Opened, re-cleaned. I drank oletetrin and rinsed the opened tooth with soda and salt, as the doctor said. They took a picture, they said that everything was fine. And the tooth hurts more and more. Gives to the temple and ear. At the second appointment, they registered tsifran and Nise + rinse. They said that if after 5 days it does not pass, then the removal. How to save a tooth ?! Thanks!
Hello! If you wrote correctly that it was the “nerve that was removed”, then clearly a month and a half after filling the canals of the tooth, a complication arose in it - an exacerbation of the “inflammatory process at the root,” roughly speaking.The reason for this was errors committed during the treatment of the tooth (if there really was a “nerve” at the beginning of its treatment). The rest that happened to you is the desire of dentists to get rid of you as a difficult client. An antibiotic + rinse with painkillers, and even for 5 days with the expectation of having a tooth removed or not removed, is just a sentence to the tooth. Of course, against the background of antibiotics, the body can cope with an exacerbation by driving the process into a deeply chronic one (“it will cease to hurt”). But you know how much infection from the oral cavity during this time will penetrate the canals of the tooth? It turns out that even if the pain goes away, there’s still nothing good with a closed tooth filling without adequate canal treatment (maybe even with temporary pastes treated with calcium hydroxide) and subsequent protocol filling of the entire canal system of the tooth. It is only a matter of time.
If you have the last tooth that the dentist treated, it is a wisdom tooth (eighth), then you should not hold on to it if there is a real threat of the spread of purulent infection and (or) there it is really impossible to treat the tooth conservatively. Remove the wisdom tooth no doubt with this option.
If you meant by the last tooth - the seventh ("seven"), then it is worth fighting for it, but best of all in another clinic. However, there is a high probability that the correction of errors that doctors will identify can cost you financially.
Yesterday the nerve was removed, a temporary seal was placed. Today I can’t eat, a tooth falls on a tooth while chewing, severe pain occurs. After removing the nerve, the doctor took a picture, said that the canal was sealed well. Tell me, should there be such pain or not?
Hello, Lyudmila! In this case, we are talking about post-filling pains. It is officially recognized as a complication. More often occurs against the background of traumatic treatment of tooth canals. There are many factors of disturbance: from over-processing of channels (the instruments go beyond the root) and the violation of the technique of its expansion to the exit of a small amount of material beyond the root. Of course, it all depends on how the canal was sealed. Some sealers (that is, additional “ingredients” to the solid material that are shown in the image) may extend beyond the root, but it is not visible on the x-ray, since it is not radiopaque. However, in practice, in 80-90% of cases, post-filling pain does not lead to negative consequences. Exceptions are cases when the channel that has not been completed or not sealed is superimposed on the treated channel in the image: the main channels are excellent, and the additional channels are not found. If you do not have this case, then the pains “when biting” go away on their own without treatment after 6-7 days. However, in the practice of a doctor, everything happens individually: sometimes a dentist can note the duration of pain up to 10-15 days. The only criterion in terms of symptom is a decrease in sensitivity every day. That is, 1-3 days the pain can be significant, but further on the tooth is getting easier and easier to press every day. If you have no desire to expect and comfort is already required, then a number of medical institutions for such cases have established physiotherapy (UHF, microwave, etc.).
Hello! A little more than a year ago, 2 last pulpitis teeth on the lower jaw were treated, they cleaned, filled the canals and finally a light filling. And now, with food and tea, pain begins for several days, then subsides, and so on every time. What to do?
Hello! I have such a problem, the tooth sets on hotter. The dentist treated, carried out depulpation, cleaned the canals, sealed it, and he went in and out. It is simply impossible to endure. According to the pictures, everything is fine, the doctor has been tested for years. What could it be?
Hello, Catherine! Since you did not provide the pictures, you will have to tell you two main versions that are most common. The first version concerns the directly depulped tooth, which was checked by a trusted doctor. It happens that patients (and even doctors) are not quite lucky with the pictures. In other words, it is impossible to consider the treated canals in different projections. If you treated the upper sixth tooth, for example, then not all doctors can find the often encountered additional fourth channel (and the fifth channel is also rare). If the doctor treated with a preliminary devitalization of the “nerve”, that is, he placed a paste (arsenic or non-arsenic), then most often the unnoticed channels for many years have not manifested themselves in any way. But if he immediately carried out canal treatment on his first visit, then the responsibility is enormous: an extra canal may be narrow, but it needs attention. It goes without saying that the “nerve” dies within a short time in it, but the channel is empty, and the reaction to the hot is just an indicator of such situations.
Bottom line: you should take pictures in different projections. A visiograph can help, which transfers the image to a computer and can be enlarged with a change in contrast.
As for the second version ... It happens that a neighboring tooth starts responding to hot things. I am sure that you know exactly where the pain comes from, but you should carefully consider the diagnosis and study in detail the neighboring teeth in the pictures. If, especially, next to your (say, approximately), possibly, problematic tooth there are 1 or 2 “dead” teeth, then you will have to think and analyze.
Hello. 2 days ago, the tooth began to respond to cold and hot. After it is impossible to touch him. Tooth previously treated. Normal caries without root intervention. I went to the dentist, cleaned the root and placed the medicine and a temporary filling. In the morning, the upper lip was slightly swollen. The dentist removed the medicine, leaving the tooth open. The tooth still hurts when pressed ... What should I do? Upper tooth 8. Even when I cleaned the root a second time, there was a pain of aching character. Now I rinse the second day: soda, salt.
Hello Yulia! Unfortunately, the doctor has a problem with high-quality cleaning of the canal and (or) its antiseptic treatment. I can’t say for sure whether this is due to the qualifications of a doctor or a “complicated tooth,” but in any case, what you are doing at home now simply delays the removal of the wisdom tooth for a while.
The upper wisdom teeth most often have to be removed even completely intact, if they “stand not level,” “interfere with the patient,” “stagger,” or simply “at the request of the patient.” In principle, the 8 upper teeth often “do not stand very firmly”, and are useful for prosthetics with bridges in 15-30% of cases.
I think that it is best for you and the doctor not to delay with tooth extraction, otherwise a purulent infection will spread to the subperiosteum, and it will be more difficult to do anesthesia (it hurts) and get its good effect. Moreover, in a normal situation, the upper wisdom teeth are removed in almost 95-100% of cases quickly and without pain. Only rarely are the upper 8 teeth with curved roots.
If you or your doctor think that a wisdom tooth should be preserved in principle, then contact another dentist who has extensive experience in preserving the complex upper eighth teeth. In this situation, your attending physician shows signs that he does not know what to do with you further: he is afraid to offer you a qualitatively new solution to the problem.
Make the right decision - and be healthy!
Hello! Yesterday the canal was filled (tooth - odnerka), the medicine was previously placed under a temporary filling. Nothing hurt, did not bother, during the filling it was a little painful, then not a lot of pain started, after a few hours. For a day now, a aching pain has been disturbing, not severe.The gum also hurts, approximately at the end of the root, but only when pressed. After filling, they did an x-ray, they said everything was in order. Say what could it be?
Hello Margarita! If we are really talking about a single-channel tooth (“odnerka”), then with a high degree of probability you have post-filling pain amid traumatic endodontic treatment. Post-filling pain is, of course, a complication, but it passes most often without additional manipulations. The duration of pain is usually about 5-7 days, but often the pain "when biting" goes away in a couple of days. The aching pain the next day sometimes has a place to be, but it is very likely tied to the fact that you bite a treated tooth. The main thing is that every day the pain subside, and you come to the classic version of the painless existence of a "dead" tooth. Otherwise, you will need to consult a dentist and possibly re-fill the tooth canal.
Thank you very much for the answer!
Hello. A week ago, she treated a tooth, first the nerve was removed, then the canals were cleaned. The tooth was treated in three doses, everything was fine, but they put a permanent filling, the tooth began to hurt when pressed and when chewing. And it seems that the gums and a little ear hurt, and the tooth hurts, even you brush your teeth. This has been going on for 3 days. What to do?
Hello Alla! If more than 7-10 days have already passed, and the pain during chewing is becoming stronger, then this is a deviation from the norm. Some doctors believe that the pain will still go away in a couple of weeks or months. Most likely, it will be so, but if the doctor put himself in the patient’s place: would he endure the impossibility of normal chewing for more than 3-5 days?
To help you with any advice, I suggest the following solutions to the problem:
1. Consult with another (third-party) dentist about an X-ray of the tooth (or even information from the disk about the treated tooth canals) and make sure that everything is done correctly: without errors and complications;
2. If everything is done correctly, then it is advisable to carefully look at your seal in the bite: it may be overestimated. In extreme cases, you can even slightly remove it in height. Doctors may disagree with me, because the tooth is less involved in chewing, that is, its function is ignored, but then, perhaps, you will begin to live a full life.
Hello! Help me to understand. The tooth was without caries, two years ago there was a small hole that was healed without removing the nerve. About four days ago I began to react to touch. I went to the dentist, opened the tooth, removed the nerve, cleaned it, put a temporary seal. The next morning the lip was swollen. The upper front tooth is large, I do not understand the rooms. The seals were removed, cleaned. I rinse with soda. Every day I go to clean the canal. When cleaning, as the doctor says, the root is clean, but the pain does not go away. It also hurts to bite food. Monday will be 5 days. What should I do? During the manipulation I feel something, that is, over the tooth in the gum. I do not want to lose the front tooth.
+ to the comment. The dentist pierced the apex of the root. As said - for the outflow of pus. The swelling is a little gone, but there is a feeling of fullness. Although there is no pus when cleaning. I'm confused.
Hello Yulia! I think that when the doctor collided with your front (as I understand it) tooth, the purulent stage was already on, and the dentist could not, using available means and the applied method, eliminate the microbial flora, which provoked “pus”. Therefore, everything worsened, and the doctor had no choice but to open the canal and prescribe rinses. It is impossible to leave a tooth open for a long time, and indeed, the tactic of treating a closed tooth + incision along the transitional fold is more correct now.In principle, an ideal treatment of the anterior tooth canal involves treatment without an incision.
"Feeling of fullness" is not considered the norm. I am sure that your tooth is "not comfortable" to be in this phase of treatment. In order not to lose the front tooth, it is important that the doctor has a competent approach and the necessary materials. I can’t write here what is true and what is wrong, but according to your descriptions there are doubts about the prospects of such treatment. It is too close to cheap routine dental management. Even if it succeeds, then not earlier than in a couple of months, and even then you run the risk of simply turning the infectious process into a chronic and asymptomatic one. And this means that exacerbation may again occur in six months or a year.
Hello! On March 10, they performed surgery on the 1.2 upper left teeth, removed the cyst and the tips of the roots of the teeth. Before the operation, the canals were recovered during the day and both teeth were cleaned, everything was fine in the picture. I drank antibiotics and calcium, the sutures were removed on March 17. And since yesterday, one tooth (odnerka) hurts when pressed. What can it be, tell me please, I really want to keep the tooth, but I am panicky again afraid to go for surgery ...
Hello! Most likely, this is a banal load: you just stopped being afraid to press a tooth, and the tissues around the roots have not yet recovered. Maybe you didn’t even notice how the cutter was loaded, but you noticed the reaction of the tissues when the tooth moved. However, it would be best to consult with your healthcare provider about further tactics. I don’t think that your fears about reoperation are justified, in any case, the last word is only for your dentist.
Hello! A week ago, I turned to the dentist about caries 7 lower, put arsenic, after 2 days it was removed, ordered to come in a week. Yesterday, they began to remove the nerve with lidocaine, they managed to remove it only from channel 1, the doctor said that she couldn’t get into the second channel and put the medicine to expand the channels under a temporary seal. In the evening, after defrosting, the tooth began to whine, drank analgin. Pain when pressed, and if touched. Today the pain intensified, drank nimesil. The seal should be removed tomorrow. Is pain in a dead tooth the norm?
Hello Olga! Pain in a dead tooth is not the norm, but the result of a complication during treatment. A complication is skipping a channel. By the way, in the 7 lower tooth, according to statistics, most often there are 3 channels, and in rare cases there can be 4 channels, two channels, and even one. If your doctor knows for sure or, for certain signs, suggests the presence of another canal in the tooth, then this incomplete treatment + the remaining “nerve” that decomposes in the canal gives pain.
Your logic is quite understandable: the “nerve” was killed by arsenic, and the tooth stops responding. But this does not happen to everyone. Of course, there are people who themselves remove the temporary dressing with a paste that kills the nerve and can grow a “cyst” on the tooth for months without any serious consequences. The infection that remains in the missed channels is a trigger for the symptoms. Even if the doctor removed the “nerve”, but didn’t rinse the canal well and (or) left it empty (without material), many people have unpleasant symptoms. It may not even be severe pain, but it is impossible to chew comfortably with a treated tooth.
It would be good ideally if you, nevertheless, find the channels, wash them according to the protocol and seal them. Otherwise, the tooth will become a source of infection, and sooner or later - a candidate for removal.
Hello, tell me, there was severe pain of a small molar below, which is next to a large molar. On March 4, they drilled at the reception, put arsenic, on the 6th they removed the arsenic and prescribed treatment on March 15, but the tooth began to ache, and went to a paid appointment with another doctor.The nerve was removed, a temporary filling was placed, after the picture the doctor said that he had “re-filled”, that is, a small tail sticks out the extra from the root of the tooth (I read this from you when the excess material was not in the right place). As soon as they put a permanent filling, the best and most expensive, the tooth began to hurt, the week passed, it was impossible to hurt, it hurts at night, it gives the head everywhere to the left, in the ear. Today, the doctor said that if it doesn’t pass, then to the surgeon, because sorry, they did everything well ... Appointed UHF and amosin. What to do, one wall no longer remains from the tooth almost after arsenic and drilling, everything has been increased with a filling, but do you need to clean the canal with a new one? I don’t want to cut it. Under the cheek you feel a seal, it hurts. Thanks in advance.
Hello Olga! Unfortunately, not all people can be lucky with regard to excessive filling of the canals. The fact is that there is a set of filling materials for the channels, which go in addition to the pins (the “tail” of which you saw), which either create an open form of complication or a person adapts to them over time.
So you read that removing material is a complication. However, the clinic’s doctors hoped that you belong to 60-70% of people who get sick and stop. It really can be, but it’s pure water - unwillingness to correct a mistake. UHF, Amosin and more - it's just a poultice. It will help someone, having won a little time on getting used to the body of a foreign body, and someone (like you) to wait at the sea weather is not tolerable.
I would recommend not only to remove the material (all) from the channel and beyond, but also to put the drug based on calcium hydroxide (paste) into the channel. It is required to treat your tooth with the diagnosis of Chronic Fibrous Periodontitis, as you are not lucky twice: the first time you “washed” your tooth with arsenic, and the second time you made a mistake, displaying aggressive (for you first of all) material .
Good afternoon! I beg for advice. For a month, with some periodicity, the first front upper tooth reacted to a cold one. I went to the dentist, to ordinary dentistry (this was my mistake), the tooth was opened, the nerve was immediately removed and the canal was immediately filled (they were filled with tubes, I don’t know what it’s called), and the tooth has the usual “light filling”. In the morning a severe swelling of the lip appeared and a fistula opened directly above the tooth. She went to the dentist again, took a picture, the canal was well sealed, there was a slight yield of filling material at the apex of the root (the apex passing into the tooth itself). Prescribed antibiotic, antihistamine and salt rinse. Through this fistula for 3 days filling material came out bit by bit, there was no discharge of pus. The tooth started to hurt on the third day when tapping, on the fifth day (today) there was already a constant aching pain + pain when tapping on the tooth. The pain is aggravated by the temperature drop (cold air in the street). The gums have a slight swelling, the fistula begins to drag out. But the pain is constant, sometimes aching, then throbbing. Immediately after warming with salt rinse, the pain subsides, but after 15-20 minutes it appears again. It feels like the adjacent tooth is starting to hurt. When pressing under the nose, I also feel pain. Please tell me further treatment options for this tooth. Thank you in advance.
Hello Yulia! If you really had the “nerve” removed from the upper anterior tooth, and there was nothing interesting in the image except the removal of the material, then I dare to suggest that there was a traumatic treatment of the apical root opening. Could repeatedly go beyond the root with a "needle" of large diameter and overextend the outlet. During this process + drug treatment, there may be a casting of the contents of the channel and sawdust beyond the root.
As a result, the infection joined the traumatic factor.I have an assumption that without damage to the channel wall could not do. Since it is very strange that a fistula was formed in a short time, characteristic of chronic granulating periodontitis or its exacerbation. That is, the doctor could not immediately find the canal and make a “false” hole in the direction of the gums, although so far this is only an assumption.
100% sure that the source of the problem is the error (or errors) of the treatment, although the central incisor is the easiest for therapy. Of course, it is difficult to offer options for help, not knowing completely, which led to such serious consequences due to the ordinary "removal of the nerve with simple pulpitis."
From my point of view, the tactics should be as follows:
1. Go to another clinic and identify the true causes of the complication (errors, possibly hidden by the doctor);
2. Based on this, it is best to carry out treatment with materials based on calcium hydroxide, initially re-treating the channel well. This is a temporary paste that can be put on for a period of 1-2 weeks to several months;
3. If a “hole” is found in the root wall, then there is material for the treatment of perforations, which almost always allows solving the problem;
4. In a last resort, a conservative surgical approach may be necessary: resection of the apex of the root.
I ask you not to bring yourself to this condition and as soon as possible to find the cause of errors made during treatment and to correct them.
Hello, I will probably ask a stupid question. Today they removed the nerve and put a temporary seal, the doctor said that after the anesthesia has ended, there will be pain. But the anesthesia is gone, but there is no pain, I don’t know if this is normal or not?
Hello Maria! The question is quite natural. The absence of pain after channel treatment (if everything is done correctly) is an indicator of the norm. However, there is the concept of individual sensitivity, which can be from any factors. Moreover, this will not always lead to problems with a treated tooth in the future. For example, such factors can be active drug treatment of the canal with the release of an antiseptic at the root apex, the exit of “needles” during passage and expansion of the canals, etc.
If nothing so aggressive happened, and even the material in the canal did not extend beyond the apex of the root and did not irritate the tissues surrounding the root, then, naturally, there would be no pain after filling the canals.
I think that your attending physician has occasions when post-filling pains take place, therefore, in order to prevent any disturbances from clients, the doctor “suffers” in advance about possible pains that usually go away in 2-5 days themselves. However, if there are no pains, it means that there are no problems (provided that the channel was "stuffed" with what is needed, and according to the rules).
Hello. Three weeks ago, I went to the doctor about a granuloma, which was discovered according to the results of K.T. on a long-treated tooth. The doctor cleaned the canals of the old fillings and put the healing paste. He proposed at the same time to treat the next living tooth (he did not bother me), saying that there was already a bad filling. The tooth (5 on top) was depulped, it turned out that the canal was bifurcated there. In the process, 3 pictures were taken. When they discovered a branch in the root, I felt a sharp pain, like a puncture. The doctor said that the channel has gone far. They put medical paste on the tooth. Within a week, the teeth ached when biting. At the next visit, the canals on two teeth were washed. On the tooth, which is with a granuloma, put a paste with a light filling (as temporary). They eroded her, told her to rinse her mouth, and remembered that they had not yet placed a temporary filling on her, the tooth was open. Completed. In the evening, this tooth began to hurt, throb, especially at night. Now he was sick intensely, not only when biting. 8 days have passed, the situation has improved slightly, but the tooth hurts when brushing my teeth and palpating the palate, it also aches at night.The doctor said to come for filling when the tooth calms down. What should I do?
Hello Olga! Judging by your story, you no longer trust your doctor? In fact, a dual feeling arose. On the one hand, the status of the clinic is felt (expensive temporary light-cured fillings, which are important for tightness, 3 images during the treatment, honestly said that they went beyond the apex of the root). On the other hand, 3 pictures for 5 teeth - this could be the result of something going wrong. Moreover, if you are sure that at first the tooth was “live”, then after its depulpation, “healing” pastes are not put into the canals normally.
Most likely, some complication arose, and this diagnosis was made according to the principle of complex treatment of a tooth with granuloma. Unfortunately, I don’t know what your attending physician is hiding about the 5th tooth, but if you subjectively feel pain in it still after 8 days - obviously something is wrong.
Especially embarrassing is the fact that the doctor said "come ... when the tooth calms down." And do not calm down - so do not even come. The hint is approximately clear. I don’t think that you will be able to prove anything to the doctor, since you have already signed a consent paper that “you will not blame anyone”. My point is to try to contact your doctor first - there will be signs of refusal to continue treatment - change your doctor.
Hello, Svyatoslav Gennadievich! Already wrote to you on March 25th. Unfortunately, my story continues. At your advice, I turned to another clinic. Painful 5 was opened, an antibiotic was given, the pain began to subside. They took pictures, found inflammation on 6 and 5 teeth. A week later, a temporary filling was removed from the 6th tooth, a smell appeared, and a fracture was found. I wonder why not seen in the pictures? Tooth removed. A month treated the inflammation that occurred by 5. Prepare for prosthetics with a cult tab, but they still have not decided to fix it. And I really care about the question, what about my 5 tooth? The intensity of sensations does not change in any direction. Moderate discomfort when biting, but he was taken out of the bite area. Soreness when touching, especially from the side adjacent to the 4th tooth. The pictures were taken many times, the inflammation near the tooth went away, it remained in the place of the removed 6. Tell me, please, what is happening, I'm afraid to lose this tooth.
Hello Olga! It is good that experienced doctors have decided on your difficult clinical situation and started moving towards positive dynamics. As I understand it, now there are no more severe pains that bothered you and did not allow you to sleep and live normally. Now we are talking about pain when biting on a tooth, which has been going on for about a month. I think that we should analyze the situation from all sides and not panic. Firstly, after tooth extraction, teeth adjacent to it almost always react when biting: at first it can be severe pains that frighten many, and then the degree of pain decreases significantly. They are completely eliminated as the wound heals. If it was a question of difficult removal, then the healing of the hole may end in 2-4 months, but this does not mean that it will take so long before the end of your sensations on the “5 tooth”. There is still a possibility that in the clinic where you had a tooth, they don’t like “half measures”, that is, they processed and filled the canals with those materials that give beautiful (indicative) results in the pictures, but leave prolonged post-filling pains (this is just “pain” when biting ”). This is not the norm, of course, but it practically does not affect the prospect of preserving the tooth: the canals are ideally clean and airtight (sometimes even “too much”). I have cited only 2 common options that occur with such manifestations. According to the picture of 5 teeth, I would tell you much more precisely.If you have pains when biting on your tooth less every day, then you are close to victory (if the pictures are super). In general terms, comparing the past situation and this one, I do not see anything out of the ordinary, but adjusted for the fact that you will send a snapshot for analysis. Health to you!
Hello! I ask for help. 3 days ago they treated a tooth, removed a nerve, put a seal, before that I went with medicine and a temporary seal 10 days, everything was fine. Now the 3rd day the tooth pulses or neighboring ones, the gum, cheek hurts, gives to the temple, ear, and when bitten, the pain is insignificant. I am pregnant, at 27 weeks, drink painkillers, rinse. It seems that the injection site still hurts. 2 night I wake up and drink pills. It seems that it is not swollen, but terrible pain, it is impossible to endure. The doctor is young and very rude, I really hope that all this is due to her rudeness. They didn’t do an x-ray, remodeling a tooth for me is a torment, I don’t know what to do! Again go to the doctor or wait?
Hello Dina! If you want to hear from me that the neighboring tooth is to blame, then I will say that 99% - no. I do not believe in such crazy coincidences.
If you hope that the pain itself will pass, there is a chance, but the risks that it will recur with even greater force in a week, month, year are also 99%.
The fact is that by all indications you have a complication after treatment of the tooth canals. With a high degree of probability that it hurts either the “nerve” that is still not alive for some reason in the channel not found, or periodontitis begins against the background of also poorly cleaned channel (s).
You write that the doctor is “young” and already “rude”. Remember how in the poem of S. Yesenin:
“... The rude are given joy,
Gentleness is given to the gentle ... "
This I mean that in your situation it is extremely important to bring the matter to its logical conclusion, that is, to eliminate the inflammatory (infectious) focus. This can be achieved by preserving the tooth. Otherwise, if you do not want to be treated, remove it: at least save yourself and the child from unnecessary infection and the option of being with a swollen cheek in the hospital.
If you want to keep a tooth - go to another doctor. Are you afraid to change something or you don’t want to take you anywhere because of the inability to take an X-ray and diagnose where the young doctor “screwed up” - remove the tooth.
I don’t want to scare them in advance, but “waiting is like death”, especially for your case when you are responsible not only for your health!
If you still have questions, I will be happy to answer them, but in the concept of not going to the doctor and “still waiting”, I do not participate from a professional and human point of view.
3 years ago, a nerve was removed in the lower molar (7) tooth, the canals were cleaned and filled. And now he began to hurt when he chewed and pressed it. What could it be?
Hello Olga! There are several options for complications after treatment of delayed-type canals. The most common is the development of periodontitis amid disturbances in the processing of channels and (or) filling. In this case, the picture should show the “discharge” of bone tissue around the root. Dimensions and its shape may not affect the strength of pain.
A rarer option for statistics is to unseal the channels in 3 years. What do I mean: if the channels were not sealed tightly and (or) not completely (to the top), then the liquid material (paste) for 3 years just “washed out” of it, and the solid (gutta-percha pins) just “hang out” in him.
The tooth in most people reacts to emptiness in the canals. It is only a matter of time. In this case, there may not be any changes in the image, but quite often some deviations of the “drawing” are already encountered.
It is necessary: to determine the cause of pain at the dentist by taking a picture of the “lower 7 tooth”, and then, according to the diagnosis, treat periodontitis or its exacerbation by the method available in this clinic (recommended by the treatment standards).There are many options for the right treatment at the moment, but I’ll focus on the “washing” of the channels, which should last at least an hour in these teeth so that there are no relapses in the distant future.
“It is no coincidence that many leading dentists adhere to the following principle in their work: it does not play a significant role, how the channel will be sealed, it is important how well it is prepared.” (Quote from Seal 911).
Naturally, the density and depth of filling are taken into account, since pain from the "emptiness" also occurs with a certain periodicity, but.
Help, doctor! The last tooth on the lower jaw on the left was 24 years old under the crown. We decided to make it a supporting tooth for the bridge, (prosthetics) for 4 teeth. Remove and put the crown back on each visit to the doctor. We found two channels in it, killed 2 nerves, first did a temporary filling (all were done by one doctor), yesterday the other doctor continued - he made a permanent filling of the channels and put the crown back on the tooth. And he shook his finger wildly on this tooth, then made an X-ray - 2 channels are clearly visible (white), and above the channels above, there is simply a lot of white. It seems to me that he simply filled a lot of extra things there, pressed directly, and, showing me the picture, he was glad - how good and a lot of material.
In the evening, bursting began under the crown in this dead tooth. She worked in the second shift, Ibuprofen drank right at work. In the tooth under the crown bursting, the pain passes to the gum and cheek. The night tormented - the feeling of fullness, the feeling that the tooth was just huge, and soon I was back to work. There are no more teeth in this corner of the mouth; it is at the bottom left. There is only one desire - to run to the doctor and ask him to vomit. But how is it - a tooth under the crown, and nerves in the channels are killed, and such a pain! Help, how to save a tooth ?!
I have nowhere to go: the doctors are Germans, since I am in Germany, I speak German badly. Why did he feel so bad for a tooth ?! After that, a tooth with dead nerves began to hurt.
Hello Natalia! You have directly told some story since the Second World War: the torture of the Gestapo. But seriously, the German dentistry "by rumors" has always been considered one of the best, but I did not think that there is such a division of labor: one doctor performs temporary fillings, the other - permanent. And to ask with whom? )
Despite the fact that you very picturesquely described the “torture”, where you pressed a finger on the crown, I am sure that the reason for the pain is not at all that you were “pressed into the jaw” (this is difficult to achieve). But the fact that a lot of material has gone beyond the limits of the root - you illustrate this wonderfully. Even symptoms correspond to the exit of material beyond the apex. I’m afraid that your doctors tend to do this often if they have a smile of joy from what they’ve done. Most likely, they dealt with a wisdom tooth (just two channels), and it is extremely difficult to “stuff” the material correctly (as expected) in them.
Since not completely filled channels are considered an archi-mistake in the circles of dentists, the lesser of two evils is chosen: that is, they “push” exclusively for the Rg-image, sometimes forgetting about the client’s well-being.
The most difficult question is “why did he sting at the tooth like that?” I think that in fact, you want to know what to do? I can definitely say that teeth with extracted material can adapt up to 1-2 months. In my practice, I do not try to bring out a bunch of material, but confine myself to the zone of the physiological root apex. In any case, small post-filling pains sometimes occur up to 3-5 days.
I can say that tooth extraction is an extreme measure. Correctly cure a tooth for a comfortable state is ideal. Further advice may affect the already fragile interethnic relations, tolerance and all that. I think if you are “our” person, then you understood my lines of thought.
It seems that these days it’s easier, and tonight I got sick again, I decided - I went, sores appeared on the gums, they said, dental herpes. Yes, my immunity is lowered, but I don’t have a virus in my blood, I am inclined to believe that the doctor brought in - here it is our free medicine, well, what to do, I will be treated - Valtrex was prescribed. Thanks for the consultation.
Hello! My left jaw ached for three days, then for two days the pain concentrated on the sixth and seventh tooth. I was in the seventh week of pregnancy, one doctor suggested to be patient, but since I could not eat and sleep, I was forced to see a doctor again, my ear was already sore, my jaw was hard to open, and the throbbing pain in my temple. Yesterday, the doctor opened the sixth tooth, it was blocked two years ago, and sent home to rinse. Today, a second tooth was opened, both teeth were treated with anesthesia, according to a safe doctor. They cleaned the canals, put the medicine and closed it with a temporary seal for a week. Time by night, and my left ear hurts more and more and it starts pounding in the temple again. Teeth and jaw almost do not hurt, only at the injection site. Is it somehow possible to relieve ear pain safely for me? Do you think the treatment is right, provided that you can’t do an x-ray?
Hello Tamara! Treatment without pictures - definitely goes on the principle of "how lucky." I read a lot of literature on this subject and studied from the point of view of naked physics. From the point of view of medical logic, they try not to take pictures in the first half of pregnancy according to the principle “no matter what happens, otherwise the mother of the baby will file a lawsuit in court”.
From the point of view of common sense, 2-3 hours behind an old (non-LCD) monitor or TV are equivalent to about 1 picture on a radiovisiograph (the device is so modern, with a sensor for displaying a tooth picture on a computer). A 2-3 hour flight by plane is equivalent to about 10-15 shots on a visiograph.
The visiograph compares favorably with film x-ray in that it is 10 times less than the radiation dose. Studies have shown that an adult (not pregnant) can be taken a year in a safe dose for the body about 500 images on a visiograph. Unfortunately, not all doctors are ready to carry out a visiographic examination of the canals, which is important for the proper treatment of the tooth, since then you will get tired of proving that you did not care.
You can alleviate ear pain only by understanding what diagnoses the doctor is dealing with in the 6th and 7th tooth and correctly treating the canals. Perfectly crafted and sealed will provide further comfort. If a computer image shows that in one of the teeth the problem is beyond the scope of the treatment options, then it will be advisable to remove one tooth and finish the treatment of the other.
Treatment without a picture on the visiograph only drives the infection, at best, into a chronic (sleeping) form. While your treating physicians are “cowardly,” you are unmasking the results. Yes, I see that the teeth just torment on the principle of “how lucky”, but in some ways I can understand my colleagues and sympathize with their choice in favor of such a routine production.
As for the temporary relief of pain - I'm not sure that there is an analgesic medicine that is absolutely safe for a pregnant woman, all the more so for a short time. I can say in advance that I have often come across situations that pregnant women, in the hope of something (a miracle), ate packets of painkillers, causing chemical harm to the child and themselves, being afraid of the doctor, pain, x-rays, and so on. Fear has big eyes.
I think that I have set priorities, and only the specialist with a capital letter who will not be afraid to take responsibility for every safe image on the visiograph and the treatment that is competently directed at its base will provide real help to you. Otherwise, there are high risks of removing these teeth in order in the institution where you are currently undergoing therapy.
Please advise.I went to the doctor with a pain in the tooth, which had previously been treated with canal filling. On the gum next to the tooth is a “fistula”. The doctor initially decided to unseal and clean the canals. During two receptions and attempts to pass the channels, only one out of three was completely completed. At the same time, during the second reception, not a single millimeter of channels was able to pass. The situation with a bad tooth has not changed much. The fistula remained, the pain receded a little. The doctor suggests removing the tooth. I'd like to leave a tooth. Can I do something? Are there insurmountable difficulties with re-cleaning the canals, or should I go to another doctor?
Hello, Alexander! In my practice, canal retreatment for other doctors is not common, because of duty you have to work at the compulsory medical insurance reception in GBU, and for such long-term cases there are private structures that have ultrasound in their arsenal, drugs for “dissolving” the materials in the canal And so on.
From the point of view of your doctor’s capabilities and the level of equipment in his office, he offered you an honest and correct proposal in this context: to remove a tooth, since the fistula will not disappear without adequate passage and filling of all channels, and the infection is not for the good of the body. An alternative for you may be the suggestion made by you, "go to another doctor." I think that in a clinic with good equipment and a professional approach in this area, they will cope with “non-passable” channels.
The only thing that you risk in this case is to pay after the fact for the “samples” of unsealing and not get the result. This is common in clinics, when money is still taken for "attempts", for example, from 2-3 to 5-10 thousand rubles, depending on the number of "attempts" and the equipment and materials used. Naturally, an excellent treatment result can be very expensive, as doctors take an ALIEN and COMPLEX case from the beginning.
By the way, your pain would have passed even without treatment attempts, since the fistula tends to swell (then the pain bothers) and "empty" (then the pain goes away with the released pus).
And finally, my aphorism that should help you: There are no real impassable channels - there is an “impassable” poverty of Dentistry and (or) an insurmountable lack of time, experience and professionalism of a doctor combined. ”
Good day. 3 days ago, they cleaned the 8th tooth canal on the right side of the lower jaw, cleaned it so that a swelling now formed in the area of the lymph nodes (it feels like they pierced me through). How to be in this situation? It should be? Most of all, the swelling is alarming, since it hangs below the jaw ((
Hello, Ruslan! A highly mixed picture of your symptoms. It does not matter what defines “swelling”: a lymph node or purulent infiltrate. In any case, one gets the feeling that this is a purulent complication after treatment of the canals. The lack of success in treating the lower wisdom tooth is an excuse to remove it as soon as possible.
The current trend, according to the correct management of these teeth, is to immediately remove the problem eighth tooth in order to avoid the spread of infection deep into the jaw spaces, up to serious complications that, if neglected, threaten life. In this situation, I would advise you to go to the maxillofacial surgical department of dentistry and remove the tooth, regardless of who is to blame for the complication: the doctor, or the structure of the tooth got such and (or) a diagnosis. This is an emergency help - you will not be denied it 100%.
Hello! On March 30, they put arsenic in my tooth, closed it with a temporary filling, they told me to come on April 8, or, if sick, to come earlier. For 4 days, the tooth did not bother or hurt.Today (April 4) he fell ill sharply, after 3 hours I was sitting in the chair of my doctor. She opened the seal, removed the nerve, cleaned the canals, as I understood. Then she laid something again, if I am not mistaken, calcium (?), Closed it with a temporary seal. She told me to come on April 8, or again, earlier, if they would be in pain.
So, what’s the essence: the pains that I felt today and feel now (after all the manipulations) of one strange character. The tooth itself does not hurt, if you press it with your finger it also does not hurt, if you close your teeth with force, it does not hurt either. Only sometimes (!) With weak contact of the jaws a sharp shooting pain passes immediately and the tooth no longer bothers until the next “attack” of such pain. What is it? "Attacks" about once an hour, sometimes stronger, sometimes weaker, more often - less often. Please say what could it be? This is my first time and it scares me a lot. Thanks.
Hello, Catherine! The case, to put it mildly, is interesting. If “according to the words of the author it is written correctly,” then the arsenic was laid for too long - hence the pain on day 5, although it was set for only 48 hours. As a result, when they put arsenic, there was pulpitis in the tooth, and the doctor artificially created a medical periodontitis. That is, instead of treatment and final filling of the canals, he now puts a calcium preparation aimed at eliminating the complication. Against this background, of course, at first time post-filling pains may disturb, although formally this is just temporary material in the canal. There may also be a similar reaction to it.
The fact that the tooth reacts in exactly this way with you - I think that this is a purely individual response. In my practice, precisely such cases have not been identified, but over many years of experience — which I have not heard otherwise: they wake up at night while grinding their teeth, and they knock on the tooth with a fork — it hurts, and the feeling of “material” in the tooth, discomfort when talking etc. It is possible to enumerate for a long time, since each subjective moments and nuances are many. Let us dwell on the fact that in your case it is worth focusing on the tactics of the doctor in general and clarifying the situation with the tooth picture. After all, it is always worth initially to know - for what diagnosis are we treating something?
Hello. I am 21 years old. Such a problem: went to the clinic (paid) with acute pain and flux. The surgeon opened the flux, cleaned everything there, left the gum. But before that, she sent to the therapist to treat one of two teeth over the flux. He was successfully depulped, put a medicine and a temporary seal. The second tooth is shown for removal. I drank the Augmentin antibiotic course, rinsed with chlororgixidine. And, it seems, everything is fine, the cut was delayed, the teeth in that place did not hurt. And the doctors took care of the rest of the teeth. As they said, the teeth are on the verge of foul, circular caries, gingivitis and everything against the background of my diseases (pyelonephritis, hemoturia, rheumatoid arthritis, vasculitis).
Outlined a treatment plan: to scratch the entire oral cavity, remove unnecessary, heal what can be saved and put crowns, but to make a gingivectomy. And now the teeth have been treated from fang to fang, I'm going to the orthopedist today and ... The light presentation has begun. A couple of days from the night in the area of those two teeth again sharp pains radiating to the neck and ear. On the left between the jaw and neck, the lymph nodes are inflamed, the temperature is felt. From 37 to 37.8. One of the "suspected" teeth is broken up, it will be removed when the surgeon returns from vacation, and they said that he does not pose any danger yet (this tooth was treated terribly at the time in a free clinic, which caused the seal to fall out). The healed tooth was next opened again, cleaned, even without anesthesia, took a picture - everything is in order. Again a temporary seal. Only the therapist noticed that the edema in that place inside was disappearing badly. They told me to smear with a metrogyl or chrysalis, and rinse with miramistin, and, of course, brush my teeth with a brush of medium hardness, without fear of bleeding gums. Fulfill every prescription. But the pain in that place does not go away.The rest of the cured teeth do not hurt, and in that place there is some kind of horror, it is impossible to sleep. There is only a panoramic picture taken in the first treatment with flux. And what is going on there, I don’t understand. I do not want a repeated flux. Tell me please.
Hello Maria! Thanks for the long history of the disease. In fact, I don’t have to advise much. You have already indirectly prompted the answer yourself. With a high probability of pain and other symptoms gives a "suspected" tooth, going to be removed. It is strange that there is no surgeon who should immediately solve the problem: you can’t cure it, doctors, - delete it as it should. What to pull - I do not understand? At least 10 teeth are treated side by side - all the same, this will not give a result, as long as the tooth continues to “rot on the root”, requiring immediate removal.
Of course, after removal, there may also be symptoms in the early days, but then this is at least some movement in the right direction. I think that "pairing" definitely no longer makes sense. This I say about cure-retreatment, baths, rinses, etc. It is possible to rinse it sometimes, if the cause of the disease is eliminated.
Hello! The lower seven got sick. The doctor put the non-arsenic paste for 4 days. The first two days the tooth calmed down and did not hurt, on the third it became a bit painful to bite, and on the fourth it could not bite at all. I arrived on the appointed day. They began to clean the channels. When cleaning one of them, I felt severe pain. The sensation was that the nerve was alive. They made an intracanal anesthesia injection. The pain almost sparked from the eyes. They said. that the channels were cleared, but then the pain only increased. They did not begin to fill them, they laid calcium and put a temporary seal. They said to come in a week, the tooth should calm down. For the next two days, she lived on Nurofen, as her ear, temple, and under her jaw ached. Within a week, the pain almost disappeared. Came to seal the channels. Again the pain when the canals were cleared, somewhere at the end of the canal. I don’t know, all or one (there were only three). Sealed, took a picture. True, the filling was very strange. Almost the entire tooth was filled with some substance, which was melted with a special soldering iron, and a light filling was placed on top. As a result, the next day I woke up with the feeling that I couldn’t close my jaws until the end, the tooth seemed to be raised, it hurt to bite the tooth. The second day is even more painful. It gives in the ear, temple, under the jaw. Please advise what to do? While I can endure, I'm waiting, maybe it will resolve. And what is the cause of the pain after applying the paste, as well as after removing the nerves?
Hello Marina! Unfortunately, it happens that during the treatment of the canals there can be pain during their passage. I think that here you need to sin on insufficient pain relief. I can’t spread about the reasons now, but the fact that with insufficient anesthesia the pain most often refers to the traumatic passage of the channels is a fact. That is, you felt just the exit of the "needles", an antiseptic beyond the root.
You wrote absolutely correctly that at the “end of the canal”, this is almost 100% not a problem with nerve removal, but by itself, you suffered from insufficient analgesia and a violation of the technique for treating canals. I can’t say that this is a gross violation, but normally everything should be painless and without a traumatic exit beyond the root. Here my task is to say how it should be, and not how often it happens in practice in clinics of completely different levels: from a budget hospital to expensive dentistry.
About the "soldering iron." I think that you have been sealed with the modern method using heated gutta-percha. In one day, it is not recommended to immediately place a seal after filling the canals, but this is the case in Russia. Mistakes were definitely made.The only question is: are they gross or without consequences from the point of view of the prospect of tooth preservation? Here, without a picture, I can’t tell you in absentia what happened after filling the channels, but formally you can say that your alleged complication is post-filling pain in the background ... There is still a mystery (without a picture). Increasing pain every day is not very good, as it should be the other way around: from severe pain to easing every day and complete passage in 5-10 days.
Not a single doctor is safe from mistakes, but the patient still suffers. Your right is to see a doctor and put all the points about the correctness of your treatment. Moreover, if you paid a lot of money, signed in a document and received certain guarantees.
Hello. A tooth ached very badly - the bottom six, there was a seal. I took a picture, the doctor opened the seal, said that the nerves had rotted. I cleaned the canals, the tooth after that did not hurt. Four days passed, today they cleaned the canals again (made an injection). After the action of anesthesia was over, the tooth ached even more, the pain didn’t go away, I don’t know what to do ... The canals had not yet been filled, the doctor said that they should be cleaned and cleaned.
Good afternoon! 6 days ago, the nerve in the tooth was removed. The channels were sealed, a seal was placed - in general, everything is standard. But now for 6 days the pain in the tooth has been disturbing, and the pain appears only when pressed, but acute (I can’t chew on the side of the treated tooth). I noticed that when pressed, neighboring teeth also hurt now. With what it can be connected? Thanks.
Hello Maxim! With a high probability you are faced with a complication after treatment - post-filling pains. Against the background of what they are happening, the issue is extremely complex. Without a picture, you can only say approximately.
If serious errors were not made, such as: breaking the tool in the channel, removing material outside the root or not bringing it to physiological narrowing of the root, perforation of the root, creating a false channel, not found channel or channels, etc., then in the coming 3-7 days everything will be all right. Post-filling pains last for a long time against the backdrop of a rough treatment: the release of an aggressive antiseptic and “needles” beyond the apex of the root during canal treatment, the use of irritating materials for filling canals, etc.
At the same time, the picture may be very good, but the pains worry for a long time: there are cases that last up to 2-3 weeks and even 1 month. Tolerate, waiting for the weather near the sea, or to deal with the cause of the problem is your own business. I just outlined some aspects and made some accents.
Hello, 04/08/16 turned to a free clinic, periodically disturbed the upper left 7 and 8. There was pain somewhere between these teeth, only when chewing solid food. Outwardly, both teeth were intact. In the picture in 7 they found a large cavity. The doctor opened the cavity, put arsenic and a temporary seal for three days. All the weekend I was tormented with throbbing pain, there was a feeling that I feel like a cotton flee with arsenic under a filling presses a tooth, my cheek is swollen. Saw ketorol. On Monday I turned to paid dentistry with complaints, clarified everything. The doctor opened a temporary filling, began to expand, drill the tooth. I felt pain, they said that my nerves were not killed. They removed nerves under ultracain, cleaned three channels and took a picture (she said that she had overdone it, but she didn’t explain what). Sealed the channels, put a light seal on top. On the next 8 I found the caries is shallow, on the side of 7, put a small seal there.
So, why the background: anesthesia after 4 hours passed somewhere, there was a terrible pain. The entire upper jaw on the left hurts, the sensation of pulsation, pressure on the treated tooth, the jaw closes painfully. The lower 7 tooth under the upper treated also started to hurt. I drank ketorol - it does not help.What should I do? Is this the norm, do you have to wait three days or take pictures again? When pressing on the upper 6, 7, 8, it is precisely the treated dead 7 that hurts. At 6, too, there is a large seal, three times already.
Hello Maria! I think that most likely we are talking about a complication, which the doctor casually mentioned - “overdid”. Most likely, a lot of material was removed at the top of the root, and the more aggressive the material, the sharper the pain after treatment. After the canal treatment, many doctors immediately put a permanent seal on this day. Most specialists, who are well versed in the nuances of endodontics, are not sure that this favorably affects the tooth.
You now have post-filling pain against the background of the withdrawn material at the apex. It is possible that there is generally a whole pea of cement-like mass outside the root. The fact that neighboring and even lower teeth began to react when biting, only confirms that this is a serious result of a bad mistake.
8 tooth could also affect. There, nevertheless, a “nerve” was left, and who knows, it is possible that the tooth was also overheated during the treatment of a small cavity. Of course, this is a less likely case. Most signs nevertheless indicate the removal of a significant amount of material from the top.
My personal advice is to get an objective assessment from an independent doctor (outside) about the picture and condition of 6, 7, 8 teeth, and better: maximum emphasis on 7 teeth. I don’t think that he was completely “ruined”, but it’s all the same unpleasant.
Good morning! Help advice. 4 days ago, the channels of the 8th tooth were first cleaned. Then, as it were, a broken tool was discovered in one of the channels. Since it hurt when cleaning one channel. The doctor decided to remove the tooth. After removal, the ear immediately hurt. All teeth on this side are aching. Painkillers do not help for long. Maybe the ear has blown? Can a phyto-candle be used to treat a tooth? The doctor said that in the bath you can not wash and warm. And the pain in the ear does not go away.
Help, a toothache, went to the doctor, cleaned the canals, removed the nerves. For three days the tooth aches periodically, not only when biting. When you hit a tooth, it hurts, the pain is dull, but long. What to do?
I have the same story, if you find out a solution to the problem, write me back. Please, the tooth really hurts.
Hello. I have such a situation. I turned to the local dentist (during pregnancy) with the fact that a tooth broke off, 6 from the bottom left, and sometimes there were minor pains ... The doctor, in my story, diagnosed pulpitis. I opened the sealed tooth, said that the tooth was bleeding and could not do anything with it, applied the medicine and sent it home. A week later, she removed a temporary filling and sent a rinse ... A week later she began to clean the canals, but it was very painful for me (anesthesia in the form of Lidocaine, 1 cube, did not help). She again put some medicine, closed it with a temporary seal and sent her home without an appointment, because like a lot of clients ... I came in 1.5 weeks with very severe pain (I couldn’t even squeeze my jaw), she again applied some medicine and sent her home. The tooth ached immediately after leaving the office, I suffered 4 days (2 days off). The left eye twitched, the ear, it was impossible to press on the tooth.
Then I turned to a paid dentist with a recommendation. They took a picture, it turned out that I cleaned 1 channel out of three and left a needle in the channel, in addition, my whole gum was corroded by the action of the drugs. The dentist cleaned the remaining canals without touching the canal with a foreign object, put a medicine, a temporary seal. The tooth stopped hurting. At the next appointment, the canals were sealed and a temporary seal was placed. The tooth also did not hurt. A few days later they put me some temporary filling “Japanese” and sent home until May to restore the gums, becausethe gum was corroded to the bone and a passage was formed between the tooth and gum. The tooth got sick the very first night. I went to the doctor again, opened a part of the gum between the 6th and 7th teeth and ordered to apply solcoseryl ... In the evening my tooth hurt again, so much so that I can neither eat, sleep, nor grip my jaw, twitch my eye and ear, and the painkiller doesn’t help at all ... Maybe this tormented me with the needle channel? What to do? Maybe advise some clinic? I no longer have the strength to endure, I have been suffering for 2 months, constantly on painkillers and, in addition to everything, pregnant. Thank you in advance for your advice.
Hello Anna! In fact, I can’t advise the clinic just because almost 100% do not live and do not work in the city where you are faced with a problem. Therefore, I do not know which clinic in this territorial unit is able to save your tooth.
Here it is definitely a question of saving the tooth, since a series of mistakes (and even serious ones) have led to complications. They do not let you sleep peacefully and live comfortably. Without removing a tool fragment, it is impossible to overcome the problem. Not sure if the tooth is the only problem. You should turn to the sites of clinics in your city to try to treat this tooth. The fact that you need to be treated is 100% understandable, since a paid dentist only made your life easier for a short time. Treatment according to the principle of "dead poultice" is the approximation of a tooth to removal. Quickly find a clinic that correctly evaluates the situation and offers options for saving the tooth. Otherwise, having weighed the pros and cons, remove it in order to avoid a more serious purulent spread (creep) of the infection, and then - prosthetics.
I hope that this advice will help you in the current difficult situation.
Hello doctor, I ask for help in further actions: 4 days ago I felt pain in the 6th tooth, it was sealed, there was a black spot on the side and it was sensitive to me. I immediately went to my dentist, took a panoramic picture and a blackout was found on this tooth. The doctor said that these are bacteria on the roots and need a long treatment. He opened the seal, cleaned it, put in the medicine and put a temporary seal. He said that, in principle, I can walk with her, but not all the time. I received the follow-up treatment for canals only after 2.5 months. But after the anesthesia ended, I felt a aching pain in my tooth. But the pain under the jaw is more worrying, the jaw also itches and there is discomfort when swallowing. The next day, I went to the doctor again, opened again, cleaned the medicine and prescribed antibiotics. But the pain did not stop and on the weekend I had to go to another doctor: he removed the seal, put the medicine and closed it with cotton, refused to remove it. I live in Germany. Thanks a lot.
Hello, Alexandra! Normally, acute pain should not be at the stage of treatment, since the implementation of all its protocols can achieve the elimination of a provocative infectious agent, and also reduces the reaction of the inflammatory focus outside the canal. I think that at the stage of treatment there were errors that led to problems with the prospect of intracanal treatment. There was a question about the appropriateness of further “torturing” the tooth, including you, if the doctor technologically and professionally simply does not cope with the therapeutic task.
I would like to see a picture before treatment and at its stage, as this would allow us to at least slightly open the veil of secrets of complications during treatment and generally recognize approximately the principle of therapy. I must say right away that modern dentistry adheres to the principle: wash channels according to protocols for about 1.5-2 hours. I will not name the scheme, since it will be an advertisement for the drugs, but eliminating the infection is the main problem of a number of dentists who give up and cannot save a tooth.When all the channels have been found, passed, washed with ultrasound, dilated and sealed with a preparation based on calcium hydroxide, then a person normally should not feel acute pain, maximum discomfort within 1-2 hours after therapy. Subsequently, the change of the drug occurs after 1-2 weeks (2-3 months) with monitoring of the effect in relation to the apical region.
I don’t know what kind of diagnosis you had from the beginning, but the fact that you are stuck in the routine of medical work and, no less likely, in a series of mistakes is a fact. I would like to wish you patience and the opportunity to find a doctor who will break this chain of unsuccessful channel therapy. Is it really a myth that Germany is a trendsetter in dentistry, a country of dentistry and innovations in this area?
If you have a problem of a different plan, besides finding a good doctor, then remove the tooth from sin away, because, as I understand it, this is the sixth lower tooth, and the lower jaw is the most insidious in terms of the risks of “leaving” the infection deep into the jaw with serious complications.
I sincerely wish you good luck!
Hello! A year ago I was treated with a tooth, six. They removed all the nerves, took a picture, there was a vacuum under the root, put the medicine, it seems, helped. Then, when the canals were filled, some filling material went beyond the apex. The jaw in this area has begun to hurt. The teeth do not respond to cold and hot, the gums are normal. Pain can occur and disappear for no reason. It may not hurt for several days, then comes back again. I went to my doctor, she checked, said, I need to be patient, I probably got cold ... Now the pain goes to the upper jaw, then to the other side, gives it to the temples. What could it be? Inflammation of the trigeminal nerve (how many)? Cyst? (Previously, it was not a cutter, perhaps as a predisposition ...) Or, perhaps, due to the release of filling material at the top of the inflammation? (Although the year did not bother anything, it turned out a little bit there). I hope for your help 🙂
Hello! Carefully check the adjacent teeth for the presence of a carious cavity and inflammation of the "nerve". By eliminating this factor, you can further understand the possible causes in your treated tooth. In principle, acute pain in the treated tooth has other confirming symptoms: pain with percussion (tapping on the tooth), pain during palpation of the gums, etc. You should carefully examine the tooth in the oral cavity, take a picture, analyze it. You did not provide x-ray data.
Nevertheless, untreated teeth are often “given” to the treated ones, all the more so with errors in the canal, although a number of doctors do not consider the conclusion of the material to be a serious complication, which may somehow worry in the future. Send pictures and photos of the tooth in the oral cavity - we will understand, since the doctor tells you to wait until the "exacerbation passes" ...
Good day. Last Friday I was diagnosed with 27 teeth pulpitis.
1. At 12.00 They put the killer of a nerve. The tooth hurt for another 12 hours, then stopped.
2. A day later, the canals, 3 pieces were cleaned, some medications were inserted into them and a temporary seal was installed.
3. For 3 days the tooth hardly bothered, the gum ached from injections. On the 4th day, pain appeared. It’s painful to touch the tooth. If yesterday it was painful to touch the whole tooth - today painful sensations only from the inside and fillings. All the teeth on this side of the jaw also began to ache. That all at once - then in turn. No gum tumor, no temperature. The doctor went on vacation until May 16. Having said that if there are severe pains, come to an appointment with another specialist.
Hello! To understand what could happen on the 4th day after treatment of the canals, you should analyze the image data. If the channels are sealed correctly in the picture, then the doctor’s work itself should be analyzed. If the doctor makes serious mistakes, everything will be in the picture, in full view.Typically, pain when biting on a tooth may appear 2 days after canal treatment. The 4th day is directly some kind of delayed reaction, which leads to bad thoughts. If the doctor warned that severe pain could be, then this also suggests such considerations. Anyway, another doctor will analyze your situation. I think that he will have to fight for your tooth if my suspicions are confirmed.
Hello, I'm 14 years old, I write, 2 days after visiting the dentist. My doctor cured 3 channels, very good. He said that it’s good in the picture, he sealed it with an ordinary seal, didn’t insert the pin, I don’t know why. So, everything was fine, but 3 hours after the doctor the seal began to ache! I can’t bite, eat, touch - it hurts. Tell me what to do? Hurry, please, it’s very painful and sorry for the money paid for a little tooth!
I forgot to say that when treating the canals, the doctor hooked the gum and tore it up, can this affect the tooth pain? The pain is formed when I press on the filling, and the tooth itself does not hurt.
Hello! You have experienced post-filling pain that many patients experience. However, for most people, they disappear within a few days, or there is a persistent tendency to decrease pain when biting every day after the filling. It’s too early to talk about losing money.
Most often, such a reaction occurs against the background of medical errors by the doctor and the excessive exit of "needles" outside the channel. Such injuries are not the norm, but in general terms they do not harm the further existence of the tooth if other errors have not been made: breaking the tool in the canal, the exit of the filling material beyond the root or a strong “undercut”, the canal is forgotten, etc.
Provide pictures for a complete analysis of the situation and specify: did you immediately have a permanent seal or is there a temporary seal?
There is a permanent filling, but the doctor did not give the pictures, and the tooth hurt and I forgot to ask.
Hello Dmitry! If this problem continues to torment you, you can do the following: take a new tooth picture in another private clinic and get the advice of an independent expert on the spot. After a full-time explanation of the dentist, you can provide pictures here on the site, and I will try to evaluate the quality of processing and filling the channels in the near future. Having two expert analyzes on hand, you can act in the right way: either calmly wait for post-filling pains to pass, or go to the clinic for treatment of the tooth canals under warranty. Indeed, dentistry, which has a good reputation, will always satisfy the client's requirement for a job well done. Moreover, you paid exactly for this N-th amount.
Hello! My tooth hurt when pressed, after which the doctor removed 3 nerves and put a temporary filling. The tooth began to react strongly to cold and hot. The doctor looked, took a picture: the canals are sealed, the gums are clean. Again a temporary seal. So now I reacted to cold water (never my teeth hurt so much, the pain is very strong) ... What could be?
Hello! If your words are written correctly, and the doctor really went through the channels, then almost 100% of this tooth will never respond to the cold. Even a mediocre canal treatment subsequently eliminates pain on the cold (maybe hot).
Therefore, in practice, this is a good diagnostic sign for me: you should look carefully for a causative tooth, that is, the tooth that responds to a cold tooth. I direct water from the dental unit to the area of a possible bad tooth.If you choose between a "dead" tooth and a "live" one, then, accordingly, it is easier to find out simple: a tooth that has not yet been treated in the canals responds to a cold tooth.
In your case, I would just direct the water toward the filled tooth: if the pain appeared, then we must carefully examine the coronal parts adjacent to the “dead” tooth for the presence of hidden caries or cervical defects. I think that with difficulty it is possible to take a picture of a diagnostic group of teeth. I hope that your doctor will focus on finding just such a tooth. Do not suffer pain - immediately consult a dentist! Health to you!
Thanks!
Hello, half a year ago I was removed the nerve and cleaned everything there, put cotton wool with iodine and something else (no allergy to iodine) in the tooth, and a temporary filling on top. I don’t really like hospitals and doctors, because they treated the tooth for almost a month. I didn’t come to them the next day, everything was fine and the tooth didn’t hurt or hurt, there are just fluxes all the time, it’s already the 4th or 3rd half a year, and sometimes the tooth just gets in the way. Tell me, can I still have time to go to the hospital, and what does the fluxes all appear and appear. I will say that the flux is not very large, so, average. Why do they appear if the tooth is covered with cotton?
Hello, Valery! It's simple: you violated the staged treatment, so the tooth is periodically in the acute stage, that is, the newly formed purulent process - "flux". The point is that the tactics of treating your tooth did not imply missing for some (even short) time, since it was about reliable sealing of the tooth. A temporary filling with cotton wool gives such an effect for an extremely short time (and that is not a fact). In the coming days, through microcracks and obvious flaws in the contact between the filling and the walls of the tooth, hundreds of thousands of microbes penetrate into the canals from the oral cavity, which resume all the processes that were before the treatment, sometimes with a doubled-tripled strength. The size of the "flux" affects only your comfortable or not very digestible existence. As for the prospect of tooth preservation: only a careful analysis of the situation and correctly selected tactics in preserving the tooth with this complication will tell. In a number of dentistry clinics, after analyzing the clinical situation at this particular moment in time, a decision may be made to remove the tooth. However, often the tooth can be saved at the cost of many hours of repeated treatment and high financial costs. In any case, the last word is your doctor’s opinion and your consent to this or that intervention. Do not put off the solution to the problem in a long box, as otherwise there may be serious risks to health and life in general.
Hello! I have this problem: after cleaning the canals and removing the nerves, the CHANNELS were NOT filled, the doctor said to rinse the tooth with soda for 5 days and come to the reception (this was 6 days ago). The tooth began to hurt 1 day after brushing and it hurts very much when pressed, at night it feels like it is pulsating, shooting in the ear. I'm afraid to go to the reception because it hurts. And the doctor said to come when the tooth ceases to hurt. Can it hurt for so long after cleaning the canals?
Hello Anastasia! In general, the method of rinsing teeth with soda and salt with open channels is not welcomed by most experts. And you illustrate this clearly with your clinical case. First, open channels are not a panacea for pain, as the infection continues to circulate from the mouth to the channels and back. Secondly, the canals almost always begin to become clogged with food and become not only a “garbage can”, but also a risk of repeated “hermeticity”.Simply put, the doctor depressurized the canals, making them easy to rinse, and after the first meal, cucumbers and tomatoes clog the canals, as before. Thirdly, for many people, empty channels do not cause complete comfort: yes, maybe the acute phase with tearing and throbbing pain goes away, but certain pains are still present. Hence the conclusion: you have to keep your tooth in the spirit of new traditions and treatment protocols - without open channels, but with full-fledged drug and mechanical treatment of the channels for more than 1 hour, modern drugs with subsequent hermetic closure of the channels with materials (possibly temporary). Unfortunately, often such competent and professional treatment costs considerable financial costs. If there are no such opportunities, then it makes no sense to “drive” the infection with open or not very channels further and wait for possible complications from the tooth - to go and remove the tooth (the decision is sad, but at least some help to the body).
Hello. I have such a problem. The nerves in the upper tooth were removed, next to the eye. At first, the doctor said that he could not get the nerve, then the next time he said that he had removed it. Put a temporary seal. At first he was ill with pressure. Then the pain, as such, is gone. But I am very worried about the swollen gums in which the blood collects. I’ve been going with this for a month now. Two times I was at the doctor, did the cleaning. He did not open the seal. He said that this happens. He told me to walk for two weeks. I am very afraid of losing a healthy tooth. It does not get worse, but it does not go away. Advise what to do? Thanks.
Hello! I think that against the background of treatment, an aggravation arose due to inadequate channel processing. However, it is advisable to confirm this fact with a tooth picture. The “tumor” of the gums, moreover, for more than a month, is not the norm. I think, in order not to lose a tooth, you should contact another dentist with a picture to analyze the results of treatment and plan possible treatment. If you submit a snapshot to me for analysis, then I can give you a preliminary opinion, but you can lose precious time.
Good afternoon! My tooth began to ache under the filling (stood for 10 years). The dentist sent for an x-ray, then removed the nerve, cleaned the canals, installed the pin and made an “extension”. Within 3-4 days, severe pain did not stop, only painkillers saved. After another X-ray, nothing “terrible” was found, although there was a slight swelling of the cheek. An incision was made in the gums, the so-called “scratch”, with the installation of a drainage gum. At autopsy, pus was not expected to appear. For a day, rinsing with everything possible, prescribed the antibiotic Linkomycin. After removal of the gum, the pain does not stop, without painkillers pain (dull and throbbing) is impossible to endure. Please tell me whether the dentist did the right thing by installing a pin and a seal immediately after deputation in one visit and how long can the pain last?
Hello! Not properly! Although I have repeatedly heard from my colleagues that a number of dentists continue to (and successfully) put restoration pins in the just-sealed canal. Researchers in this matter are inclined to believe that most filling techniques are not compatible with this policy and often lead to complications. I am familiar with the authoritative opinion of a professor of dentistry and a doctor of science, who is 100% sure that the tooth should be "extended" only at the next visit. However, after filling the canals, temporary restoration without a pin should be carried out with inexpensive materials, so that after a few days it is replaced with a permanent one.
Edema from the gum side could be triggered by an infectious exacerbation near the root, or something like an allergic reaction.The reaction of the tissues surrounding the tooth to an intervention of this kind could well lead to a problem + a combination of such factors with simultaneous restoration and possible pushing of the “foreign body” beyond the root.
Of course, after the first visit, the tooth needed peace, and not restoration work. However, he is more than confident that the dentist has long been practicing this policy, so he is too confident. If the picture is really as beautiful as it is presented, then it is quite possible that the doctor is really struggling with traumatic-allergic edema. There is a likelihood of an infection casting beyond the root during the processing of the channels, and the picture may have a beautiful “pattern”. If the material is removed at the top, then the pain can be quite long: up to 1-2 months. I recommend taking a picture and getting advice on the picture from an independent expert dentist.
Hello, 2 days ago, the nerve of the upper six was removed and sealed. For two days it was not particularly strong, but today the pain has become a little stronger and the tooth has begun to respond to the cold. What could it be?
Hello Jess! With a high degree of probability, your other tooth will respond to a cold tooth. The fact is that a tooth in which even the “nerve” was removed at the very least does not respond to the cold. Only absolutely “living” tooth can react to cold. The fact that your treated tooth ached - most likely, it was a question of post-filling pains. I recommend that you immediately consult a dentist and take a tooth picture to clarify the diagnosis and control the quality of treatment of the canals.
Hello. In February, a nerve was removed under anesthesia in a healthy tooth, 3. For prosthetics, cermet was planned. The doctor additionally installed a pin. In March, the tooth began to hurt. I went to another doctor. Removed the pin, all the filling material. Left a tooth open, ordered to rinse with salt and soda. It has become even worse, the tooth hurts, as if it is an abscess. Now I go to the laser for 2 days. Not easier. Tell me what to do? Thank you in advance.
Hello! I think that we are talking about the wrong treatment of the channel 3 of the tooth. If I understand correctly, what are you writing about fang. This is a single-channel tooth, so it’s difficult to do something bad in it. Sometimes, after all, there are complications leading to consequences such as yours. It’s a pity that you did not save the pictures after the first treatment of the channels. Now images can only help determine the condition around the root of the tooth. Physical procedures are good only with adequate treatment of the channel. Therefore, it is so important to take care of a properly processed canal with therapeutic filling material.
An open technique for treating a tooth canal is now criticized by most dentists, as an infection from the oral cavity again pollutes it. I think that you should refuse such a routine treatment and consult a dentist who has techniques for treating channels with hypochlorite and ultrasound activation followed by treatment with calcium hydroxide preparations. So you will save your tooth. Do not forget that it is important to identify possible complications: perforation of the root, overexpansion of the root apex, etc.
Hello! In December 2015, teeth became ill. The pain "walked" across all teeth, face and head. There was a high sensitivity on hot (week), then on cold (another week). The dentist said that the necks of the teeth were open and prescribed “Metrogil”. The pain subsided. In February 2016, the lower 7 tooth and the upper 8 broke off on the left. I couldn’t get to the reception, t. she caught a cold and got sick all March. But there was no pain. By mid-April, the 8th was removed. After the May holidays she went to treat 7-ku, but instead the doctor treated the upper 6-ku, and put arsenic on 7-ku for two days. Arsenic was removed on time and put a temporary seal. After another 3 days, they finally began to heal.She said that everything is inflamed. Did a very painful electrophoresis, and filled teeth hurt. Then three days later. They put a medicine and a temporary seal. The next day, the canals were sealed. But during the filling (when laying the paste) there was a hell of pain, even with anesthesia. I couldn’t even cry in pain. The doctor was unhappy that I did not give. She said that it’s okay, just such sensitive teeth. Now all the left and front teeth hurt, the pain medication does not help. Herpes got out. At night there was a temperature and cold sweat. Is that all, maybe my features of the body? And I also have a sealed right 6 with a granuloma. I do not know what to do with it - to treat or remove. Thanks for the answer!
Hello Yulia! Treatment should not bring pain and suffering - in this context I recommend changing your doctor. Of course, not a single new doctor will deal with you without diagnostic images of problem teeth. In fact, we need a careful analysis of dental images: what has already been done, how it has been done, if there are any mistakes and in what direction to move on.
Of course, stress amid fear of pain and so on can cause any negative reaction of the body. I am sure that you need to break the prevailing stereotypes and try to find a doctor who works more constructively and (very importantly) without pain. This is now a certain standard of quality treatment.
Hello. Tell me, please, I have such a problem: a year ago, I got a tooth 5 tooth from the top left, went to the clinic, they closed everything well. A couple of months passed, the next 6 got sick, went again, they sealed it, everything seems to be fine. After 3 months, the picture with the first tooth repeats - it went, now it’s cleaned, the channels are sealed. And after some period of repetition with a second tooth. Now, after the lapse of time, I again have 6 pains (aching in nature, reacts to cold / hot). I went to another doctor, took pictures. He says that the tooth is depulped and there is a darkening of the maxillary sinus, he sent to the ENT doctor. I took a picture of the maxillary sinuses, there is no sinusitis. I can’t understand anything at all. Thanks in advance.
Hello! The question is complex, so it’s better to send you pictures of teeth with treated channels (you can link to Yandex-Disk). This will make it possible to assess the quality of the doctor’s treatment and to understand whether there is reason to think about inflammatory processes in the maxillary sinus.
Hello. Three days ago I treated the bottom five. The doctor sealed the canal and took a picture. It was clearly visible on it that the filling material went beyond the top of the canal. The doctor said the canal is smaller than it should be. She said that the tooth would ache for three days and only when bitten on it. Today I feel that the tooth is aching, even without biting. What to do? It used to be with another tooth. Sick for a long time (more than six months), gave in the ear, even in the throat there was a feeling of discomfort. Then gradually everything went away. Changed the doctor, and now, again! Tell me what to do, consult a doctor, or will it go away by itself?
Hello, Elena! I think that in your "places" they hold a vicious opinion: it is better to show a beautiful "drawing" in the picture than to achieve a comfortable state of health for the patient. In my practice, I do not use materials for filling, which are annoying when they are removed to the top. At the same time, I conduct a detailed condensation of them in the channel, that is, I seal it strictly according to the protocol. Your doctors, almost 100% sure, use epoxy resins for canals: modern innovative doctors cling to their hermeticity capabilities and create a beautiful outline in the canals. Such drugs do not tolerate errors, but doctors stubbornly continue to push them towards the apex so that their colleagues do not "scold".Most afraid of the anger of the evil "uncle" of the orthopedic dentist (who prosthetics). Indeed, it is this specialist who can so critically check the work of colleagues and find fault with partially empty channels in the picture. That's why the doctors of many clinics are ready to channel as much of this “beauty for the sake of the picture” into the canal. Believe me, there are a lot of such cases (you have to consult a similar one day later). However, in my practice, pains when biting are rare, and if they happen when removing a small amount of paste (not pins!), They last no more than 5-7 days. You just fell into the clutches of business.
Hello! Svyatoslav Gennadievich, please advise on my further actions. The problem is that two months ago I was treated with caries of 16 teeth with the removal of nerves and cleaning the canals. Immediately after treatment, the tooth began to hurt, especially when pressed. Over time, the pain subsided, it remained only when biting. When the picture was taken, it turned out that the filling material (gutta-percha pin) went beyond the tip of the tooth root and, worst of all, ended up in the maxillary sinus. What should I do now?!
Hello! If you have an idea of such details, then I am sure that you just need to confirm the direction of my colleagues' thoughts. I do not think that I will be original in this matter: the withdrawn gutta-percha pin does not always give pain, in the end - often everything normalizes. However, no one canceled the fact that this is a complication after intracanal treatment and it is considered as a problem for the future. The proximity of the maxillary sinus in this case definitely complicates the situation, but there is a solution. It is necessary to contact the dentist-therapist with pictures and determine the possibility of treating this tooth. Depending on the material with which the gutta-percha pin was installed in the channel, the level of difficulty in extracting the material will be interpreted. With proper equipment, it is possible to do this: remove the withdrawn pin completely, treat the canal with medication (or canals, if there are errors in them too), and then fill the canal strictly up to the apex. Sometimes it is necessary to put special temporary materials (based on calcium hydroxide) before the final filling of the canal. In any case, after some time, the root seal will have to be installed. If the channel is sealed correctly, there will be no reason for concern. The question of a possible infection of the maxillary sinus by the treatment is resolved on the spot: a detailed diagnosis, a survey and competent treatment of the main source of the problem - this is what you need at the moment.
Hello! Svyatoslav Gennadievich, following your advice, I turned to another clinic (the only technically equipped in our city). The doctor who works with the microscope did not retreat the tooth, explaining by the results of an OPTG with CT function that it was no longer dentistry, and to remove the filling material it is necessary to perform endoscopic sinusotomy in Moscow. Is it possible to treat your tooth? Answer me please. I leave my email address: [... only the doctor sees the mailing address ...]
Hello! They treated 8 tooth, pulpitis, put arsenic for 2 days. He came to the reception, and one of the channels, when a needle is inserted, is painful to treat. And then after the injections they put more arsenic into this channel. Do you think this will help in pain and is it not scary that they put arsenic 2 times? And what is the cause of the pain even after injections in the canal? Thanks in advance!
We put arsenic for a day and told to come in the morning.
Hello, Vadim! I think that the tactics of the doctor are somewhat routine. I did not stand behind the chair, but I can only analyze it in general terms and purely from my “bell tower”.
Firstly, the doctor is well done that he took a wisdom tooth (8), which many dentists now propose to remove due to many nuances (long list). Secondly, re-setting of arsenic paste is not forbidden, however, this paste is now highly not recommended even for the first time. Just according to many studies, overexposed paste extremely worsens the periodontal condition around the roots of the tooth. A non-arsenic paste is considered the best option, although there are many supporters of the first technique (usually this is the “old guard” of doctors who can’t imagine their work without arsenic).
Thirdly, nobody canceled good anesthesia. If your doctor cannot “freeze” the tooth qualitatively to treat the canals painlessly, then this is already a problem. If you trust your doctor, no matter what, then you just have to trust his routine method of treatment. Its perspective depends only on the doctor’s further tactics. Good luck and patience!
Hello. I had caries on a chewing tooth. He was cured with nerve removal. Everything is standard. But they did not warn about possible pains. A week and a half has already passed from the day of the trip to the dental clinic. The pain began to fade away. But at the moment, the tooth has started to hurt again and is already stronger. Chewing and touching it hurts. I would not say that the pains are terribly hellish and impossible to endure, but the discomfort is clearly causing. Please tell me what could it be? Is it worth going to the dentist, or just need more time to calm down? Thanks in advance for your reply.
Hello! Usually, everything starts with a radiography of the tooth, in which "nerve removal" was performed. The fact is that such a spontaneous exacerbation (especially at such an early date) may be the result of a doctor’s mistakes in endodontic tooth treatment: not found canal, perforation of the root or bottom of the tooth, fracture of the instrument in the canal, not sealed canal, etc. After analyzing the image, conclusions are drawn. If the picture cannot be faulted with treatment, then it is important to find a really problematic tooth. It often happens that within a short time after the treatment, another tooth begins to hurt, having a deep carious cavity. It is sometimes hidden from the dentist.
Therefore, it is definitely worth going to the dentist to dot all the i. It is better not to miss the problem and not to delay to serious complications. Health to you!
Hello. Tell me, please, can a bad tooth cause slight head swaying, something like tremor and twitching of the eye? For seven years now I have had such periodic swaying, accompanied by a headache. MRI of the head and neck did. There is a slight protrusion, but not so strong. Recently discovered pulpitis of the fourth upper tooth. Began his treatment.
Hello! Such cases are not recorded in dentistry. I think that you have a neurological problem, and pulpitis is a particular problem that deserves attention only as an additional disease. Therefore, consult a neurologist to find the root cause.
Good afternoon! My husband removed the nerve 10 years ago, cleaned the canals and installed a crown. Recently, about 3 days ago, I went to the doctor - the crown staggered. Previously, he visited the doctor, he was cemented and put on the crown again. And this time another doctor said that he had not completely sealed the canal and needed to do everything anew. They also said that this procedure is very complicated and it will be done by a specialist. As a result, the specialist did all the manipulations in less than 8 minutes, according to her husband, he brushed around 2 times with a brush and sent him home. Started to break the gum and he was prescribed pain medication. The pain did not pass, only for the duration of the pain medication.The next day, there was a feeling of fullness and the cheek began to swell ((Now his entire right side has swam with his eye, the pain does not go away, there was a temperature. Now his cheek is hot, the temperature has subsided. The doctor could not accept yesterday and scheduled for today. This is a medical mistake or does it happen? Thanks.
Hello! If, according to your spouse, “it’s written correctly”, and the work in the channel lasted only about 8-10 minutes, then most likely it is a doctor’s flaw, or an error (errors). The point is that retreatment of the tooth canal should take no less than 30-40 minutes with a detailed treatment of the canal and leaching of the infection. The fact that the problematic channel was disturbed (there was no way without it) caused an exacerbation of the chronic process. The result of this exacerbation was "on the face" of your spouse. Nevertheless, I am inclined to believe that this is a multifactorial medical defect. Moreover, the channel almost 100% really needed a professional re-filling and more than sure, even anti-inflammatory therapy. It’s best to look at the situation on the spot, but it’s already scary for the result and the prospect of such an approach to the treatment of such complex teeth, and treating teeth with such hidden infectious lesions is an extremely controversial event for many dentists.
Hello. My situation is the following ... 6-7 years ago a bridge was installed on the 5th, 6th and 7th teeth, if I am not mistaken. Recently, he began to stagger, went to the dentist, took a picture, a cyst appeared, said that it was necessary to treat and re-install the bridge. Opened the sealed canals, cleaned without freezing. During the cleaning, there was pain when inserting the needle (mainly at the end), the pain went away the same day! The next dose was treated with medicine, a temporary seal was placed. Also, when working with a needle it was painful, already stronger. The pains are terrible when working with a needle, as if pierced with electric current! A tooth ached that day, and the next day too (without interruptions, only Nimesil saved). In the evening I went to the reception - they removed the seal, cleaned the canal from the medicine, washed it (again pricked it with a needle when cleaning), said to rinse with salt and soda. But even after that the pains didn’t go away ... For several days now I haven’t slept at night, during the day the pain torments me terribly, 3-5 tablets of painkillers per day. I went to another dentist today (he doesn’t work on Saturday), took a picture, said that the pain in inserting the needle into the canal was due to reaching the nerve that runs horizontally (from which the nerves to the teeth go). And in general, this tooth needs to be removed, they say, thin walls, a thin bottom in order to put a crown on it.
Tell me, what nevertheless caused constant pain: a doctor’s mistake when cleaning with a needle, or, maybe, what else? Thanks in advance!
Hello Oleg! It is clear that living teeth can never be found in a tooth with a cyst - this is an axiom. Such teeth initially have either dead pulp, or were previously filled in the canals, but of poor quality. The doctor treated or treated this tooth, but faced a number of errors: he did not create comfortable conditions for the patient (normally everything should have happened without pain), and he also allowed endodontic tools and (or) antiseptics to leave the root (s) during work. Mistakes at such an important stage of treatment + the inability to create the most sterile conditions in the channels led to the fact that you can not do without painkillers. It is clear that the doctor provoked an exacerbation in this tooth, but could not, on his own, make sure that this process did not go beyond the permissible limits.
As for the consultation of another doctor, I can say so that the accusations of the first doctor that he could "reach the nerve that goes horizontally", in other words, to the mandibular nerve, are not confirmed or proved.And about the need to remove the tooth - this is a difficult question: you need to see the situation in all senses "in person" and from all angles.
The reason for your pain is that at some point the doctor made mistakes. Maybe the mistake is that the evidence comes down to tooth extraction, and the doctor is trying to treat, although most often these teeth can be “pulled out” at the cost of professionalism, necessary equipment and assistance from the patient.
Hello! I want to consult with you. Four days ago, a tooth was pulled, the upper seven. It was done: computed radiography, the use of antiseptics, treatment of pulpitis, ultrasound treatment of the root canal, curing of the root canal, removal of the old filling. But the tooth hurts when you click on it, or when you bite the food. In a calm state does not hurt. I don’t touch him, he is me. What can it be, and what to do so as not to hurt? Thanks.
Hello Olga! As I understand it, you focus on the fact that you have been treated with a completely elite treatment with all the modern advantages of dentistry, without which it is difficult to treat a tooth, as it should, that is, for life. The post-filling pains that you have should not be normal. However, most often with correctly performed treatment from the point of view of technology + a snapshot, such deviations independently disappear after 5-7 days, sometimes after 10-14. To answer more precisely, you need to know at least: what the doctor did there from the point of view of the x-ray. Appointments come from here: if everything is in order, then the doctor can prescribe physiotherapy or rinsing, otherwise, you can not do without correction of the material in the channel (s).
Hello! I really hope for your advice, please help. 10 days ago, the 4 upper tooth on the right began to hurt, with caries. Naturally, she ran to heal. The doctor removed the nerve and left the canal open, said rinse with salt. So I did. Yesterday I came to close the channel. By the way, there was no pain after nerve removal. I filled the tooth and, as usual, went home. But after anesthesia a terrible pain began, which I did not experience even before treatment. As a result, I inflated me on the right side into a ball. I went again to the doctor. He opened the channel and sent him home again, prescribing an antibiotic. The pain did not go away, the edema does not subside, but rather increases. The doctor said that my body is to blame. I do not think so. X-rayed: everything is clean in the picture. What do you think is happening to me? Severe pain, severe swelling, twisted mouth, covered his eye. Tell me please.
And it would be visible in the picture, if there was an accumulation of pus?
Hello! Errors of the doctor in this context are difficult to specify. You need to know your situation from and to: from the pictures, by the standing of the general inspection and even checking the channels for complications. After all, the doctor could have improperly processed the canal, left a fragment of the instrument in the canal, not enough medication to take care of the canal, not removed the infected layer from the canal, etc.
Of course, according to your story, there are many hints at the incompetence of the doctor on a number of issues. However, I can’t and I have no right to blame the doctor for the points, not knowing your clinical situation from all sides, and according to the description you can be too biased about the doctor and his work.
According to your story, the prospects for tooth preservation for this doctor are small, so the situation is close to changing the doctor. Another question is whether the new doctor will correct the situation after the previous one (many do not like this). In any case, it’s worth clarifying the course of treatment, because not only the future life of the tooth depends on this, but also your general health.
Hello! Two days ago, the top six started to hurt when biting. The tooth was dead, fifth and seventh, too, healed a couple of years ago.At night in the Six, the pain appeared already without biting. The dentist opened her tooth, took pictures. According to her, the canals are healed well, there is nothing to hurt there. Sent to the ENT doctor to exclude sinusitis, said I have a sinus adjacent to the root. Sinusitis is not confirmed. The second day the pain is very strong, not only the tooth hurts, but the gums above it when pressed. The temperature is 37, the face on the left is swollen, the temple and the ear ache. Very reminiscent of a condition beginning, if not for pain. Tell me, please, what is it? Poorly cured channels? The tooth is sealed.
Hello! Of course, we are talking about an exacerbation of chronic periodontitis. However, the most difficult thing here is to determine the causative tooth. I think that your doctor is faced with a diagnostic problem, which is very bad. If the tooth is determined incorrectly, then there is no point in waiting for a positive outcome. I must say right away that it’s extremely difficult to determine whether there are errors in the treated teeth through online consultations. If you had snapshots of the channels on your hands, then you could roughly say, but then you would have to retrain only one tooth. Only problematic. Two teeth in an exacerbation at once are nonsense. You need to figure it out sooner, otherwise there will be many problems, up to tooth extraction (maybe even an innocent in the inflammatory process).
Thank you very much for the answer! Yes, we have difficulties with the diagnosis. The town is small, not a single dentist has anything except an X-ray. Today was again at the doctor. She again, having reviewed the images, confirmed that according to them she does not see the pathology, but may not see the possible additional channel. Still, I think the point is precisely in the “six”, because from the very beginning, after treating the canals, he was somehow alarming. There was no acute pain, but when tapping on it, something was alarming, there was sensitivity. The doctor suggested that I make a visiogram or orthopantomogram. Have to go to another city. Thanks again for the answer! In any case, although online, the opinion of another doctor is important to me!
Hello. Two days ago I was at the dentist who cleaned the canals and returned the seal. But before that, she also cleaned them for me, put the medicine and a temporary seal. So, now I have terrible pain. I can’t touch my teeth with teeth, and it feels like they hurt me all and are inflamed. The pain is such that I cry from hopelessness. I don’t know what to do anymore. Give money for such treatment in vain. I already think that you are allergic to the material, or it will all go away in a week. Already I just want to remove this tooth, because it is unbearable to endure such pain. But even stranger is the fact that the dentist said that I have milk back teeth at the age of 21, and that if they are removed, others will not grow. Please tell me, does this happen or not?
Hello! In rare cases, baby teeth do not change to permanent. This is verified through snapshots. You can make a regular (film) x-ray of the tooth, as well as pictures on the visiograph. A general idea of the condition of the teeth is given by panoramic radiography. All that I have listed can either confirm the doctor’s words or refute them. As for your canal treatment: a similar situation. To find out if mistakes were made during the treatment of the canals, it is possible only from the pictures. So far, I’ll say in absentia that you have encountered post-filling pains in the background ... But this is just checked by pictures.
Hello, Doctor! Your consultation is urgently needed. Tooth 37, the lower seven, is located in place of the eight. They removed the pulp, put the paste at the mouth of the canals, and closed it with a temporary seal. After trying to enter the channels, but 2 channels were very painful, except for the 3rd. They also put medicine.One fine day, they underwent anesthesia for this tooth, started cleaning the canals with files, and closed the less painful canal with endometasone (in my opinion, it was medial). Other channels did not begin to touch, only cleared, did not seal. They put the medicine again and closed it. The next day, the tooth began to ache, aching pains, sometimes it seems to me that even throbbing. When biting, it hurts. Sometimes the pain subsides, sometimes stronger ... Anesthetics help temporarily. He came to the doctor, she removed the temporary filling and wanted to seal the canal, but it is so sick that, just touching the mouth of this canal, it causes severe pain. Not to mention that when she wanted to go into it ... Pain to the brain. Under anesthesia, she did not fill up and sent again for x-ray (this is the third one). He says there is no perforation, and on August 3 he wants to fill it, perhaps under anesthesia.
What should I do, tell me, doctor? Is it possible to fill it with such terrible pains? Will the aching pain also go away after this when bitten? So what should I do? Thank you very much in advance.
I provide the last picture (only one canal was sealed, the doctor tried to enter the second, but could not because of pain, even a little material is visible at the mouth) [... the link is visible only to the doctor ...]
Hello! I think that this doctor, in the professional plan, first of all suffers from the technique of quality anesthesia. The technique is complete: torusal, mandibular, infiltration, intraligamentary, intratulparian, etc. At the proper level, the combination of several methods of anesthesia makes it possible to treat the channels painlessly. Painless canal treatment is the norm. According to your story, the doctor can’t pass through the canals because of the living pulp. The only way out for him in this situation is to torment the tooth with medicines and wait for the weather by the sea. I think that it’s impossible to save a tooth like that. A dentist cannot correctly “freeze” a tooth, is afraid to make a complication in the form of perforation and other trifles, which personally leave me a negative impression of the work done even at this stage. The only fear: when changing a dentist, it is important to correctly explain the situation to the new doctor so that there are no conflict situations.
Hello! Three days ago, the nerves were removed from the six and seven lower on the right and put temporary fillings. The teeth themselves do not hurt now, only when bitten. The problem is that you don’t touch the lower jaw where these two teeth sit. So it should be? Conducted anesthesia. Of the work carried out: channel expansion with nickel-titanium profiles, drug treatment of the channels, obstruction of one channel of the tooth root (gutta-percha) and the imposition of a temporary filling with Tsiprospad. We took pictures 2 times (and it was clearly visible that the filling material was removed beyond the apex of the tooth root, and the dentist himself, as soon as I talked about the pain that appeared in the tooth before the temporary filling was placed, said that the material went beyond the top of the tooth).
Hello! If you are firmly convinced that you limited yourself to conduction anesthesia, and did not add infiltration (near the roots of these teeth), then you should think only about the extracted material, there are no other guesses. If the doctor adds anesthesia near the teeth, then the injection site can be felt when touching the gums through the cheek for up to 5-10 days. Sometimes with a traumatic administration of an anesthetic, this time is stretched to a month. If you deny the fact of infiltration anesthesia, then you can put all the points in consultation with an independent expert. Why, in this case, it’s hard for me to help you: it’s important to “feel” the jaw, gum and carefully examine the mucous membrane, tooth, etc. If this information again does not provide anything of value, then after analyzing the image, only the result of one complication can be recognized - removing the filling material at the top.This is the trouble of many dentists, it is possible to deal with it, but difficult. To wait for it to pass, or to act, can be prompted by the doctor who did not do this work. The attending physician is not always ready to understand the situation from the inside out, admitting his mistake, and willingly find a compromise.
Hello! 07.24.2016 removed the nerves from the seven, lower right. Today there is a permanent filling (after a temporary), the pains are not as severe as in the first 3-4 days, but the pain does not subside. Crowns should have been put together immediately (for a 6-7 tooth), since there are already large fillings, thin walls. I'm afraid because the tooth still hurts. She did an x-ray and showed it to several dentists. Everyone says that everything is fine, that the channels are all well sealed. The only thing they say is that my pockets are too deep, which will always create discomfort. Before that, she repeatedly treated her teeth, always the pain went away. Please advise what to do, maybe remove the tooth? Can I somehow send you a picture so that I can see?
Hello! Of course, you can send the picture via mail in the "Feedback" section, or provide as a link. I think that he will shed light on this circumstance. I don’t think that you have such a long post-filling pain, you should study the picture and understand the true reason. As for periodontal pockets - I have not heard that this somehow fundamentally affects. And how old are you, have doctors made a diagnosis like “gingivitis” or “periodontitis”?
Good afternoon. 07/19/16 finished treatment of the right lower seven. They removed the nerves, sealed the canals, put a permanent seal. I saw a picture of the filling of the canals: as the doctor said, everything is just fine ... The pain after treatment persisted for about two weeks (first constant, then only with pressure on the tooth). Then everything calmed down, the tooth did not bother at all. But the last three days, the pain returned. It hurts when pressing on this tooth, and also there was aching (not sharp!) Pain throughout the lower jaw, where the tooth is located. Sometimes the pain is even in the ear. What is it? I read the previous comments and was upset. Is it a complication?
Hello Anna! I would like to believe that your doctor did not deceive you and treated not only qualitatively, but found all the channels in the 7th tooth. Of course, most often there are 3 channels in the lower 7 tooth, but sometimes 4. It can affect the return of pain, that is, relapse. That is why, from the point of view of what the pain gives into the ear (and is pain intensifying in the evening or at night?), I can suggest looking for the neighboring 7 teeth: 8 or 6 teeth as a problem. After all, there is often hidden caries on the tooth, which subsequently turns into pulpitis or periodontitis. The point is that you first need to make sure the tooth (often the dentist misses the causative tooth, but from his point of view heals the problematic tooth, which is most suitable for the symptoms). Then it turns out that, for example, a tooth that causes acute pain is treated, and the symptoms all go away, but next to it, standing next to the gum (in the gap), the neighboring tooth in a chronic form suddenly becomes aggravated after a couple of weeks. You have to look for it, treat it in the channels, and the symptoms, again, go away. Some patients in my practice, who had started hard teeth, were thus treated with a frequency of 2 weeks-a month: until all the deep carious lesions stopped provoking pain after the treatment of the canals. So that you have a good tooth search, and if you want to check the channels treated 7, then be sure to give a link to the picture - I will look and comment. Health to you!
Good evening. Thank you for your comment. The tooth image after filling the canals remained in the clinic base. I think this is my mistake that I never asked the doctor to download me a picture on any medium.I will do it for sure!
To date, the aching pain in the 7th measurement has so far again "gone away", and the pain remains only with pressure on it. However, I can’t say that by the evening the pain intensifies.
I studied your teeth on your advice (for now, on my own and only visually). With the 8th, everything seems to be fine: the tooth was never treated, never bothered, and, in my opinion, clean, white ... But on the six there is a crown (it’s the second year, only on it, without a bridge). Maybe under the crown of a problem?
In the near future I will definitely return to the clinic. I will examine 6, 7, 8 teeth. If necessary, I will take new pictures. Let's see what the problem was ... We must "bring it to clean water"! Thanks you.
There was a hole in the tooth, reacted to the cold, then he became very sick, two days in a row. Then he stopped hurting, and there was a feeling that the tooth was in the way, it was painful to press, but already on the next one. Diagnosed with periodontitis. It seems that they killed a nerve, went with a temporary seal later. Then she came to fill the canals, before that she poked needles, and as if she had pressed very hard with this needle into one channel, it hurt. She said that probably if there is pain, then there is no need to fill it. As a result, she filled the channels with paste, put a bandage, as she said, and now the pain is unbearable. It hurts very much, and the pain is the same as when she sharply stuck the needle very deeply. Very tormented, very much. Answer please!
Hello! Most likely, we are talking about the wrong treatment tactics. If the doctor has already encountered periodontitis, it is important to pay great attention to the drug treatment of the canals and cleansing of the "dirty" dentin. If this is not done, or during the operation the doctor’s actions will lead to traumatic events (the “needles” go beyond the root, pushing the contents of the canal beyond the apex, etc.), the tooth will be very sore. Sometimes such pains do not go away at all. In fact, "dressings" - this is a dubious event, judging by your description. So it is better to contact another dentist, as there are concerns about the possibility of further preservation of the tooth.
Good afternoon! The upper unit got sick, gave a week to the whole jaw, could not even understand which tooth hurts. Upon examination of the doctor, it turned out that a nerve had rotted in the unit and inflammation started. Diagnosed with periodontitis. The doctor cleaned the canal, left it open for several days, prescribed rinses with soda. While the tooth was open, there was no pain or discomfort. Then they put a temporary filling with the medicine, and the next day the tooth fell ill again. On the advice of a doctor, I opened a hole and the pain stopped for a day, and then resumed. On the 7th day of treatment, the doctor said that you can’t walk so much with the open canal and seal the canal and the tooth itself. The pictures were arranged for her, but on them, according to her, inflammation was visible. She said that I am healthy therapeutically, but the inflammation may not subside, so rinse with soda should be continued, and if the tooth is severely tormented, you should not contact her, but to the surgeon so that he makes an incision to exit the infection. The tooth began to hurt immediately after filling, and the pain does not stop for a day, even when taking Nise, it intensifies at night, gives to the right side of the jaw, and pulsates. Swollen area near the nostrils, pain when pressed. I understand that these can be post-filling pains, but I’m afraid to aggravate the situation and lose a tooth. How long should I wait before I need to see a doctor?
Hello! Just then, you were told to make a laxative incision at the dentist-surgeon if swelling begins. The swelling is already evident, that is, “on the face”, so there is no sense at all to “grow” it further.
However, personally I doubt the correct tactics of your attending physician.The routine method of treatment is clearly applied, which may not lead to the preservation of the tooth in the long term. That is, with the help of an incision and rinsing, the symptoms may disappear, but the “cyst-growing” at the top of the root will begin and continue for years to come.
The doctor clearly did not create the conditions for stopping the reproduction of the infection in the canal. The front group of upper teeth is perfectly treated even with periodontitis: the canal had to be "licked": washed with an antiseptic for 30-40 minutes, give it a conical shape with excision of the entire dirty wall from the canal walls. Usually endodontics of such teeth takes about an hour. I think that you have managed a short period of time and, so to speak, have walled up the infection. I am afraid that from this point of view, an incision will only give a temporary effect.
I recommend getting high-quality treatment from any other specialist (qualified), since your doctor, for one reason or another, cannot satisfy the protocol stages of periodontal disease management, like a tooth disease, but it leaves you with hope. But do you have to suffer?
Good afternoon, about August 7, the upper front tooth started to hurt so badly, it gave out over the entire right side of the jaw. I turned to the state dentistry, opened the tooth, cleaned the canals (pulled something black out of it, like a nerve), left it open, said to rinse and come back in three days. The pain went away, came in three days, again everyone cleaned (without anesthesia it already hurt periodically), after which they put some medicine and put a temporary seal. The first 2-3 days there was a little discomfort, a feeling of fullness, then everything went away and the tooth stopped responding to anything, it became like all the others healthy. At the doctor’s appointment on 23.08, 2 days before the appointment, part of the temporary filling fell off, but there was still no discomfort and pain. I went to the doctor, removed the rest of the seal, cleaned up something again (there was no pain), after which everything began to be blotted out, some strange things, like wiring, were put into the channels, something else, maybe I don’t know, put light seal. In the evening of the same day, discomfort began, the tooth began to pulsate and seemed to itch right inside, and the gums near the tooth, too, when pressing on the tooth, pain occurs. I went to the doctor, he said that this could be a variant of the norm and said to watch the tooth for another 5 days. And it also felt like a piece of gum was numb over the tooth, as in anesthesia. Could this be the norm? What am I supposed to do?
Hello! I think that most of the information would be given by a tooth picture with a treated canal. The rest is controversial points. For example, in one day to seal the canal and immediately put a light seal - not a good practice, especially for state dentistry. In general, the diagnosis of periodontitis is not in a hurry, since it is important to monitor the tooth, its condition and the prospects for conservation.
Now you describe the approximate symptoms of one of two scenarios:
1. Excessive removal of filling material at the apex of the root;
2. Preservation of infection in the canal due to its careless processing, due to which the feeling of “bursting” near the root and surrounding tissues speaks only of a new exacerbation.
All this is almost 100% similar to a complication after treatment. Its severity can be ascertained only at the appointment in the dentist’s chair, or you can open the veil of secrecy of the treatment with a picture.
Hello, three days ago they treated the lower 6, removed the nerve, cleaned the canals, and sealed with a light seal. Now, when biting, the upper 6 hurts, although the doctor did not find any problems during the examination. Is it possible that these are the consequences of lower tooth treatment?
Hello Vera! I, like you, do not believe in such coincidences: it is most likely that severe post-filling pain after treatment of the canals of the lower 6 tooth simply creates such sensations: it seems that the problem and opposite it are in the upper sixth. I think that it is important to understand why there was post-filling pain. If you have a picture on hand, then you can provide it through the site’s mail for analysis of the quality of channel treatment. If you trust your doctor, you can check the upper and lower teeth again (or you can do this with any other dentist-therapist). This is easy to do: if there is no pain during percussion (tapping) of the upper sixth tooth, then with a high degree of probability the problem lies only in the treated lower 6 tooth. The only thing, I repeat, is that it is important to know why this “complication” arose in him (officially considered so). Health to you!
Hello. In the 11th grade (17-18 years), the tooth was treated, the canals were removed. I am now 21 years old. A week ago, he began to whine strongly at night. 2 days ago I went to the doctor. 1) They took a 3D picture, twisted it, saw that one of the channels was not sealed, there was inflammation at the top of the root. 2) They started treatment, put anesthesia, put cofferdam, cleared the channels, used ultrasound, and had heard about the parkan more than once. They took a picture in the process and continued. 3) They closed the temporary seal. In the evening - a bluish gum, inflammation towards the palate and cheeks, the cheek is swollen, I turned into a hamster.
Yesterday: 1) the goal is to expand the channels, deliver the medicine. 2) They delivered anesthesia, it was painful through these inflammations and cyanosis. They put cofferdam. 3) I didn’t feel that neither a scythe nor a tooth was numb, it was painful to put the rubber dam. Anesthesia did not seem to take. 4) We began to treat under a microscope. There were constant sensations of “little bumpers”, so strong that my whole face was already aching, and I automatically shed tears. Unbearably painful. Repeated anesthesia twice, did not help, one after another, these "bumps". Let's go to the picture again. Something was wrong, they took me away to remove the saliva, the doctor was left to look at the picture. Came in 5 minutes and said that another doctor should look at the picture. Of course, something went wrong.
My doctor came in and said something new - I can’t get to the top. That doctor sat behind a microscope and said - What are you, a long time ago at the tops. From her actions there were no "jolts." My doctor sat down again, bumps, pain. She used the parkan, put the “balls”, closed it with a temporary seal. She said to clench her teeth so that the seal took the desired shape. I said - the pain is severe, I can’t. She said this is due to the expansion of channels.
5) Arriving home, I found that the gum is not blue, but almost black, as if at the junction with the tooth it seems to be moving away, and there is generally darkness. My cheek was swollen. The pain is severe, since yesterday I drank 3 sachets of nimesil and 1 tablet of ketans. I rinse my mouth with tantum verde and smear the dent's metrogyl. HELD PAIN. I'm just not able to bite. Cyanosis was covered with a gray film. Desna is no longer moving away. The pain does not subside.
I have a question for you: what direct questions to ask at the reception in 2 weeks, and does it make sense to wait 2 weeks? It seems to me her shoals, I do not know how to accurately express my thoughts. The doctor was credible, but yesterday I doubted her and it seems that she messed up and said nothing. I already paid, as a student, this amount was hard for me, almost 20 thousand rubles.
1) Did she allow perforation of the tooth? 2) What should I do if she repeatedly goes beyond the top of the root? 3) Cyanosis is a consequence of a mechanical tram, its cant when installing a rubber dam or a reaction to anesthesia? 4) Why didn’t anesthesia take after 4 times, as she injected it into several holes? 5) Is it possible to save a tooth, this is the 6 upper tooth. I need him to install braces. 6) How do you double-check the fidelity of her work? And about the perforation, if there is one, and did it close the top of the tooth correctly, did nothing come out? I have the audacity to ask her any question and ask the monitor with a snapshot and view everything herself. I understand a little in the pictures, I can twist the tooth in 3D not with her hands.
Thanks in advance for your reply. I want to believe the doctor, a good and nice girl. She said that she really wants to save her tooth, because braces and a healthy smile are very important. I do not want to change it to another doctor, everyone is mistaken. Just double-check everything, ask again and help her and herself.After all, she must learn and remember as well as possible, if she did it. And if I’m not right, I’ll apologize to her already for interrogations and arrogance. Thank you in advance for your reply, really looking forward to your reply!
Hello! When patients tell me that the tooth started to hurt only at night, and no longer call any symptoms (daytime aching pains, pain when biting the tooth while eating, etc.), the first thought is to look for a “living” tooth (which not yet treated). Again, it would be useful to clarify whether the night pains disappeared after treatment, or did the pain become regular (feeling of fullness day and night)? It is important.
If you started to treat the wrong tooth by mistake, then the problem doubles. Not only can the pulpitis tooth continue to produce heat, but that dead one at the retreatment stage with possible errors (perhaps not even entirely guilty) was “agitated” against the background of getting into it, and even doing something wrong.
In other words, a dead tooth definitely has a full exacerbation of chronic periodontitis. As I understand it, the case goes to periostitis. Without seeing you, it is difficult to assess the severity of the situation. If they were in the chair, maybe they would even say urgently remove the tooth so as not to grow the infection. You ask a lot of questions about the definition of “cyanosis” - what is it? Unfortunately, this requires at least a photo (if possible, send a photo of the inflamed gum to the mail). And then, it will turn out to say only approximately.
As for determining the error: you need a picture with sealed channels, or with something installed in them x-ray contrast. If something like filling material was introduced into the channels, then its exit to the side can be determined by a picture on a computer or when printing.
But I can already say in absentia that the complication is obvious, since the retreatment of dead teeth should not normally be accompanied by edema, cyanosis of the gum, severe pain that is difficult to stop with analgesics. Here, either an obvious jamb of a doctor, or throwing an infection beyond the root with dirty shavings from the walls of the tooth canals (this is also a consequence of incorrect treatment tactics, violation of the protocol for maintaining these complex teeth).
There is also speculation about a periodontal chemical burn from parkan. In general, there is a complication - this is definitely not the norm, so you may well ask your doctor. If the doctor does not want to give money for unsuccessful treatment, then the situation can lead to abscesses and phlegmon. I know that some doctors hope that the tooth will gradually calm down and the problem will turn into a persistent chronic process, and when a new exacerbation occurs there, it will be another story. At the same time, as you tell, your clinical case - the tactics of expectation (especially, 2 weeks) - is a game of Russian roulette.
Not seeing you, I can not reassure you at least something. Big money for the treatment, for this amount the directors of large companies are treating us. In general, according to your story, one gets the feeling that there is a kind of “mouse fuss” and mutual responsibility. I sincerely worry about your health.
Can I have your mail? I will take photos and send.
Regarding cyanosis, I went to a periodontist to another hospital, there were no pictures on my hands and he couldn’t say something more precise about the condition of the bone tissue in the affected area. Regarding the bruise, he believes that this is a pressure sore from cofferdam. Now there is no bruise - there is a dark hole (hole), it will more accurately be seen in the photo. I rinse the tantum verde and lay Solkoseril. But it seems to me that this is not from a rubber dam, but from some kind of solution, because the rubber dam was changed several times, apparently it was torn and leaked a little, bitterness was felt.
The night pains have passed, now it hurts when biting and tapping. But here is the inflammation of the gums from the outside, if you touch, it’s as if a bone. It remained so and it was so before the treatment.
Hello! Please send a photo to the site's mail (see Feedback).As for the snapshot, this is an important part of the diagnosis. Without this, the fate of the tooth cannot be determined. I think that the version about the burn remains valid, but as for the correct treatment of the canals, the picture can show.
Hello! In one clinic, the nerves in the top six were removed and the channels were cleared to build a bridge. After that, the tooth hurts when pressed. I went to another clinic. They did an x-ray, cleaned the canals, laid the medicine. After 2 weeks there was no improvement, the procedure was repeated. After another 2 weeks, the doctor took an x-ray twice, said that I have periodontitis, and here it takes time for the tooth to calm down. She placed a permanent filling and a temporary crown on top so that the gum would not be injured. Another week has passed, there are no improvements. The tooth aches only when pressed. There is an x-ray picture, I can send it. If I have periodontitis, then he certainly will not pass. What kind of doctors do we have? What am I supposed to do? Going to clinics hoping to find a normal dentist?
Hello! I think that the snapshot is needed for accurate analysis - send it to the mail (see Feedback), if not difficult. For now, I’ll tell you about my guesses. I’m almost sure that you suffer from post-filling pains against the background of the competition: “faster, higher, stronger”. That is, doctors without injuries can no longer correct the mistakes or minor inaccuracies of their colleagues. Each new dentist wants to polish the tooth inside so that only “streaks” remain from the walls, seeks to wash the infection, but pushes the antiseptic to the top, where it creates a periodontal burn. A tooth with pressure can hurt for up to 2-3 months, and up to 5-6 months, there may be discomfort or “not your own” tooth.
Unlike you, I would like to say a little differently: “Why do we have such doctors - is it really impossible to redo the work of colleagues deliberately so that the tooth does not suffer from the excessive zeal of the dentist, due to non-compliance with the work technology or due to excellent pupil syndrome”. Someone said: "Too good - also bad."
While it is too early to draw final conclusions, it is necessary to assess the condition of the periodontal and treated canals from the picture, and then think about the diagnosis.
Hello! Dear Svyatoslav Gennadievich, I ask you to comment on the following situation: approximately two months ago, your wife treated 6 teeth at once. Although the selected specialist works in a regular clinic, I am not in doubt about his competence and conscientiousness (I have repeatedly used his services myself, I am very pleased with the results after many years).
So, of all the treated teeth, only one is still worried - the right lower penultimate one. There was a big hole, a nerve was removed, a temporary filling was filled, and the others treated, he was treated last. As a result, they closed the seal, took a picture - the doctor liked the results. But until now, it hurts when biting (or if you knock on it, or from the cold), in addition, it is especially worrying that the pain from it spreads along the jaw, and also up to the side of the temple and in the ear. And the ear stably hurts in the morning. Within half an hour or so somewhere. Then passes. Sometimes in the afternoon (evening) can get sick. The pain can be quite substantial.
I read your explanation here, it looks like removing material for the root apex, presses on the nerve. But what to do - endure and wait, or has too much time passed, and these are alarming symptoms?
And one more question - she complains about the very strong sensitivity of the teeth (all in general, not just treated) to the cold. At the same time, she somehow connects her increased intensity with treatment (sensitivity to cold intensified after treatment, as well as after she rinsed her teeth with very cold water several times in the country). He says that even cool water at almost room temperature can hurt her. Even when the air draws through teeth, it hurts.
P.S.Thank you for answering the questions so thoroughly and generally spending your time maintaining this blog.
Hello! I hasten to analyze your situation in a medical vein. Definitely, you sin on an innocent tooth: a tooth with treated channels will never respond to cold - this is an axiom. Since your wife’s pain appeared after treating 6 teeth, you can safely look for a “live” tooth, in which the treatment was limited to only a filling. When treating caries in one of the teeth, the dentist made some mistakes (overheating of the tooth, excessive pressure during preparation, toxic effect of the material, etc., but this, again, refers to the tooth that was left with “nerves.” there is, everything indicates that the tooth has pulpitis and urgent treatment of the canals is required.The most difficult thing now is to identify the causative tooth, which began to have pulp inflammation: all this will have to be decided at the dentist’s appointment in person. on further actions, but now you shouldn’t to seek out and treat a pulpitis tooth. Good luck!
Good afternoon! I was at the dentist’s appointment, came for removal, I was persuaded to cure. They started cleaning the channels, did not interview for the presence of allergies. At the moment when they began to disinfect (with sodium hypochlorite), I felt a strong burning sensation, the taste of “bleach” on the tongue. The doctor washed everything and immediately went with her to the reception. When I was at the counter, I began to feel that my cheek was getting heavier on the side where the tooth was being repaired. To which they answered that a slight swelling is possible. I came home, began to suffocate, flowed from my nose - took antihistamines, felt better. At night the temperature rose 37.6. By morning I did not recognize myself in the mirror, the swelling rose to the eye. I ran to the doctor, she said: no problem, we’ll fix it ... Take the money and come. Turned to another clinic - sent to a hospital for removal. After she turned to conventional dentistry at the clinic, where I had an incision in the gums, drainage. Now the situation with my face is not so deplorable, the edema subsides. The dentist from the clinic did not plainly explain what was wrong with me, but replied that there was no pus and there was not. Why then swelling? And one more moment. At the first appointment in that very private clinic, I heard a doctor talk with an assistant that they took the wrong files, it was necessary not 21, but 14. As I understand it, she inserted needles of the wrong sizes into the channels?
Thanks in advance, Regards Maria P.
Hello! The delayed-type allergy seems to be just symptoms. But in fact (personal opinion) you had a complication against the background of the treatment. As an option:
1. Coarse washing of the channels with hypochlorite: throwing a large amount of antiseptic out of the channel and chemical burn of the periodontium;
2. Throwing the infectious contents of the canal (sawdust from the walls of the tooth, exudate) beyond the redistribution of the root. Possibly, there was an erroneous tactic of processing the channels - the selection of tools is no less important than adhering to the technology of antiseptic (drug) processing of the channels and their filling.
If the dentist from the clinic is sure that there is no purulent exudate, then I am inclined to the version of gross violations of work with sodium hypochlorite by the jet method, its “ejection” beyond the root. Swelling in this case can be significant. Perhaps it’s worth talking about the allergic component of this complication, because the body will definitely not like it if the protein-soluble composition is introduced, as a foreign agent, into the tissue.
I think that already prove something will be difficult. Maybe you console yourself with the hope of returning the money spent in the clinic? I’m almost sure that they protected themselves from such legal force majeure, although not always honest private dentists are ready to sacrifice their reputation for the sake of a single scandal because of a case like yours.
Tell me, please: I was at the dentist’s office, 1 anterior pricked one, the nerve removed, the canal cleaned, but not sealed. The doctor said to rinse for several days. The next day there was a slight inflammation, the cheek and lip were slightly swollen. The doctor warned of pain, but about the tumor there! The pain does not intensify, the swelling on the lip is gone. Why is that? And then I'm very worried.
Hello! Rinsing tactics are somewhat outdated and are most often carried out in budget dentistry for lack of the ability to process the tooth canal in a high-quality and long way so that it immediately closes. Your diagnosis, by itself, is not the easiest, the mention of the presence of a “nerve” is erroneous, because after depulpation, the tooth is not left open. If the doctor left a tooth open, which was alive on the day of treatment, it is better to change the doctor.
It’s hard for me to say whether there is a prospect for such a routine method of preserving a tooth, but the fact that even being open, it still provokes the formation of edema on the face, may indicate that the doctor made it not completely open. If there was exudate in the canal, then for its normal exit, all the same, good preliminary processing of the canal, expansion of the mouth, and sometimes even the apical foramen are needed. This I say in the context of this treatment method.
If the methods of this dentist do not give a chance to preserve the tooth, then I recommend changing the doctor. The fact is that the front upper teeth, even in case of serious inflammatory processes, are removed as a last resort, since the structural features of their canal and surrounding tissues allow us to come up with a lot of options to eliminate the infection, and along with it - symptoms (pain, swelling, temperature, etc.). Health to you!
Good afternoon. The upper right seven got sick. They opened the existing large seal, the doctor, saying that the nerves had turned white and died out themselves, removed them. I laid some kind of pasta and put a temporary seal. After a couple of days, I opened the seal and began to look for channels. I found two, the third could not get through. Laid substance to search for the channel and put a temporary seal. The next time I processed the channels, except for one, I could not get into it. I did an x-ray three times, but I still couldn’t enter it. I put the thermophiles in two channels and put some more paste for the unpassed channel. Put a temporary seal. Permanent, she said, will deliver in a couple of days. Now is the second day, the tooth fell ill on biting, there are no pains at rest. What is your assessment of the situation and the adequacy of the treatment, as well as the prognosis for untreated third channel? How can you send pictures?
Hello! You can send the picture through the mail specified in the "Feedback" section, and about the pains when biting, they can say so. Firstly, they can be caused by the therapy of channels that have just been passed against the background of small inaccuracies when filling with Termafil. Secondly, a channel that has not been passed can also provoke such symptoms, since it was most likely loaded with a mummifying agent (possibly a resorcinol-formalin mixture), which has irritating aggressive properties.
The prognosis for not processing the third channel depends on the individual structure of the tooth canals. Sometimes teeth can “forgive” some doctor’s mistakes and stand half-treated for their whole lives, but more often, even if for many years they will not make themselves felt, an inflammatory process develops on the root (s). If the tooth is 2-3 root, then the infectious process is limited to the apex of the root, where the problem canal is located. I can say that in the seventh upper teeth there are sometimes 4 canals, but when they “converge” into the main risk, there is little risk for the future, but there is one if you skip the additional one.
Therefore, it is best to find it and go to a clinic where there is a microscope and other equipment for professional endodontic treatment. This is definitely not a budget option, as the mistakes of previous doctors are punished by the “new” dentists with the ruble (patients). Here we are talking about retreatment, so doctors who undertake such a difficult job risk in many ways.
The budget option is to leave it as it is, but about the possible risks for the future in the form of cysts, granulomas, fistulas, and behind them the possible fluxes, I have already mentioned.
Hello! Two years ago, she treated a tooth, removed a nerve, and filled everything. After that, a swelling appeared on the gum above the tooth. She was ill with pressure, but not much. And I, too, was worried, but not enough. Two years passed, and suddenly the swelling got sick so that my mother did not cry! I can’t sleep! I went to the clinic, the doctor told me that she had the same problem, that it was for her whole life, and the only thing that would help me was to try not to get cold, but to drink painkillers and rinse with soda in case of severe pain. The doctor said that if she drills me a treated tooth, it will only make it worse, because the tooth is sealed with high quality! Oh my God, can I really tolerate such inflammation all my life, and in my case, nothing can be done? Help!
Hello! I am sure that the tooth was treated poorly. Qualitative treatment does not provoke edema and pain during palpation of the gums, and what you describe accurately determines the exacerbation of chronic periodontitis, the trigger mechanism of which is microbial activity in the canal system and outside the root (s). Of course, not all channels can cause this activity. One channel with a "cat in a poke" is enough.
I admit that according to the picture that the doctor watched, everything was visually normal. But there is a huge BUT. Often, an ordinary doctor (especially in the public sector) does not find an additional one when treating canals. For example, in 6 teeth (especially the upper ones) there is often 4 channels (rarely - even 5 channels). A number of dentists do not even know about this. We got used to the fact that there are 3 channels, and they do not blow into the mustache. And statistics on 6 upper teeth, for example: 40% - three channels, and 60% - four. Some dentists have other statistics: 80% - 4 channels, and 20% - three. This is to say that in other teeth there is often an additional canal: in the 5 upper tooth (not one, but more often two), in the seventh upper tooth (often 4), in the lower incisors (often two channels). Doctors of the old school almost always do not look for additional channels, and in the picture the additional channels that have not been passed are superimposed on the treated ones - they are simply not visible. It turns out that this is a false diagnosis.
I would like to see your usual picture to make sure that the dentist did not dissemble about the quality of the performed treatment of the channels, and then (if confirmed), ask you to take pictures on the visiograph so that you can “take a picture” through a computer of 3-4 perspectives and determine the cause of edema and pain is almost always found. The surest way to know the dentist’s jambs in terms of channels is a CT scan, but for teeth this is too financially a biting diagnosis. Although for many people it is important to know what the prospect of preserving a tooth is, regardless of the price. But these are the nuances.
And as for the doctor’s answers that she “suffers such a thing herself” and advises not to go into the channels, no matter what happens - this is not a professional and too everyday approach, far from scientific medicine. Of course, if you treat as unprofessionally as the existing canals of the tooth treated by you and your doctor, then, of course, the result will most likely be an attempt to endure severe pain and swelling. However, there are many good doctors who have the technical and professional ability to do everything qualitatively and without serious consequences. It is worth it, it goes without saying, experts almost always work at the city level (that is, not in villages).
I emphasize once again that it is worth starting with the diagnosis - high-quality processing and filling of the channels does not imply exacerbation. This is nonsense. Pictures you can send by mail in the "Feedback" section - I will definitely consider them comprehensively and objectively (honestly) evaluate them. Thanks for the question.
Hello, 3 years ago I was treating the top six, everything is ok, but recently he got sick. Not much, aching pain. They took a picture, it turned out that 3 channels were not completely sealed and there are 4 more channels. They found channel 4 in state dentistry, cleaned it, and the remaining three cleaned it, laid down the medicine, and said to come back in a week. But the tooth both hurt and hurt, in general did not notice the difference before and after treatment. The pain is the same and does not go away, I drink children's nurofen, because breastfeeding. Why did the pain remain? The doctor said she won’t be sick.
Hello! I think that during the treatment there were errors that provoked an exacerbation. In fact, interfering with the treated canals is a risky step that often leads to this. The more professionally and effectively endodontic treatment is carried out, the less risks there will be pain, and even more so - temperature, swelling, etc.
There can be many factors: either the doctor worked aggressively with the canals and antiseptics, or the infectious component was not removed from the canal system, or the infection was thrown out of the root, in the extreme case, the “medicine” is showing its side effects or even to you not coming. "
I do not take into account the possibility of complications in the canals, as the dentist confidently told you that everything was in order. I do not think that the doctor would deliberately deceive.
I can briefly say why the pain remained: disturbances in working with channels. This does not mean that the pain will remain: often the aggressive actions of the doctor during the treatment of the canals are compensated, and everything becomes normal.
You do not ask, what are the prospects for saving a tooth? A picture with ready-made channels would help here, but before that you have to trust the doctor and go through the stage of anti-inflammatory treatment with the same “medicine”, although in a certain situation it would be possible to change the doctor and clinic: from state to private.
Good afternoon! The situation is approximately the following. A little more than a week ago there was aching pain in the upper left part of the jaw, which subsequently spread to the lower. I could not make out what it was, because the pain was not constant, it was given to different zones (either to a specific tooth, then to the base of the jaw, now it was all over once and everything, then to a cold / hot reaction). In addition, a strange sensation appeared in the upper gum - it did not swell, but became very sensitive. I decided to start the search for a problem with a dentist: I went to my doctor. She found a hole between the upper 5 and 6 teeth, said that there could be such walking pains from her. They were treated in 2 stages (removed the nerve, cleaned the canals, put a temporary seal - after 2 days, established a permanent seal). While I was walking with a temporary filling, the pains subsided, but when pressed / nibbled, they arose again. On the day when they put a permanent seal, nothing hurt at all. They did a repeated x-ray according to the result of the work - everything is fine (my eye did not see anything criminal, the doctor also said that everything was fine). And here the fun begins.
After the convergence of anesthesia, the tooth began to ache - attributed to the "post-filling pains" known to me. But by the next day doubts arose. Either anesthesia worked for so long, or something - the pain became identical to the original. Again, “walking” along the entire left side of the jaw, not constant, impulsive - it doesn’t hurt anything, but how it will bite that lie down and die. I don’t give it to concrete teeth, but I literally feel how the healed tooth “pulsates”.There is very hard - brushing / pressing the tooth brings a new “flash” of pain, although compared to the first day it seems to be easier. But all this does not look beyond the scope of “post-filling pains”, with the exception of two very embarrassing things: five cured (there was a hole on it, the next one did not hurt) and the teeth around it seemed numb, I feel them somehow foreign until now, anesthesia has not passed (despite the fact that everything pulsates with pain), and the gum around is felt numb. Here is such a strange pun: teeth and gums are numb, but they hurt and ache. Visually, the gum itself is a normal color, not inflamed. By the deadlines: 3 days have passed from the moment of the final treatment (I know that it might be too early to panic, but all the other teeth that I have been treating have never had such problems at all). Painkillers help in part, the differences in the sensations of pain between the first and today - no, even more - began to give to the temple and the area around the eye. I’m trying to understand - are such things happening after treatment, or is it something else going on already? That is: is it worth a little more patience, or is it time to sound the alarm?
Hello! Apparently, the adjacent upper teeth should be checked for the presence of a hidden carious cavity. It is possible that they did not find a bad tooth. The fact that this is the upper one is confirmed by irradiation into the temple and the area around the eye, so it is best to start the search from here. A picture should be taken 4, 5, 6 and maybe even 7 of the upper tooth in the area where you treated the canals. Why is it important to take a picture of a treated tooth? This will help to eliminate the facts of complications in the process of treating canals. Comparison and analysis of adjacent teeth will certainly shed light on the real situation. You can take pictures and send them to the site’s mail (see the “Feedback” section): I will check it for sure. If time is running out and pain cannot be tolerated, then do not waste time, but turn to another dentist or even two for a more accurate face-to-face consultation, and if you find a causative tooth, start treatment immediately. Health to you!
The nerve of the upper left four was removed, a temporary seal was placed. The tooth ached - they cleaned the canals again, put the seal again. I waited a couple of months, still the tooth aches. It’s been three weeks since they put a permanent filling, and the tooth aches. And on the seventh of November I have to go and put up a bridge, since both the five and the six are removed. What to do?
Hello! I think that at first it’s worth evaluating the treated canals from the picture: if they were treated in good faith and without errors, then next teeth should be evaluated, starting with examination and ending with percussion, breakdown for mobility, etc. Although there is no 5th and 6th, examination of other teeth cannot be ruled out. Just so the tooth will not whine. If the tooth in which the canals were sealed is aching, then such a long period already casts doubt on the usual post-filling pains (unless, of course, a large amount of material was taken out of the root). That's why you need a snapshot. The material in the canal also affects the future of the tooth: the more aggressive it is, the higher the chances that some people will not be comfortable with such treatment. This is not quite an allergy, but something similar to this reaction. In principle, the upper 4 teeth are not difficult to treat: they almost always have 2 channels, which are also often easily passable and can be easily filled. Bottom line: it makes sense to start by examining a picture of 4 teeth for a possible doctor’s error or minor inaccuracies.
Hello, Tell me, please, what can I have. The tooth on the right, next to the canine, was prepared under the crown. Sealed the channel, everything was perfect for a week. Absolutely no pain. Then did the preparation for the pin insert. Immediately I felt some kind of bursting, but did not attach importance. After that, a tooth ached both this and the next one.And it hurts to bite, especially the one next to it under the crown. In the picture before treatment, everything was fine with this tooth. The doctor looked, replaced the temporary seal, doesn’t see anything “like this”. I drink it, but it’s all the same discomfort, especially when I eat it painfully (it seems to give something up). And somehow the very top of the gum hurts over the tooth with a crown next to it. I'm very worried.
Hello! If everything was perfect during the first week after filling the canal, then clearly at the stage of preparation for the stump tab some complication occurred. Its severity without a picture is difficult to assess. It can be anything: from overheating of the periodontium (burn) through the thin walls of the tooth root to pushing the material inside the canal beyond the root. This happens in rare cases. According to your description, it clearly looks like the doctor’s work led to an exacerbation. There is no other name for it: you feel the inflammation on the gum side at the level of the projection of the top of the root of the treated tooth onto the gum. The appearance of post-filling pains (when biting) also indicates an inflammatory process in the periodontal region. What exactly is wrong, would suggest a "fresh" picture of the tooth. Thanks for the question.
Hello! A couple of days ago I treated a tooth. The front, top, looked at the numbering - in most it is registered as the 22nd. I previously had a seal in it, which fell a couple of months ago and he began to whine a little in the afternoon. At the consultation it turned out that it was necessary to remove the nerve. Drilled, the nerve removed. After removal, it bleeds heavily. The doctor, judging by her words, stopped the blood and put a temporary seal. I was originally with a fresh x-ray, the doctor did two more in the process. We put a temporary seal. Now the tooth does not hurt, but with the slightest pressure it explodes with acute pain. I was warned that this could be. Is this normal? The day after tomorrow to put a permanent seal, the doctor said she would just drill without anesthesia and put it. I am very worried that everything is of high quality and competently (
Hello! You can warn the dentist that there is post-filling pain and postpone the appointment 3-4 days later so that there are no possible discomfort from the vibration of the boron during the preparation of the tooth. As for the quality of work - it is judged by the picture and the comfort of the existence of the tooth in the future. It goes without saying that pain when biting a tooth is not the norm, but also not a tragedy if the channel is sealed qualitatively in the picture (in this case, the pain will quickly pass by itself). Thanks for the question.
Thank you very much for the answer. I took your advice and everything is great)
Help, 2 weeks ago 5 tooth ached. They were depulped, after the tooth did not stop hurting, the entire left half hurts: both the upper and lower. I took a panoramic picture, showed it to the second doctor - the roots are well sealed. I returned to my doctor, she removed all the filling material, cleaned everything (suddenly the reaction to the material), but the pain continues. I’m on ibufen for the second week, I can’t drink another, lactating. Today I put arsenic just in case (although she is sure that there was nothing left there). What to do? Really delete?
Hello! I have repeatedly come across such cases as yours. An individual examination to find the cause of the pain cannot be dispensed with. Finding the reason when the patient is in the dentist's chair sometimes takes about an hour. Personally, I first try to find a possible “sick” tooth, since a sharp tooth is most often provoked by a living tooth, rather than a depulped one.
I don’t think that the doctor could “screw up” the fifth tooth, so it’s not so difficult for endodontic treatment. Moreover, the doctor is sure that the channels are sealed well.There are two options: try to find the causative tooth (this is difficult, since a hidden carious cavity can be on any tooth that has not yet been treated), or remove all materials from the 5th tooth and put Eugenol (liquid).
Too rush with tooth extraction in this situation is not worth it. In extreme cases, you can contact another experienced dentist for additional (full-time) consultation.
Hello! On October 29, I opened the canals in the upper sixth tooth, put the medicine, a temporary seal and assigned to the filling of the canals on 7.11. On October 31, the tooth began to bother, especially when eating hot food and returning to the room from the street. The pain is dull, wavy, with spread to neighboring upper and even lower teeth. 2.11 the pain does not decrease, but intensifies upon returning from the street. The pain subsides a little, after 40-50 minutes, rinsing with cold water helps. I called the doctor, she said to drink painkillers and said that, most likely, another tooth hurts, because Since then, my nerve has been euthanized by the action of the medicine, although it has not yet been removed. Tell me, are these pains normal and should I look for another dentist to fill the canals? In addition, the channels are not visible on X-ray, because tooth in the maxillary sinus. I don’t even know how he will be treated ...
Hello! I think that there is a wrong tactic of the attending physician. There are several options:
1. Either the paste for the pulp devitalization is incorrectly installed (far from the pulp, for example);
2. Either the paste is placed on the tooth, in which the pulp is already at the stage of destruction, therefore, from this paste, suppuration only intensifies. That is, with this diagnosis, it (paste) generally acts negatively.
That is why I don’t see the reason in the other tooth, but more like the beginning of a purulent process in the tooth in which the treatment was started. The rest can be clarified more specifically with the doctor in the chair. I strongly advise you to visit a dentist as soon as possible in order to prevent "flux".
Hello. Help me please. A year ago, I prosthetized the teeth below: 4th (nerve removed), 5th (tab), 6th (hinged - there is no tooth under it). In September of this year, the prosthesis fell along with the entire tab. The doctor cleaned the prosthesis and put it back on simultaneously with the tab. 3 days ago, initially there was aching tolerable pain, which now turned into a sharp pain when biting and severely aching sweat. The pain subsides only after taking Ketorol, which lasts for 5-6 hours. Was at the appointment with the prosthetist and the dentist. According to the pictures, everything is fine, everything is fine in the mouth, and the pain, as it was, never goes away without pills. I’ve been tormenting for 3 days already. Thanks in advance.
Hello! I’m not sure that the opinion of the attending physicians in the context of your problem is the ultimate truth. It is necessary to carefully check the dental images in order to identify possible errors in the treatment of canals, as well as the presence of an inflammatory process at the root. Inflammation at the root of the tooth can develop as a result of overloading the prosthesis, maybe, in general, we are already talking about the overestimation of prosthetic teeth. I would like you to provide teeth pictures in the problem area (send to the mail indicated in the "Feedback" section), and then you can already draw conclusions. Thanks for the question.
Hello! A week ago, they removed my nerves in the 6th lower tooth, cleaned the canals and put a temporary seal. And then the tooth started to hurt when pressed, and even when it touched. Although if I don’t touch him, he doesn’t bother me much, he only slightly sniffs me. The doctor prescribed a rinse with salt. Today I had to put a permanent seal, but did not, because my tooth hurts. I looked at the picture, said that the material went a little beyond the channel, but it's not scary, everything will pass in a week. She prescribed a RAY of 5 sessions and rinsing with salt. A week later at the reception.Tell me if this is correct, because, as I understand it, the pain during pressure should subside, but it will not subside a bit. What should I do? Thanks.
Hello! When removing any material beyond the apex of the root of the pain, they quickly pass. Generally speaking, according to the protocol of endodontic treatment, not a single material can be removed from the apex of the root, but this often happens. Only the so-called "eugenolic" pastes during removal do not cause complications (most often), but they quietly dissolve, but with epoxies (the most popular now) it is more complicated. These materials do not have anti-inflammatory, anesthetic and antiseptic properties, their consistency is much tougher in contrast to the materials for channels with Eugenol. Therefore, epoxies are regarded by the body as a foreign body sharper. However, this does not mean that you should not work with this material - it is considered the best if the doctor’s hands are sharpened for it, that is, there is a proper level of professionalism. I think that your post-filling reaction, which is not decreasing, is the result of such a not-so-successful combination (epoxy material + some inexperience of the doctor).
I would like to analyze a tooth picture and understand how bad everything is in terms of this complication. I am sure that the material behind the apex “glows with its unhealthy brilliance” in the picture. If you wish, send the pictures to the mail specified in the "Feedback" section. Then I can advise you more specifically what to do.
Without a picture, I can only assume that you should change the doctor, remove the material outside the root and seal the channels to a physiological narrowing, as expected.
Hello! A week ago, they put arsenic in the lower 7-ke, two days later they removed the nerve and put the medicine - sort of like, to treat the irritated gums, and put a temporary filling. The canals were only cleaned, not sealed. For two days everything was fine, on the third day the tooth began to ache, and then a nightmare began - the whole jaw next to the tooth hurts, the chin, the ear, the neck. To go to the hospital only in the evening, before it doesn’t work. Tell me, is this normal? What could hurt so much? In appearance, the gum did not swell, did not blush, and it even pains me to swallow. Thanks in advance!
Hello! The dentist could deliver a drug that now irritates either the gum or tooth tissue located near the tops of the roots. If at first everything was fine after installing arsenic paste, then the doctor was not mistaken with a bad tooth. Another question: why the treatment of canals of the 7th tooth worsened the situation? It is clearly worth checking the quality of treatment for the canals, as there are some serious violations. So far, according to your data, I can’t say anything more.
Thanks for the help!
Hello! I really need your advice! It all started 6 months ago. I went to the dentist in a private clinic for a routine examination. They said that it is necessary to change the seal in the six at the bottom right. The hole is deep, very close to the nerve, but decided not to remove the nerve. The seal was changed, and immediately the tooth began to hurt when biting solid food, reacted a little to cold and hot. The doctor said it would pass, but nothing happened ... Everything was in order in the pictures, I tried to eat on the left side and endured it for six months. A couple of weeks ago, the tooth began to whine at night and react more strongly to temperature changes. I went to another clinic, removed the nerve. One of the three canals was very bloody, and the nerve was edematous. They put a medicine and a temporary seal. The tooth began to hurt in the evening, whining, then yanking. I drank painkillers. In the morning, the ear and throat ached, the lymph nodes increased ... By evening, the pain intensified again, began to yank and shoot. I went to the doctor. They opened a tooth and from that third canal flowed ... The edema did not pass.They washed the channels, everything is fine in the picture. The doctor told me to drink Nimesil and if she gets very sick again, then dig out the filling itself, pull out the cotton wool (channels are empty) and rinse with a solution of salt, soda and iodine. The tooth ceased to hurt completely, but exactly for a day. I woke up at night from pain, painkillers do not help. I’ll probably open the tooth, although I really don’t want to ... Tell me, is the treatment being carried out correctly? What am I supposed to do? Thanks!
Hello! I think that you are in a series of unpleasant circumstances. Firstly, it is possible that there was no urgent need to change the seal. Well, suppose the seal still needed to be changed. Further, errors were made regarding the treatment of the tooth on the principle of "caries filling." Maybe there was a fact of overheating of the pulp or a chemical burn in violation of the technique of working with light-cured material, as a result, the pulp inside the channels was damaged. Next, you describe the treatment of the canals of the tooth. And apparently, after removal of the “nerve” from the canals (the diagnosis of pulpitis), after the start of treatment, for some reason, periodontitis began to form gradually. Whether it was mistakes during the management of pulpitis, or if the doctor initially encountered periodontitis, in any case, there is a feeling of a too routine treatment option: for example, at the moment when you were asked to “stretch out the cotton wool and rinse with soda and salt if necessary”.
If during the next few days you are even more convinced of the fact that the treatment is not going well, then immediately change the dentist.
Dear Svyatoslav, help with advice, that’s the thing: a year ago the edge of the tooth fell off, lower right, last but one. He, like, was treated and placed a seal, but after a while the seal fell off, and it was decided to remove the nerve with arsenic. After removing the nerve, everything was fine, nothing bothered, but several months passed and yesterday, after a long stay in the cold, my tooth started to hurt quite badly (I went into a warm room and started drinking tea). What can be a problem and how can a tooth be treated? I would also like to ask if this is considered a medical error, and should the doctor who removed the nerve should cure the tooth for free? Thanks a lot!
Hello! It’s hard to say something specific according to your symptoms. As a rule, it’s definitely not the tooth in which the “nerve” was removed that hurts from the cold, even if the treatment of the canals was not entirely perfect. But this is true only when it comes to the direct effect of a cold stimulus (then in almost 100% of cases a tooth that has not yet been treated in the canals hurts). If we are talking about the fact that the tooth became ill after a “long stay in the cold”, then it is entirely possible to assume a tooth treated in the canals, which has serious errors during the work of the dentist. That is, we can say that this is an exacerbation of chronic periodontitis. This sometimes happens.
But again, the description of your symptoms is not enough to recognize the work as a medical error. I would do the following: put you in a chair and in the area where the problem tooth is supposedly located, I would check all the neighbors for hidden caries, and if necessary, would diagnose it with cold water. If there is no specifics, then I would definitely refer you to a picture of a tooth treated in the canals in order to identify a medical error (low-quality endodontics). After analyzing the image, one could talk about whether the tooth should be treated or not. In principle, it is possible to immediately take a picture of the tooth, as the neighboring ones will be visible on it, and the presence or absence of a carious cavity in these teeth can still be noted from the picture of their coronal parts. Only after proper diagnosis can further treatment be planned.
Hello. Help me please. A year later, a filling fell out and my tooth fell ill.Today I went to the doctor, and the canals were cleaned again, the pain was felt even through an anesthetic injection. They put a temporary seal and prescribed injections. But on the same day after visiting the dentist, I started having pains that even painkillers do not relieve. The pains, one might say, are not constant, periodic, but frequent. It would start, and after 5 minutes it will let go, and so, probably every half hour. Now, I’ve been awake all night, because when I go to bed, pain immediately begins. I get up, look like and, like, passes for a while, and then again. Please write with what it may be connected? Thanks in advance for your reply.
Hello! I think that in your case it is worth checking two points:
1. Possible mistakes made by the doctor at the stage of canal retreatment;
2. Determine if there is a problem in the adjacent tooth.
In order to correctly diagnose, you will need a picture of the treated tooth with adjacent teeth. In addition to the picture, signs confirming the diagnosis can be: external examination of the teeth, probing, percussion, palpation of the gums in the projection of the tips of the roots of the teeth, etc. That is why the search for errors by the dentist at the stage of treatment, or in general, of another tooth in which the inflammatory process occurred, it is important to carry out directly at the reception. Without comprehensive diagnostic measures in your clinical case, determining the root cause of the pain is problematic.
Hello, I beg you, help. I can’t already, in June 3 wisdom teeth were removed, and after my right temple started to hurt - severe sharp pains. Doctors said that it will pass after a while, but the pain did not go away, but rather intensified. They did an x-ray, said they had pulpitis, and cleaned the channels of 1 tooth. The pain immediately went away, but after 20 days it started again, but even stronger. Now I just took 2 analgin and I'm writing to you, because the doctors don’t know what the reason is, but I just can’t. He says that he removed all the nerves, everything is clean, and does not understand. A dentist, like, experienced, but does not know what to do. Severe and sharp pain, it is impossible to endure, where is the right temple.
Hello! I think that you should take a panoramic shot, since in such a difficult situation you can’t guess at the coffee grounds. Alternatively, you can try to diagnose controversial teeth on a visiograph. It’s worth starting with the lower right teeth, having examined them (in the dentist’s chair) for possible hidden cavities. The fact that after the removal of the “nerve” the tooth did not hurt for 20 days, suggests that there is also a high probability of another pulpitis tooth. If the causative tooth cannot be found after careful diagnosis from the pictures, then the next step is a trip to a neurologist (neurologist) to check for neuralgia or neuritis. So far I can’t say anything more about your case.
When removing the nerve in the 3rd tooth, a filling material was removed at the bottom of the root apex. A month has passed, the tooth does not hurt, but it pulsates near the root. It was treated by electrophoresis, drank the antibiotic Tsifran ST. Ripple does not pass. Should I put a crown with a tab on this tooth? Near the tooth is good, there are no more teeth on the lower jaw. There will be a bridge. I am afraid that when they remove this tooth, the good one will also become loose. I went to another clinic, they did not begin to treat. Can this tooth be cured, or is it better to remove it? I ask you to answer.
Hello! To answer your question I need to analyze a snapshot of the tooth root (you can send it to the site’s mail). The removal of material at the apex of the root is a rather unpleasant complication after the canal treatment, and most often a large amount of material outside the root is bad.A neighboring tooth could be estimated from the picture: maybe it’s important to prepare it before prosthetics, it is possible that there is a reason for your pain in it. Therefore, I do not presume to make any predictions without a tooth picture from the description provided, since the help will be useless or even harmful.
Good evening! Please help me figure it out. In October, she turned to the dentist for a check - there were two teeth, 6 and 7 from the bottom right, caries, and the fillings were changed. The very next day, the 6th tooth ached, removed the filling and removed the nerves, then again the pain! Again they opened, found a hiding channel, a total of 5 were counted, treated (I thought that my eyes would come out of sensations). Well, like, they did everything, left open, rinsed with soda + salt + iodine. After they filled the canals and put a temporary seal. And then the pain started again, drank painkillers, did not help. They opened a tooth, walked for about three weeks with cotton wool and rinsed it, it stopped hurting. Well, and when I came to put a permanent seal, then, in principle, everything went fine, but when the doctor washed it with cold water, there were painful moments and quite strong, but nothing more. We put a seal and the time went. And after 3 weeks the pain appeared again! The doctor took the picture, said that it was a very narrow channel, she tried to get the paste to the end and everything seemed to be ok. Now she ordered me to drink Nise 3 times a day for 5 days. Tell me, please, is the treatment taking place correctly, or is it possible that the neighboring teeth hurt? I'm just going crazy with pain and pills soon! Thanks a lot!
Hello! From a cold tooth, even a badly treated dead tooth will not respond. It is highly likely that this is a painful reaction of an adjacent living tooth. Confuses the number of channels in the lower 6 tooth: most often there are 3 channels, a little less often - four. And five or more channels (branches from the main ones) can be found using a microscope, but the method of treatment with soda, salt and iodine with open channels in its level (ancient) is not very combined with endodontic treatment under a microscope (modern approach), in which Do not put a “fleece” on the tooth. Therefore, it is somewhat doubtful with this description of treatment that channel 5 was found. That is why I would like to analyze the image of the treated tooth in order to draw further conclusions and judge possible errors in treatment and complications (the image can be sent to the site’s mail). Errors can often be detected from the image, and tooth images in different projections (in 2-3) are especially useful for diagnosing.
Hello, Svyatoslav Gennadievich. On December 29, in the top 4, the doctor cleared the canal and immediately put in a photopolymer seal. Now this tooth hurts when the pressure on it is solid food (it hurts to bite). Tell me, is this normal and how long will it hurt? Thanks for the answer.
Hello! Most dentists believe that this can be within normal limits if serious mistakes were not made during the treatment of tooth decay (overheating of the tooth, accidental opening of the pulp, etc.). Moreover, it is usually not possible to immediately understand whether a mistake has been made. Therefore, when it comes to post-filling sensitivity, the pain when biting should go away within 1-2 weeks. Every day the pain when biting should become less. Other symptoms should not be normal. If during this time it gets worse or more serious symptoms appear, then you should immediately consult a dentist.
Hello! A dead tooth has recently fallen ill (pain when tapped). In dentistry, a picture was taken - it was found that one channel was not completely sealed. I treated this tooth in 2013.
He was treated again, with only one channel there was a problem - the doctor said for a long time that liquid (?) Was coming out of it. In the end, she said that she would put a seal and that’s it.A couple of days ago (a week later) the tooth started to hurt again, again if tapped from below. For some reason, this happens only after eating. No pictures were taken at the end of the treatment, only in the process.
Tell me, could the dentist leave the channel empty? If not, please tell me the cause of the pain. Sincerely.
Hello! It is quite reasonable to assume that the dentist could not cope with this problematic channel - hence the relapse. Other reasons can be clarified only with the help of a control shot. If the pain has not passed, then there are certain reasons for this (and most likely, in the channels). It is worth analyzing them and planning something already based on diagnostics: retreatment, or just wait a while before passing post-filling sensitivity.
Thanks a lot!
I recently wrote about a tooth that hurt when I clicked on it. So, it hurt for 10 days, and one day it stopped hurting. But next time I’ll go to the dentist, whom I visited all the time. My teeth never hurt after treatment (I was treated by a private dentist whom I went to for 10 years). The last time was treated in a state clinic. They took, of course, inexpensively, but probably the doctor made some mistakes, since the tooth hurt another 10 days after filling the canal. Now, thank God, nothing hurts and it does not hurt to bite. I did not know that it was so difficult to treat a tooth.
In early December, the front teeth ached, turned to the clinic. They opened the channel, cleaned it, and sent it for x-ray. At the reception a week later, at the same time they wrote out Tsifran and rinse with soda and salt. The pain continued. After a week, they cleared, removed the nerve, put the medicine and sent it again for x-ray. After a week, they cleaned and sealed, while the pain did not stop, the entire right side began to hurt. The treated tooth hurts terribly, especially when touched just above the tooth, it began to stagger. The pains are hellish, I can’t sleep at night, painkillers no longer help. At the same time, the doctor replied to my question what to do, there’s nothing to hurt, you need a neurologist. The neurologist prescribed some tablets to drink for 3 weeks, without deciphering anything.
For the second month of this torment, what should I do? 3 more weeks to be treated, not knowing what, what and how? Tell me what to do?
Hello! According to your description, there is a fear that the doctor works according to the routine method of periodontal disease management, which does not guarantee the preservation of the tooth. When at the stage of treatment there are so many signs of an ever new manifestation of purulent exacerbation, there is no need to talk about the quality of work. The dentist may try to shift the responsibility to another specialist, but your health is something. I am sure that it is urgent to change the doctor and get another specialist face-to-face consultation for your case: there should be all pictures of the tooth before treatment, at the stage and after (if done). I think that saving your tooth is no longer possible without a conservative surgical method - resection of the root apex, but the final word is for the dentist who will "disentangle" the work of the previous one. It’s too early to draw conclusions, but you definitely shouldn’t despair: anything can happen, because there are different nuances in work and sometimes you can easily get out of a difficult situation with a professional approach and knowledge of the matter.
They put a crown on my tooth a year ago, and when I touch the tooth, I have unpleasant sensations, as if the nerve had not been removed. But the doctor looked at everything, now we put the medicine, but so far without changes. What's up with a tooth?
Hello! To answer your question you need at least a picture of the tooth (before, during and after tooth treatment). At least one of these images to understand what kind of diagnosis appeared in your clinical case.And so I can only sketch out the assumptions:
1. The doctor did not remove the "nerve", but at the same time prepared the live tooth under the crown so poorly that in the end, the inflammation of the pulp began;
2. The doctor removed the "nerve", but sealed the channels poorly;
3. The doctor removed the "nerve" only partially and poorly processed the channels;
4. The dentist could make a number of errors in the canal (breaking off the tool, perforating the wall, creating a false channel, removing material beyond the apex of the root, etc.);
5. Either a year ago, the inflammatory process at the apex of the root was missed.
So, as you see, without a snapshot there can only be assumptions. And the more pictures will be given for analysis - the more accurately I can say how bad everything is, but for now I can only trust the doctor who, as you say, “puts the medicine”.
Hello. About three weeks ago, she began to treat the lower right seven. They put the medicine twice - the tooth felt fine. A week ago, the canals were filled. Anesthesia was not done. They closed the temporary filling, the tooth immediately ached. And literally after 15 minutes I felt a numbness in my lips, which then went down to my chin. On the phone, the doctor said that it’s okay - everything will pass. But a day later, the lymph node under the jaw began to ache on this side, then the pain began to be given to the area of the ear and temple, other teeth were whining. Today I went to the doctor, took a picture. As a result: “Well, yes, the filling material went beyond the root of the tooth. But now he will never inflame you, everything is done well. Of course, you can go to another doctor and they can tell you to remove all this, but it will be an even bigger trauma for the nerve and I would not recommend it. In the meantime, drink ibuprofen and dry heat on your jaw. When everything calms down, in a couple of weeks come to put a permanent seal. All will pass".
To be honest, I'm more worried about the fact that my head hurts, crushes my whiskey. Please advise what to do?
Hello! I think that a different answer should not have been expected from a doctor whose work led to a complication - removal of filling material beyond the root, which, in turn, entailed negative consequences: from severe pain of an irradiating nature to numbness. There is a risk that you have partially filled the mandibular canal (part of the filling material penetrated there). Pictures of the treated tooth would help assess the severity of the situation - you can send them to the site’s mail, I will comment. It is possible that everything is not so bad.
To advise what exactly to do, these same pictures are needed. If the filling material is in the mandibular canal, you will have to seek help in maxillofacial surgery. If there is not much material at the top, then perhaps only physiotherapeutic treatment will be needed. The final decision is up to the independent dental expert. But it’s definitely not worth going to your dentist for advice in such a situation, since it will be difficult for him to objectively evaluate his own work.
Hello, look, please, do I have lateral perforation? The tooth does not hurt, but reacts to pressing, and like a stranger. 12 days have passed. Thanks. (The link is visible only to the doctor).
Hello, Elena! I analyzed your picture: yes, this is the perforation of the wall at the place where the coronal part passes to the root. Not the worst perforation, in fact, but the nuisance is that the gutta-percha pins are "loaded" decently. If you provided this image as a control or, in other words, the final one, then the channel still has not been passed: the doctor took this perforation as the channel - decently went so far away from the real access to the main channels.
If the channel has not passed, this is very bad, and if the pins were not removed from the perforation (this is technically easy) and the outlet was not covered with a hole, then this is terribly bad.The most likely prognosis is tooth loss due to an exacerbation of the chronic process.
If the doctor did not do anything to stop this complication after this picture, then the treatment can be considered unsuccessful. Even if the pains go away, either a purulent exacerbation is just around the corner, or there will simply be a cyst growing on the tops of the tooth roots or in the bifurcation zone of the roots.
Thanks. This is so today. The doctor says that the material just hit the gum. Am I too late to treat, remove? Or look for another doctor to redo? 14 days have passed.
Complex issue. I don’t think that the past 14 days are strongly influenced here: another question is whether you will find a professional who will take up this thankless job. Maybe it will lead to the prospect of retaining the tooth for many years, but this is a lot of work. Still, it's worth a try. In this case, you need to look for another doctor clearly, since the previous doctor is unlikely to help you.
Your assumptions are very close to the truth. It was not possible to enter the channels, it was a question of mummification (they used to do this to me sometimes, there were no problems), and then the result was 2 “sealed” channels. I went to two more doctors. One says (according to a CT scan done before treatment) that initially it was possible not to treat, because the carious cavity has gone low, almost to the root, and this is already pointless to treat. Another is taken to try. He found on CT another channel 4. His very first doctor did not consider at all. In the meantime, the tooth calmed down, it does not hurt even to press. Very different opinions, I don’t even know what to do.
Hello! It is difficult to treat such teeth, but it is possible. If the doctor is really a professional, then you should trust. This is an expensive procedure, but if you manage to save such a complex tooth - it will be wonderful. I think that you should weigh the pros and cons, and then make a decision. Trying to save, of course, is preferable, but most likely, the dentist will not give a guarantee for the treatment of a mummified tooth.
Tell me, please, yesterday I had a tooth with periodontitis without anesthesia, I had a toothache, first the canal was a little sore, then she checked if the canal was completely gone - one was completely gone, and in the second I felt a sharp pain when passing. The dentist said that there was pus and soon a fistula would pop out. Is such pain possible with root inflammation? Or is it still perforation? The channels passed through an endomotor. NSAIDs, metronidazole, amoxicillin were prescribed.
Hello! Well, without anesthesia, in principle, it is painful to pass the canals, although the dentist himself decides this question: whether to do anesthesia or not, since the fact that there is no live pulp allows you to treat without pain relief. Pushing the sawdust and antiseptic during treatment closer to the apex of the root can give even severe pain. It all depends on the sensitivity. With perforation, the pain is acute and bleeding from the channel occurs. It is difficult to say so in absentia: whether it was or not. Here you can track by the pictures, but you need diagnostic ones (with gutta-percha pins) or control, where there is an option to view the quality of channel treatment. If you wish, you can send them to the site’s mail, I will comment.
Good afternoon! Help, please, there is no strength to endure. About 2 months ago, severe pain began, the upper jaw on the left. Especially after walking. The pain is growing unbearable. Dull aching at night. Suspected 6 or 7 teeth. Both are cured and stand very tight, food often gets stuck between them and the gum. The doctor suggested that it was still in the 8th tooth. I opened the seal, cleaned the canals, left for a week with medicine and a temporary seal. On the second visit, she again cleaned the canals and again a temporary seal. On the third visit, cleaning and permanent filling again.Everything has become good. A week has passed since the last visit, and today, after this walk, this very 8 was unbearably ill. Pain, as before, after returning from cold to warmth. Very strong. Do not touch the tooth, especially the chewing and internal surfaces. The matter is complicated by the fact that I am a nursing mother and limited in the use of drugs. What to do next?
Hello! A difficult question: if the pain went away for a week, then the doctor was hardly mistaken in the causative tooth and treated the wrong one. However, it is useful to analyze the quality of the treatment of the canals according to the image - perhaps mistakes were made. You can send this picture to the mail of the site, I will comment.
Good afternoon! They didn’t take a picture. At the opening of the 8 tooth there was a putrid odor. Surely the tooth needed treatment. I will try to take a picture and send it to you.
Hello, Doctor. I have this situation: a nerve was removed in a tooth, sea otters were cleaned, everything was normal in the pictures. Put a temporary seal. The next day, a very severe pain in the tooth, could not sleep. Since the doctor warned that the teeth would hurt (especially considering that I have very narrow channels), I decided to endure. The next day, the situation did not get better - the tooth began to hurt even more, and also almost did not sleep. In the morning I ran to the doctor. She pulled everything out of my tooth, cleared it, it seems ... In general, there were some manipulations that I did not see. When she stuck a needle into one of the channels, she sounded with pain, which I told her about, and in response received "nothing, it happens." She laid the medicine, said that if the tooth starts to hurt more, come and clean the medicine (walk for a while with an open hole in the tooth).
Bottom line: the tooth began to hurt less, I can already sleep. I also can’t eat on the side of a diseased tooth, since immediately sharp pain + pain showed slight itching and pain / itching gives in the jaw (and itching - a little in the ear, if it does not seem). What is it supposed to be?
Two days have passed since the drug was installed.
Hello! Without a picture here, as they say, one can only guess at the coffee grounds. That is, as you correctly put it in the question, we can only assume:
1. Not all channels of the tooth have been passed;
2. The technique of processing channels has been violated (roughly or slightly);
3. There was a periodontal chemical burn when working with an antiseptic (for example, hypochlorite);
4. There was a breakage of the tool in the channel;
5. During the passage of the channels there was a perforation of the tooth wall.
Etc.
More accurate information can be obtained from the pictures - if you wish, you can send them to the site’s mail, I will comment.
Hello! A week ago, a nerve was removed, a tooth was filled, a seal was placed. The doctor is very experienced, the whole family goes to him. It would seem that he cleaned all the channels well for me, removed the nerve, but the tooth still hurts. After a week has passed, how should I be?
Hello! “It would seem that he cleaned all the channels well for me” - here you need to understand that there is no guarantee that the doctor in your clinical situation turned out perfectly. What about filling the canals themselves? There is a possibility that they:
1. Sealed with the removal of material at the apex of the root;
2. Sealed up to half or even less (and infection remained in the unsealed part);
3. Sealed with material for which you are allergic or hypersensitive.
The latter rarely happens, but causes significant problems, especially in combination with the first paragraph.
The most common problem after endodontic tooth treatment is the so-called post-filling pain. In half the cases there is no potential danger for the future, but not all patients have the strength to endure it from 3-5 days to 2-3 months, and this is wrong.
You did not describe the nature of the pain - you can only guess and speculate, which I did. The best option is to send a snapshot of the tooth with sealed channels to the site’s mail, after which there is a chance that I will tell you with sufficient accuracy what is wrong with your treatment.
Hello! 2 years ago, the doctor healed me six. According to him, the filling became very close to the nerve, but she decided not to remove them in order to leave the tooth alive. After treatment, the tooth hurt for several months, but then the pain disappeared. In January of this year, she went to the dentist to look for possible causes of persistent pharyngitis. And it turned out that in this tooth there is a strong inflammation under the filling. The tooth was rescued with removal of nerves and cleaning of the canals. After treatment, there was pain with pressure for 5-7 days, then it passed. After 3-4 weeks, the tooth began to hurt again. Pain when pressing and staggering a tooth. What could it be? On the eve of the exacerbation, I ate rough meat and chewed it with effort with this tooth in particular. Maybe I disturbed the tooth? Tooth treatment was carried out under radiological control. Thanks!
Hello! This sometimes happens due to some nuances in the treatment. For example, when removing even a small amount of filling material beyond the apex of the root. It doesn’t look like an acute periodontal injury, since you just chewed rough food, but there was no fact that a bone or something else was very hard on the tooth. That is, there was no instantaneous critical load. I think that some trifles in the treatment were missed or there were some errors, so there was such a “mini-exacerbation", if I may say so.
To make an informed decision regarding further actions, you need a picture of a tooth with treated canals. And without this, just guesses, and one cannot say for the future whether it is dangerous and how long it will last. You can send a snapshot to the site’s mail, I will comment.
After two fillings, the third upper tooth broke off, the tooth did not hurt, but when pressed under the nose, it hurt. ENT said the problem is dental. The dentist, taking a picture, said that the nerve had rotted. I removed the nerve without anesthesia, put the medicine. There was no pain, only continued to hurt when pressed near the nose. Five days later, the canal was sealed. When I finished filling, when pushing the filling material, I felt pain in the apex of the root of the tooth. They took a picture, the tooth is completely filled. The appointment is scheduled in five days - to put a permanent seal and a pin for further setting the crown. On the third day, the tooth began to hurt at the apex of the root, even without pressure. That is, the pain intensifies. The doctor is very experienced, she has been treated for many years, you can trust her, but putting a permanent fill and a pin on a tooth that hurts, I think, is dangerous. Please advise what to do? Thanks.
Hello! Of course, it is more expedient to place a permanent filling or orthopedic constructions (tab, crown) only on a reliable tooth, or rather, “calm”. The presence of negative dynamics, judging by the symptoms, requires the dentist to analyze the situation with the exact causes of the pain. Personally, I would first check the picture of a tooth with a treated canal. If the material is not even outside the root even in a minimal amount, then other causes are investigated, neighboring teeth are checked for hidden carious processes, etc.
You can provide me a snapshot via the site’s mail, and I may be able to tell you more thoroughly.
Hello! A couple of years ago I treated the lower 6 tooth, the nerves were removed. After a year, the filling fell out, there was no time to go to the dentist, and as a result, I went with an open tooth for about a year, but he was not sick, in general, did not bother.Now there is an opportunity to consult a dentist - they diagnosed “chronic fibrous periodontitis”. Before the start of treatment, a picture was taken - the remainder of the instrument was found in channel 4, but because the channel turned out to be very narrow; The doctor said that the tooth can be preserved, made the filling of the three channels of AN plus, Adsel, 2 Seal, Guttasiler plus, Epoxidine (gutta-percha, expansion of the channels), without filling. They put a temporary seal and made an appointment after 5 days. The first 2 days the tooth was drawn, but bearable, only in the evening. I didn’t drink painkillers, I thought that this was a normal condition after anesthesia, and the tooth was injured. But on day 3 (today), in the evening, the tooth became very painful, and I want to remove the temporary seal, because pulsation occurs, and the cheek seems to go numb. I’m very afraid that a flux will appear. Tomorrow I want to call the doctor to receive me earlier, I can’t stand it for 2 days, and I'm afraid of complications. Tell me, what's the matter? And how to relieve pain until the morning?
Hello! Unfortunately, modern filling materials are not a panacea, and the main role is played by the professional skills of a doctor. Of great importance is the quality of the washing channels. The fact that there is a channel in which there is a fragment of the instrument, possibly enhances the negative dynamics - therefore, pulsation, and everything else. In addition, pain can be associated not only with an infection in the canals and periodontium, but also with the rough work of the doctor in those channels that turned out to go to the apex. To temporarily relieve pain, they usually resort to taking painkillers, if there are no contraindications.
In your case, you can either trust the doctor and wait a bit, or immediately go to the clinic, where it is possible to conduct endodontic treatment under a microscope. It is more expensive, but more promising.
Hello, Doctor. Please help with advice! My problem has been more than six months old ((In the middle of August 2016, my teeth were filled (just caries, the canals had never treated me before) - several at once, boron without water cooling.
Immediately after the procedure, 7 fell ill in the upper left. The doctor sewed the seal, said it will pass. Then I drained other fillings, then replaced them, putting calcium under them ... Then, when the floor of the skull, neck, and even a little on the opposite side were already hurting, and I had been drinking painkillers for 2 months, I finally pulled the top 7 (not without the help of this site, I asked a question about a possible causative tooth and told the doctor - delete it; in the 7th she was not sure that it was the reason, but it immediately became easier after that). It was already at the beginning of October ... Since then I go with empty channels. They deleted it in a living way, then something was laid down, after a few days something else, then something else after 10-14 days. Each time a temporary seal. After the third time, the breaks increased - the doctor works for himself, often makes a record, and then cancels (it happens, 2-3 times in a row). As a result, I got an appointment about once a month. They were washed several times with lincomycin and put turunda moistened in it under the seal.
About a month ago, they discussed the final stage with filling the canals, but all these months I feel discomfort - I can’t chew something solid or solid (meat, apple) on this side. And the dentist says that the tooth should be completely calm, so the last time (about two weeks ago) was overhaul - put some medicine, closed it with a temporary filling. This medicine gave an unpleasant bitterness in the mouth for two days, the tooth after this time began to ache, although before that it was almost not felt. Three days ago, the pain intensified sharply even more, it became painful to touch the tooth with the tongue. They took out the seal, prescribed rinsing, and plug it with cotton wool at night and during meals.
The doctor says: ANAEROBIC flora. I walked like this for two days, today they washed it with lincomycin, again put turunda with it and closed it with a temporary seal.By evening, the tooth ached terribly, right up to tears, when it accidentally hit its teeth against each other. The doctor called: "Pick out the seal, rinse." As soon as she did, it immediately became easier. He says anaerobes, and he will need to be treated for several days without sealing.
But here you read that without sealing - atavism and harm. They did the X-ray only in September - everything is periapical calmly, only on one tooth below is a large carious cavity under the seal (they wanted to clean it from the beginning, they thought it hurt) ...
P.S. Pus was not the last time it was sick and the canals were washed.
Sorry for the too long story ... I am one of those who are afraid to change something with the thought, “Will it not get worse” (I'm talking about changing the doctor). Pulp burn is already an unpleasant mistake (I try to treat my teeth in time, not leading to depulpation, and even the fact that some already had deep caries due to the fact that my doctor often cancels the recording) is too much pain and then relief from this smoothed out my anger at the doctor. But here we are talking about saving a tooth in general, as far as I understand? ((
Update as of March 19, 17: I took a picture today in another clinic. They said that the periodontal gap, periodontitis was widened, it was necessary to treat expensively under a microscope and wash everything well, which did not treat me correctly. It is necessary to take a three-dimensional image, they said, before taking the endodont. I didn’t take the picture, I’ll go to 3D ...
Hello! All right, they told you that the doctor’s tactics are wrong - in some cases such treatment is successful, although the risk of developing chronic periodontitis (imaginary well-being) is great in the future. What exactly is wrong:
1. Too overdone with rinses of open channels;
2. Rinsing the channels with lincomycin (I do not think this is suitable here);
3. Suspicious "drug" therapy;
4. Omission (cancellation) of admission and excessively routine therapy;
5. It seems to me that you began to be treated for pulpitis, and as a result, periodontitis turned out (assumption).
Now you have to fix everything. Under the microscope - it's expensive, but reliable.
Thanks for the answer. Tell me, please: in another clinic, we cleaned the canals, passed them with various instruments (hand-held and some kind of quiet little boron) under the control of an apex locator, washed them with hypochlorite, used rubber dam (there was nothing like that in the previous clinic, only hand tools and " rinse-spit ”) ... But all the work was done without a microscope, under the microscope, the doctor only looked at the end of everything for about 20 minutes or less, and said - you have the classic three channels (to my question, but what, this cannot be seen on CT? - replied that of course not) ...
They laid calcium, they said that we would fill the canals in two weeks. They have a temporary filling photopolymer, but in the receipt they just have the line “treatment under the microscope”. The price is very decent (so far only paid a third of the amount). Shouldn't all the treatment go under a microscope? Not only inspection-control of the passage of channels? Or is it important only at the stage of filling the canals themselves already? In general, I liked everything at the clinic, except for the price and the strange receipt. In other clinics (it’s easier to monitor prices with a hole in the tooth), similar manipulations are one third less than in this clinic ... And friends say that they are bred for money. Are such actions by staff really a hoax?
And one more thing: they offer me to seal the channels with the material “about the root”. But I read that it is used to restore damaged areas. They offer me to completely seal the channels. Is there such a method? + About root in another (in the third) clinic was offered. In this one, in which the canals were washed, gutta-percha.
Hello! As for CT - with its help it is quite possible to see three channels, however, the use of a microscope increases the reliability of treatment.The hole is not constant material, to complete the work in the channels should be filling gutta-percha according to the modern method. You can choose between cold, hot condensation or Termafil.
Not all stages of treatment are carried out under a microscope - I think that the microscope was more important to the doctor at the stage of filling, since passage of the channels was not difficult.
In an expensive clinic, they can offer many different and not always clearly necessary services, but this does not mean that this is a hoax. Suspicions regarding the "money-for-money", of course, are not unfounded, but you should not despair: I am sure that the tooth will be saved. Do you have it now at the stage of treatment of periodontitis with a preparation based on calcium hydroxide?
Thank you for your attention to my problem)) Yes, now they have laid calcium with iodoform - as they said, specifically not for the entire length of the channels, but up to about half (is this right?). Somewhere in the temple or near the tooth I still sometimes feel some discomfort, although I have been going with calcium for 10 days already. I’m waiting for a salary, then I’ll go to seal the channels.
In the clinic where the pro-hole was offered, the doctor said that she alone would fill the canals with them (completely! Like, gutta-percha is just “rubber”, and the pro-hole is perfectly adapted to the tooth tissue). And she intimidated, because then they’ll do nothing to drill out of the canals, not just take the gutta-percha and get it, then “get ready for the fact that your gum can then be inflated with your old problem, and then you will have to put drainage through the gum and drink antibiotics”. I asked - maybe I should not use such material then, since “with my long-standing problem” the risk of such an outcome is increased (well then — all my life toil with a periapical abscess, or remove a tooth?). But the doctor did not understand my question or did not want to understand and began to say something completely left - so I did not stop there. But I was not able to find information so that the hole could be used to completely seal the channels. Maybe some kind of super-new technology?
Hello! Usually, temporary materials for the canals are put to the full length, but in your case, this most likely will not affect the quality of treatment. It can be difficult to deliver this material in accordance with all the rules, since it is difficult to control its progress.
As for Pro Ruta, as a permanent material for obturation of the canals, I can say that this is either “know-how” unknown to the general public or the doctor’s initiative at the level of experiments.
Hello again! Thanks for the informative and competent answers! Today the channels (hot gutta-percha) were sealed to me - they didn’t use a microscope, only when they washed the channels they looked into it for about five minutes and that’s all. In the check, the line "treatment under the microscope" with a rather large amount. As far as I understood, it was a hoax and the clinic had no right to take such money for a normal, without a microscope, filling of channels? (they called on the phone, asked how many channels to fill in the 27th tooth - they called the price three times lower). I also attach a p-snapshot - they said that everything is fine, although the snapshot is not quite from a good angle, the roots are “stretched”. Rate it, please, I’m confused by the step in one of the roots [the picture was sent to the site’s mail].
I also wanted to ask how many tooth shots are permissible to take in what period of time? And it turns out that since the fall of 2016 I have already taken 5 film p-images, 2 on a visiograph and 1 CT ... ((Irradiation is considerable, presumably. In addition, I took radioiodine less than a year ago about thyroid cancer.
Hello, Ksenia! I think that it was not a coincidence that the Speech was about. Yes, this ledge in the channel can be created by a false channel or more or less normally closed perforation. In any case, the dentist either faced a complication that the doctor had done before him, or he himself created it in one of three channels.The borders of the tops of the roots are almost invisible, but closer to 100%, which, in general terms, is done qualitatively and deeply, with a maximum - one could find fault (with good image quality) for the possible removal of gutta for apex. But then again, it is not visible well from the picture: the image is elongated.
Even if I tell you that you were deceived with a microscope, can you present something to this clinic? There is no clear evidence - at best, only suspicion.
Regarding the number of shots, you asked a very serious question in the context of your illness. If you had not added about oncology and treatment in radiology, then there are no questions: such a number of images from the fall is quite harmless. As far as I know from my radiologist, a month you can safely take up to 5 film images of teeth. However, this is for classic cases. But you had such a serious treatment. From the bitter experience of my loved ones, I know that after a course of treatment, the oncologist fixes the dose that the patient received. For the future: to do something in the form of images and CT scan is possible only after his consultation. The exact number of images, CT scans, etc., which is not contraindicated for some time, is established by this specialist. This is very important, since only he knows the specifics of your treatment, the features of "exposure" and the level of possible risk from other influences.
Hello. I was treated for pulpitis in the lower 8-ke a year ago. But the canal was not completely filled and the tooth ached with periods all this time. I went to another doctor, he said that there is a pathogenic flora and a channel with a curvature, he did not reach him and eventually filled the medicine and said to come in 2 weeks. On the 1st day, the tooth ached, and at night and on the second day it pulsed all day. I wrote to him and described all the symptoms, and the answer was that this is normal, the main thing is that there should be no swelling. The pain is sometimes very strong, then it releases, the jaw does not close at all, so as not to hurt the tooth. I do not drink painkillers, as there are mainly ibuphene, and there are problems with the gastrointestinal tract in contraindications.
And now my whiskey started to hurt, then over the ear from the opposite side. In general, I don’t know if it is connected with the tooth, or already on the nerves? Should I endure this pain for 2 weeks, is this a normal time? I am ready to snatch it so that it does not bother me. Even on an X-ray, I noticed that a white strip passed there down a channel that was bent. I read from you that it turns out that he got into soft tissues.
Update as of March 28 ,.17: tell me, if the doctor didn’t get and clean the rest because of the curved root, was there any sense in holding on to this tooth? After all, he will still be subject to removal in the future at the slightest pain? And such a question bothers me even more, time will pass, there will be something to whine, you will not pay attention, and what can this flaw lead to?
Hello! Wisdom teeth (eighths) are often problematic: curved and impassable canals with an unknown number of them. That is why unsuccessful therapy of canals with serious symptoms (pain, swelling, fever, etc.) speaks in favor of removing a wisdom tooth. In more than 80-90% of cases, the patient does not lose anything in terms of functionality. Eighth teeth are rarely of practical value, but they are preserved if possible, and in some cases this is not bad, for example, for chewing, if there is an antagonist tooth. If it does not work out, they are removed so that there are no further complications, the possible consequences of which in their significance are not comparable with the loss of a tooth.
Moreover, in your tooth, it seems, there is a periodontitis in the stage of exacerbation against the background of a number of errors: including perforation. I would recommend not to torture yourself further. The main thing is to find a competent dentist-surgeon or maxillofacial surgeon who can professionally remove a tooth that has complex channels: maybe the tooth against this background also has crimped (curved) roots.I would not want you to get burned at the illiterate removal of a special wisdom tooth.
Hello. My name is Alexey, I'm 34 years old. At the preventive examination a month ago, the doctor did not like the small hole in the sealed right lower 7, on the border with 6. The tooth was not sick and did not disturb. After installing a small filling, the tooth began to disturb - a slight whine, and there was a feeling as if jammed food in the area of the filling. Complained about it, the doctor even more deeply drilled this hole and put a bigger seal. Sensations have not changed. After 5 days, the doctor decided to remove the nerve. The nerve was removed, the medicine was laid, the feeling of light whining did not go away, and in addition there was pain when biting food with this tooth. Again I went to the doctor, the doctor again, at a loss, cleared the canal and put the medicine with the words that everything was fine and should not hurt. And in general, she looked at me like an idiot.
Next to this tooth, I had an erupted figure eight, which also, if pressed hard, was sick - I thought of it and went from despair and from the ongoing pain of removal, although the upper wisdom tooth (antagonist) was removed a long time ago and the contact was not It was. The tooth was removed normally 6 days ago, he drank the antibiotic azithromycin, 3 tablets, and every day a couple of tablets of ketorol - the pain was extinguished and was relatively tolerable. The day before yesterday I stopped drinking ketorol and tried to eat with 7. There was a terrible pain, now I can’t even bite my teeth together on the right - it aches so that you go crazy and don’t know how to make the right decision. The doctor put the medicine for the last time for a month, said: how do you remove the tooth, come, put the seal. Is it possible to put a filling on a tooth that is unbearably painful when pressed on it? And if not, then what to do? I can’t sleep from pain anymore, I’ll just go crazy soon ... Please advise what is more logical for me to undertake in such a situation? Thanks.
I forgot to add: is it possible to treat 7 when it is torn out 6 days ago and has not yet fully healed a hole of 8?
Hello, Alexey! All of you correctly say: a seal cannot be placed with acute symptoms of unknown origin. I think that part of these symptoms is a consequence of the recent removal of the wisdom tooth, the hole of which is located in close proximity to the problem seven. It would not hurt to check the doctor’s work with the help of a picture (if you wish, you can send it to the site’s mail - I will comment). If everything is done in the canals of the tooth, as expected, then you may just need to wait for the healing of the hole. It’s good that you are already close to the state of “primary” comfort when the hole after complex removal of the wisdom tooth ceases to make itself felt seriously by 7-10 days, but residual effects (when chewing) may still be present.
The most effective option in such a situation is to immediately contact another doctor for an appointment to take a picture and understand what is the problem on the spot. With a probability of about 80%, the problem occurred due to incorrect actions by the doctor.
After identifying the causes of the problem, the seventh tooth must be treated without fail.
Hello, Doctor! My problem is this. On the 4 and 6 upper (left) teeth I have a bridge. On February 7, a purulent bump appeared over a 4 tooth on the gum. The doctor recommended removing the teeth, as there was a big infection around them. Prescribed antibiotics before removal. On the 3rd day after taking antibiotics, there appeared a kind of pressure near the nose (left). I thought that after the extraction of teeth this will pass.
On February 14, the teeth were removed, the doctor brushed for a long time and said that there was a lot of infection. But the pressure near the nose did not pass and even began to rise as if to the eye. The doctor said - wait, it must pass, this is not an infection. The wound gradually began to drag out, not to rot, everything seemed to be getting better, given the heavy removal.But on March 6, there was aching pain in the place of the extracted teeth, it is not clear where exactly.
The doctor again prescribed antibiotics. After a week of taking, the pain seemed to go away, but the pressure near the nose brought discomfort. And here again the pain of April 1. Pictures of neighboring teeth - and now a whole 3-looking tooth (which is near the removed ones) turned out to be problematic. Allegedly, he is dead and you need to clean the canal, and from this supposedly pressure is near the nose. It seemed to me that not only 3, but the rest of the upper teeth hurt. But supposedly on an X-ray he sees a problem with only 3 teeth.
Well, the fact that I have a panic is understandable. I went to another doctor to confirm the diagnosis, again the pictures and the same advice that the channel should be cleaned. I agreed. Yesterday, April 10, the canal was cleaned, said that the nerve was dead. But the pressure along the nose has not gone anywhere. Even as if it became more. Your advice is really needed. I would be grateful.
Hello! In such cases, it is difficult to say something specific without diagnostic measures and their data. There may be such an option, when the doctor initially made a mistake with the choice of a problem tooth. It is necessary to analyze the first pictures (before treatment, removal) and subsequent pictures in connection with the ineffectiveness of therapy. If even after an X-ray it’s difficult to solve something, then you can make an EDI of the teeth for the search for a diseased tooth.
I am confused by the “pressure along the nose” that you describe - this is a clear manifestation of purulent edema or (less likely, but worth checking) a symptom of inflammation of the maxillary (maxillary) sinus. It is necessary to check the condition comprehensively: from external examination and examination in the oral cavity to x-ray examination and EDI. Such a difficult situation is definitely not the subject of a remote solution to the issue.
Hello! A week ago, the lowermost tooth on the right was depulped. After the second shot, the doctor said that everything was fine. After 2 days, pain appeared. Yesterday, on the 7th day, the cheek swelled up. Ahead of the weekend, what to do?
Hello! If the tooth was really depulped, this means that there was a diagnosis of pulpitis, and therefore, swelling after channel therapy implies serious errors during treatment. If you were guided by a different diagnosis - “periodontitis”, then we are not talking about depulpation, since the “nerve” in this disease no longer exists in the tooth, it decomposed. Such treatment can often cause swelling after closing the canals, especially when they are not completely treated.
So, given your description of the problem, you need to run away from your doctor without looking back, since the depulpation does not end with edema. It is necessary to save the tooth by analyzing the image. However, in this context, you should not trust the doctor who was involved in his treatment.
In the event that you yourself are mistaken when speaking about the depulpation of a periodontal tooth, then there are no serious complaints to the doctor. You should check the treatment with a picture and draw the following conclusions.
In September 2016, a nerve was removed from the lower 6th tooth due to the fact that a seal flew out and when removing a new nerve, it opened. Cleaned, temporary seal, the next visit permanent seal plus pin. Prior to this, there were no problems with nerve removal. When removing, cleaning was used "tidy with electricity", well, a couple of shots. According to the doctor, everything is fine.
By December, the pain did not go away, the nerve was removed in another tooth, from which the seal fell out, and looked at this one. They offered laser physiotherapy and drink nimesil. After the second sachet nimesil I felt bad, it seems like some kind of allergic reaction. I don’t consume pills at all, but it bothered me that I couldn’t eat on the right side for three months.
Now it is May 2017, and a tooth without a nerve hurts. More precisely, until we eat on the other side - it's normal, but how to eat, there are problems right away. It hurts exclusively with pressure and this particular tooth.No neighboring ones hurt. A plus now it turned out that, perhaps because of the pain, the bite had changed and part of the seal on top was hesitating. As a result, the pin is already sticking out above the surface and you can feel it if you hold it with your finger.
What could it be? And most importantly, what should be done as a matter of priority?
Hello! Initially, it is worth taking pictures of the teeth you have indicated in the canals and checking the veracity of the doctor’s words. If everything is really good, then it is worth checking the adjacent teeth. I am sure that with the help of images and examination in the oral cavity, there is a cause of the problem. It is also useful to compare the pain of percussion in each tooth in order to draw conclusions and make a diagnosis.
In principle, the situation you are describing is not the norm. Sometimes this happens due to tooth overload, which is why the seal crumbles. You can check this with occlusal strips and examine the bite. Seal correction is best done taking into account the image, so as not to lose sight of the important nuances.
What could it be? The question is complex, more often there is an error of treatment in the canals, less often - neighboring teeth have hidden carious cavities that “express” their problem in such a way when pain radiates to innocent teeth (even “dead” ones). I also mentioned an overbite option that could cause injury, which is also important to check. An integrated approach is needed; a specialist should also apply a good one to this approach. Look for an experienced doctor and check the pictures again (not with the doctor who treated - this is important). Good luck
Hello! I had filling material over the top of the root. For a week now, a tooth has been bothering you. When pressing on the gum very unpleasant sensations and swollen cheek. How to be Thanks!
Hello! In this context, this is a clear complication, with a serious manifestation in the form of edema, rather an allergic one, but the infectious variant is also possible (it may depend on the diagnosis of the tooth: pulpitis or periodontitis and what kind of errors in the channels could have been made ) Not every clinic can recover the filling material, in some situations they are limited only to physiotherapeutic treatment, although in many respects this is not the most promising, and sometimes dubious occupation.
In principle, it is important to understand what exactly is taken outside the root: if it is gutta-percha, then it is necessary to extract it, and if it is sealer, then what is its origin? If it’s something like Endometasone, then it’s almost certainly not scary. But when removing materials based on epoxy resin (for example, AN +) it will be problematic for the future, since the material is “cement-like”. And to extract such material will be difficult.
So, the scale of the tragedy can only be assessed by specifying what exactly was taken out from the top of the tooth root, how far it was taken out and what is currently happening to the gum. If you provide a tooth picture (to the site’s mail) - this would help to understand how deeply the material came out, but the nature of the material can only be learned from the attending physician (or from the medical record).
Hello, tooth 21 started to hurt when I click on it. I went to the dentist, they said pulpitis. We cleaned the canals and put a temporary seal for a month. In the evening, the gums began to swell, the doctor said that this was possible ...
The next day, my cheek was swollen so that I could not talk. I went again to the dentist, made an incision in the gums and put the drainage on. Everything seems to be fine, after 2 days, the swelling subsided, but there is a slight swelling on the gum above the tooth. He began to stagger and a little exposed tooth.
Tell me why this happened? There were never any problems with teeth. Thanks!
Hello! The fact is that this is either a complication as a result of a doctor’s mistake, or there are objective reasons for the difficulties in maintaining this diagnosis. The condition you described is not the norm. Tooth mobility amid an exacerbation of the purulent process and gum recession in the cervical region are a bad sign from the point of view of the further prognosis. It is worth taking pictures, getting advice from more than one dentist for an expert consensus. Perhaps it’s already worth thinking about the conservative surgical method of preserving the tooth — resection of the apex of the root, since these teeth (21) are easiest to treat with this treatment option.
Hello, tell me, please: removed the nerves in 6-ke, sealed, after that the tooth continued to hurt. The dentist said that up to a month such pain is the norm. Three months passed, all the same, when biting and when you tap on a tooth it hurts. I came to her, told everything, she sent me an X-ray, said that everything was fine there. I removed the seal, and for a week I walked without a seal. Then she came, took a picture again (I’ll throw it off), the dentist said that I was inventing - I can’t hurt anything there, the channels are cleaned, and everything is fine on X-ray. In general, she put me a temporary seal and, apparently, some kind of medicine. But now the tooth began to bother even more, as if a very heavy stone had been inserted into it, such a feeling. And it also hurts when biting. Tell me, please, what should I do with it, what could it be? ..
And another question: does the x-ray show, if the root is inflamed, a cyst has formed?
Hello! There may be several options related to errors or inaccuracies in channel treatment. For example, there may be the following options: 1. An additional channel was not found (one projection of the image may simply not be visible); 2. Bred a large amount of material outside the root; 3. There is an inflammatory process at the apex of the root; 4. There is perforation of the bottom or root wall.
I think that it is worth checking with another dentist, and not with your doctor (for objectivity). It is desirable that the images were checked in different projections, preferably on a visiograph. If doctors find a specific cause, then the tooth will have to be treated. If the cause is not found, then this is a risk after a while to lose a tooth from complications of periodontitis.
On x-rays, the inflammatory process in many clinical cases can be seen.
Thank you very much 🙂
Hello, 2 years ago a tooth fell ill. They removed the nerve, put the fillings. A year later, the seal fell out. I’ve been walking without a seal for a year now, nothing hurt, and now 2 days ago pain appeared when I pressed a tooth. What can it be and what needs to be done? Delete it?
Hello! This is the best that could happen in terms of symptoms when a tooth was depressed, through the canal (s) of which infection of the perapical region began. Most often, such teeth manifest themselves in the form of severe pains that cannot be stopped by painkillers and edema (cheeks, lips, etc.).
The fact is that when an infection enters the canals after a filling, it gradually accumulates in the area of the root apex, limiting itself to healthy tissues. As long as there is compensation by the body of this inflammatory process at the root, the tooth may not hurt even for years, but in certain situations, from clogging the canal with food debris or tooth trauma at the same time and ending with stress or general illness (SARS, for example), a kind of trigger the mechanism, that is, a tooth even earlier remarkably treated in the canals, exacerbates chronic periodontitis.
It is possible to treat such teeth, although in many cases it is technically difficult and requires a lot of money from the patient. It is necessary to determine the form of periodontitis and the scale of the tragedy from the picture.If the inflammation has gone too far, then the tooth will have to be removed. If you are determined to keep a tooth even in a difficult situation, then it will be useful to get advice in the dentist's chair at once in several clinics.
At the same time, the opinion of doctors can be divided: someone will recommend urgently removing, and a number of specialists will be ready to save a tooth, but without a guarantee that everything will work out 100%, and someone will even give a guarantee of success.
Good evening! In late April, she came to the doctor with aching tooth pain. The diagnosis is pulpitis. They put arsenic, which was removed two days later and put a temporary seal. I had to leave urgently and could not visit a doctor to remove a nerve. I got an appointment only after three weeks. I cleaned the canals and on May 24 put a temporary seal with the treatment compound. Shoot it on June 14th. The fact is that after 10 days I began to have throbbing pains in the area of this tooth, it is impossible to close the jaw in this place, the feeling that the tooth is loose and the gum is swollen. The pain is constant. I came to the examination room, they said to rinse, the tooth does not stagger. They say that this is normal with a temporary medical filling. Tell me, please, is this normal?
Hello! Of course, you very rashly acted that did not treat the channels in time, transferring pulpitis to periodontitis. And then the dentist for several reasons could not get the tooth out of the stage of exacerbation of purulent periodontitis. At the moment, there is no objective positive effect of the treatment.
The fact that you feel the tooth’s mobility speaks only of a purulent process, and not of the actual tooth’s mobility, but the rest described by you cannot be called the norm. Of course, it happens that the body copes with exacerbation (especially if the doctor prescribes antibiotics), and the tooth calms down, but most often with this development the situation becomes worse each time, and then we are talking about tooth extraction. I advise you to get a consultation in another clinic (two at once): let dentists study the images as an indicator of the progressiveness of treatment, and then try to save the tooth according to the analysis. Otherwise, you can still suffer for a very long time, but never come to a positive result.
When she was treating a tooth, the doctor said that a neighboring tooth would not hurt to cure either, the holes were very small. Well, and after almost two months, I decided to finally cure this tooth. He did not bother me at all and was not sick at all. Came - it turned out that deep caries. They cleared everything and filled it, the nerve was not removed. A day later, when eating, that is, when pressing on this particular tooth, he was sick. I thought she would be ill, 2 weeks passed like that. Nevertheless, she came to the doctor, she removed the seal and said that we would remove the nerves. But everything started to bleed there, and she put in arsenic, and said to come in 2 days later. The tooth began to hurt even more. Then she removed the arsenic, cleaned the canals, left her tooth open and said to rinse with soda, and while eating, close with cotton wool. Now I have a temporary filling, but the tooth still hurts when pressed. She said tomorrow to come, they’ll make a normal seal. And why, if the pain does not go away? When she penetrated a special needle deep into the root to pull out a nerve, it was very painful. What could it be? After all, before treatment, he was not ill at all.
Hello! I advise you to change the doctor, as his treatment tactics do not meet the modern requirements (protocols) of endodontic and therapeutic treatment in general. I will indicate the reasons for this opinion:
1. Caries went into pulpitis after treatment (or pulpitis was not diagnosed in a timely manner);
2. Arsenic paste was used, although it does not currently meet the requirements of modern and high-quality treatment, often causing future periodontal problems;
3.Leaving a tooth open is considered in many ways a violation of the treatment protocol or an outdated way to solve the problem, creating even greater trouble - the channels are re-infected, at least. And why leave the channels open 2 days after finding the paste, when it is enough to use the arsenic antidotes due to its negative (toxic) effect, leaving the tooth in an airtight condition for a day, a maximum of two;
4. If there was pain during the treatment of the canals and the removal of the “nerve”, the doctor does not have anesthesia techniques. And at the same time it leaves the tooth open, as with periodontitis, replacing one diagnosis with another.
There is a routine method of treatment, often leading ultimately to tooth extraction: albeit not in the coming months, but after six months or a year - with a high probability. I recommend changing the doctor, taking pictures, understanding if the previous doctor has more serious errors, then treating the canals, filling them according to the protocol and hermetically closing the tooth with a permanent filling or tab + crown. It all depends on the volume of loss of the crown of the tooth: if more than 1/2, then a tab or tab + crown is recommended.
Hello, I went to the doctor yesterday with acute pain in my tooth. When he was cleaning the canals, he said that they were too narrow and put a pill on his tooth. And this has been going on for 4 days, and the tooth really hurts.
Hello! When a doctor says that he cannot cope with the problem of narrow channels, this often means that he also has certain difficulties of a different plan. For example: 1. The doctor cannot find the canal or canals (access to them is not created and the canal (s) remain inflamed or even already “rotting nerve”, causing pain) 2. There was a breakage of the tool in the channel. 3. There was a perforation of the root. 4. A false channel has been created. 5. As a result of incorrect processing, the channel was clogged with sawdust, or a ledge was created, or even many ledges.
Less common are cases associated only with narrow channels, when the doctor found all the channels, went through them to a greater extent, but for the prospect of preserving the tooth for a long time, put a liquid or gel in its channels for passage and expansion. However, there should not be acute pain, especially, for several days. In clinics where there is no microscope for channel therapy, it is sometimes difficult to do everything according to the protocol so that later there are no problems.
Not knowing the nuances of the doctor’s work and not seeing the pictures, it’s hard for me to judge what exactly went wrong. But severe pain can speak of violations in the treatment of canals. I recommend visiting a clinic where a microscope is used for endodontic treatment.
After removing the nerve and installing the filling, the tooth continued to tug, and when pressed, a feeling of a naked nerve was created. I suffered 1.5 months. After contacting the dentist, 5 laser procedures were performed. No improvement came. They opened the seal. Several times a medicine was laid with a temporary filling. Today they again put a permanent seal. The tooth does not twitch, but remains unpleasant.
Hello! Without pictures, it’s difficult for me to determine how serious the dentist’s mistakes were. And they, most likely, were admitted and their elimination is often a rather difficult task. Errors during treatment can be different: a missed channel, poor processing of the channels, the formation of perforation (simply holes) in the wall of the tooth, a broken piece of a dental instrument in the channel during its processing, etc.
If the problem is still fixed, then gradually the level of discomfort will begin to decrease. If there is no positive dynamics, or, on the contrary, there will be deterioration, you need to urgently see a doctor again, since without eliminating the cause of the problem, you can quickly lose your tooth.
Many thanks.
Good afternoon! I’ve been tormenting for the third week.The nerves on the left of 7 and 8 were removed and the canals were packed. The entire jaw began to whine on the left side. Sometimes it bakes so much that it gives to the temple and ear. More often the head began to hurt - sometimes it calms down for three or four hours, but the pain almost every day exhausts me, I have no strength. All doctors look at the picture and say that there is nothing to complain about, everything is perfect. I went to the doctor, the surgeon, and the periodontist. May suggest neuralgia. But then where did it come from? Immediately after sealing.
Hello! The situation is not simple, and without pictures it’s hard for me to add something to the opinion of those doctors who saw you firsthand. If you applied to different (this is important) clinics and opinions are the same, then perhaps there is another option: it is possible that a causative tooth was not found, which causes acute pain. Rarely, but it happens that pain from an undetected diseased tooth radiates to those already treated.
If you went to the three mentioned doctors within the same clinic, then be sure to try to contact another clinic. An independent opinion is important here.
About where neuralgia came from after dental treatment: I have a skepticism about this diagnosis. But, as they say, how many experts, so many opinions.
Good afternoon! 4-5 years ago, the nerve in the upper unit was removed, nothing bothered. But two days ago, the tooth began to whine, more and more, especially unpleasant sensations are localized in the gum. The temperature did not rise, there was no change in the appearance of the gums, there was no redness, nothing was swollen. The pain does not depend on the time of day. Tell me, please, what can it be?
Hello! Initially, it is important for the dentist to check: is the problem really in 1 tooth, and not in the neighboring one, in which, for example, a carious cavity may be present. After examination in the oral cavity with difficulty or specification of the diagnosis, a snapshot of the very “unit” is taken, where the quality of filling the canal and the presence of the inflammatory process outside the root are checked. Most often, if the reason is precisely in this “dead” tooth, the picture shows a rarefaction of bone tissue near the apex of the root.
It is important here to collect as much information as possible in order to diagnose the cause of the pain, and then outline a treatment plan. If it turns out that a neighboring live tooth is disturbing, then endodontic treatment of the canal is performed. If you find yourself right, and the reason is in the “unity”, then the tooth is treated. If it is impossible to preserve the tooth, it is possible to remove it (although taking into account modern technologies it is not often performed on these teeth).
Hello! I hope for your answer! Prepared for prosthetics with cermet, the doctor took a snapshot of the upper canine, then a nerve was depulped under anesthesia. In the process, something was inserted, such as measuring the length, as they said, 26 mm. After all the manipulations, they took a picture - the doctor said that she had not reached the top. Again she repeated all the manipulations, during which there was a short-term sharp pain, to which the doctor said she had reached, then again they took a picture. The doctor said that everything is fine. By evening, I discovered that when I click on a tooth there are slight discomfort. The next day, I called the doctor, she prescribed Nurofen. I drink the second day, the sensations seem to be the same. A day later, go to the clinic, put a pin. Advise what to do? I read everything, I'm afraid of tooth perforation. And also put a bridge on this tooth. Gave money, and considerable!
Hello! The likelihood that a complication occurred during endodontic treatment of the canine tends to zero, since such a tooth is not difficult to depulpate: one wide conical channel (but long). A large canal length in the canine can be a problem for doctors with little work experience or insufficient equipment.
In your case, to make the job perfect, the doctor tried to fill the channel according to the protocol, that is, before the apex. I don’t think there are fears for the future of the tooth, but since I don’t have a picture, it would be incorrect to say unequivocally. If you are still afraid, then my advice is to have a photograph and consult another doctor on the picture, since your doctor may not tell you honestly and objectively how the work is done.
The clinic almost always gives a guarantee on work, therefore, having receipts and an agreement, you can not worry. In general, canine perforation is a rarity. It occurs in elderly patients, but not in youth. So don’t worry.
Hello! Six months ago, I treated 46 tooth. They removed the nerve, cleaned the canals and sealed it. After treatment, the pain subsided, the tooth remained sensitive (if you tap with a fingernail, unlike other teeth). Three months later, it began to hurt a little when my jaw clenched (especially in the morning after sleep). It began to periodically reduce the muscle under the tongue on the right. A month later, this muscle began to swell, apparently. Moreover, after using “Dolgit”, the swelling disappeared for about 2 hours. The tooth ached not very much, but the discomfort, as well as sensitivity, persisted.
I went to the doctor who was treating. In the picture, everything looks fine. Sent to the maxillofacial surgeon to exclude salivary stone disease. He did not find a pathology. The dentist sealed the tooth and canals. He laid the antiseptic paste and put a temporary filling, which the next day fell into the cavity of the tooth, and also prescribed ciprolet to exclude reactive lymphadenitis. Week later. The tooth remains sensitive when tapped (the adjacent teeth are absolutely painless). The doctor said that after pasta in a week you can fill up again, but I am in doubt. If it didn’t pass (although it doesn’t reduce so much now, but it used to be from time to time), is it worth re-filling it, will we return to where we started?
Hello! The question is complicated, I don’t have your pictures, so there’s no way to comment on the quality of tooth treatment: suddenly there were complications after removing the nerve and passing the channels, and the doctor did not notice this or withheld this fact from you.
Closer to 90% you have an exacerbation of chronic periodontitis in the treated tooth: if the treatment has not brought its effect, then this diagnosis is usually made. Sometimes during a tooth restorative, the pain reaction even increases somewhat, but, as a rule, pain disappears after a few days. For greater confidence in the correctness of treatment, you can get a consultation in another clinic, since today it can be done even for free or for a minimal amount.
Help, doctor! For 3 weeks now our doctors have been mocking me! I woke up at night from severe pain in my teeth. In the morning it turned out that the upper teeth hit the lower teeth. Terrible pains began in the lower jaw, ear, temple and lymph node. I went to a neurologist, started stabbing and diagnosed with trigeminal neuritis of 3 branches. I did not stop there and went to the dental clinic. The dentist opened my 4th and 5th teeth, cleaned the canals and placed light fillings. The pains did not subside, already on the 4th day they began to put droppers and inject hormones. A few more days passed, and again I went to the dentist. This time the head of the clinic began to block me. For 5 days now he has been injecting medicine into my gums, but there are no improvements. On Monday, sent to the regional hospital (in Odessa). Pictures on the teeth showed that 4 teeth were not completely filled. There are no distortions on the face. Do I need to open 4 teeth and redo the seal in the canal?
Hello! Your case is complex and far from standard.Here, without examination and analysis of the images, it is impossible to draw any conclusions, and even more so, to advise starting treatment of 4 teeth. An integrated approach is required, and directly in the dentist's chair, and not in absentia. I recommend you find a good doctor and trust him.
Hello! I turned to the fact that the tooth reacted to cold and hot, there was a hole. Previously, this tooth was treated, it was just necessary to change the seal. But since I got an appointment only after a month, of course, the pain intensified. The doctor treated, put a seal, smeared something to make the tooth less sensitive. But in the evening, pain immediately appeared when biting. I went to the doctor, they said heal with heat. But the pain when pressing on the seal did not disappear. The tooth began to respond to cold. Replaced the doctor. He removed the nerve, cleaned the canals, placed a seal, said that the tooth may whine a little, but it will pass. For two days I was happy, nothing bothered me, but on the third day there was pain during chewing. By evening, the tooth began to respond to cold and hot. The next day I went to the doctor, but again prescribed heat treatment. And I already can’t eat, the tooth reacts to room temperature water. What to do? The doctor refuses to take a second shot, referring to the fact that he performed the work qualitatively. Help!
Hello! The situation is complicated and, in a sense, non-standard. On the one hand, relief after prolonged pain may indicate that a causative tooth was found, and on the other hand, the resumption of the tooth’s reaction to cold (!) And hot determines the opposite. The fact is that after depulpation (removal of the "nerve") the tooth never again reacts to the cold. It is possible that the problem tooth was not found, and the fact that the tooth calmed down was just a period of short remission. Or there were two diseased teeth having related problems to one degree or another.
I recommend getting a face-to-face consultation with an uninterested doctor (your doctor seems to be categorically not ready to admit mistakes in treatment). It may also be worth looking for a problem tooth without focusing on one that has already been treated.
Good afternoon! Please help, two weeks ago I went to the doctor and my nerve was removed. Everything went well, she even showed it to me, in the end she said that there went inflammation, there was a lot of blood, she put some kind of medicine, and said, come to this tooth 2 more times. I came today, she pulled out my medicine and started to clean something there, and it hurt. The pain is not very strong, somewhere around 4/10. But I screamed every time she pressed there. I was scared, because, like, this should not be, because the tooth is already dead ?! The doctor was also surprised, she said that, perhaps, due to inflammation, it still hurts. She delivered the medicine again and told her to come back in two weeks.
Please tell me what could it be? (the tooth itself did not hurt and does not hurt).
Hello! In your case, this is clearly about a routine trick: a lot of unjustified manipulations. For example, with a diagnosis of pulpitis (you say that the doctor showed a “nerve”) for some reason, numerous medications are given, although almost always (with rare exceptions), the canals are sealed on the first visit. The maximum that is done with bleeding is a hemostatic drug is placed until the next day, or bleeding from the channels stops at the same visit.
According to your description, I had a feeling that the doctor does not have enough experience, or the clinic does not have good equipment. I recommend contacting another clinic - at least a consultation to evaluate the correctness of the treatment.
Good afternoon! Please, I beg you to help! 3 days ago I had a tooth filled with three canals.On the third day after filling, I had to make a flight, and immediately after the flight my tooth started to hurt. I note that immediately after filling, the tooth did not hurt, and it started to hurt only immediately after the flight (i.e., on the 3rd day after filling). Tell me, can the pain be related to the flight? If so, can something be done in this case? I am in another country at the moment and it is extremely difficult for me to contact a doctor now.
Thank you in advance and hope for your feedback.
Yes, I forgot to say that immediately after filling, they made an X-ray, it was clearly visible in the picture that the channels were completely full. Thanks again!
Hello! The first mention of the effect of a flight on teeth with sealed canals from my personal practice dates back to 2000-2002, when it was a question of the occurrence of pain during a flight due to so-called "pockets" containing air (in other words, these are cavities that do not filled with filling material). I do not exclude the possibility that your doctor did not see the areas without filling (or saw barely noticeable, but did not say so).
In addition, often the tooth can have a post-filling reaction soon after filling - this often happens.
Be that as it may, you need to observe a little tooth in the dynamics, and then draw conclusions about the quality of the treatment. If there are no improvements, then it is better not to postpone the visit to the dentist.
Hello. About a year ago, a nerve in my lower first tooth was removed. Literally 3 weeks ago, he began to hurt when biting (when the teeth collide with each other when pressed). I suffered 3-5 days, and now there is no pain at all. It is worth noting that I wear braces, but it is unlikely, I think, this can somehow affect the first tooth. What could it be?
Hello! Without an X-ray, I cannot answer you unequivocally. However, I think that the cause of the problem should be sought in two directions:
1. From the picture, see how well the tooth is sealed (to exclude the option of exacerbation of chronic periodontitis);
2. To assess whether there is a diseased tooth (adjacent to the treated), which may have symptoms of gangrenous pulpitis or already periodontitis.
In any case, I do not advise you to calm down that the pain has passed: timely diagnosis is better than problems with a purulent infectious process for the future.
Braces can also give such a reaction in the first days after tightening the locks, especially when they are excessively tightened.
Hello! Somewhere in 2009, 26 teeth were treated (a seal was placed). On July 18, 2017, while eating, the lateral part of the 26th tooth broke off. There was no pain. At the next appointment, the dentist was diagnosed with pulpitis (when removing the old fillings from the tooth there was a putrid odor). They put a medicine that kills a nerve.
08/22/2017 the nerve was removed, the channels were cleaned, calcium was delivered. Then, after a day (24.08), the tooth began to hurt when biting and pressing on the gum, gives to the left ear and the left side of the head. Not hellish pain, but discomfort has been going on for 5 days.
Ideally, there will be a canal filling, a pin and a permanent seal. Tell me, does it make sense to continue treatment of a problem tooth if the pain in it does not decrease?
Hello! Putrid odor and calcium in the channel cannot be combined with a diagnosis of pulpitis. That is, with this technique, we are not talking about the removal of the “nerve” at all, therefore, as I understand it, the doctor is treating you with channels with a diagnosis of periodontitis. The effectiveness of this event related to the placement of calcium hydroxide in the channels directly depends on how well the doctor washed the channels and what form of periodontitis is taking place.
Since you wrote that the tooth started to hurt, there are the following suspicions:
1.Incorrect diagnosis or treatment (not quite adequate to the processes occurring in the channels and beyond);
2. Either in this clinic or office there is no equipment and (or) sufficient equipment to conduct such a diagnosis.
Your question about the appropriateness of continuing treatment - to continue treatment, trying to save the tooth from removal, of course, is worth it.
Hello, 6 days ago, the doctor put arsenic to kill a nerve, the next day he started removing the nerve and filling. For a very long time I cleaned the canal (said that there was only one enamel), put a seal, and for all these 5 days the tooth ached. The first days he ached, now he stopped whining, but it hurts when biting (tooth-to-tooth), and tapping with a spoon. So it should be, or should I go to the doctor?
Hello! This often happens after traumatic endodontic canal treatment. Post-filling pains gradually disappear, and their presence in the first days is not critical for the existence of a tooth in the distant future. Therefore, it is worth determining the trend: if such pains tend to decrease every day and pass within 1-2 weeks, a maximum of a month, then, most likely, everything will be in order.
Good afternoon! A year ago, a nerve was removed, the canals were sealed, but a couple of days ago this tooth began to hurt terribly. The pain passes to the entire left side of the head, ear, temperature 37. The dentist said that it was pulpitis. Tell me, what could have caused this? Dentist error when filling?
Hello! Either you misunderstood the doctor, or your doctor is not saying something. The fact is that teeth with a removed nerve, with errors in treatment, sometimes cause exacerbation of chronic periodontitis. But there is no talk of pulpitis in already "dead" teeth. If your doctor sees the cause in another (not yet treated) tooth, then it is entirely possible that this is the primary pulpitis. But the tooth that has already been treated in the canals cannot normally give the symptoms described by you (unless, of course, it is treated qualitatively).
Therefore, it is important to conduct a full-fledged diagnosis: using a picture and using instrumental examination in the oral cavity to find a causal relationship, and only then:
1. Either treat (or, in extreme cases, remove) a tooth previously treated in the canals;
2. Or, initially treat a new tooth in the canals, which gives pain (a hidden carious cavity may be present in the tooth, which is not always easy to find).
Good afternoon. I decided to put a bridge, 3 ... 123 lower. 4 teeth were depulped. On the second day, when taking water at room temperature, the entire jaw reacts, i.e. ALL teeth begin to hurt with such a pulling pain - 1 minute, and passes. When bitten and just the teeth do not bother at all. I chew and bite them without problems. There is no reaction to the hot. Two days later, go on the edge and take casts. What could be causing my discomfort? Do I have a cause for concern? Thank you in advance for your response.
Good afternoon! 08/17/2017 on the 22nd upper tooth, the nerve was removed, the canals were cleaned, the tooth was enlarged. There was no pain after treatment. After a month, the tooth became sensitive when pressure exerted on it. What could it be?
Good afternoon! 7 days ago I went to the dentist. The lower 8th tooth was ill. The doctor opened the old seal, made an X-ray before that - she said that she was inflamed from the inside, put in arsenic. After 2 days, she removed the arsenic, removed the nerves under the injection, and said that there were three channels. Put "antiseptic" in canals and a temporary seal. After anesthesia, the tooth started to hurt, just like that, not like chewing. She rinsed with soda and salt (as the doctor said), began to drink flemoxin. Two days later, it became a little better, but I can’t chew on it, let alone chewing on it.
Today, 5 days after applying the antiseptic, the dentist tapped on the tooth, I said that it hurts, she decided to do nothing so far. Says we will wait another 5 days and put the paste in the channels and seal. Rinse with soda and salt. Is it normal that a tooth hurts when pressed and you can not chew on it with this antiseptic? And I have big doubts that the pain will go away in these five days. Is it possible to apply paste and fill with this? Please help with the answer.
Hello! I have such a problem: 2 years ago, in my second tooth (upper right), the nerve was supposedly removed and sealed. A year later I put a crown, and a year later I had a high sensitivity on palpation on this tooth and lumbago began. Doctors say I have a trigeminal problem. Lumbago begins with this tooth and ends from scratch (I have removed 6).
Finlepsin was prescribed. When the drug is effective, the sensitivity of the tooth is very weak, and the lumbago is barely observed. I can’t prove anything to the dentist. I believe that if the nerve is removed, then what kind of sensitivity can we talk about? It's just a stump lifeless, and I think that the dentist probably did not completely remove the nerve. The picture shows the roots in perfect condition. Desna too.
Tell me what to do, because because of the lumbago you can go crazy.
Hello! I can say point by point. Even when the “nerve” is completely removed, the tooth can still begin to hurt in the future: most often it is aching pain, when biting on a tooth, sore gums or even its swelling. This is not even associated with the remnants of the “nerve”, but with the channels (or channel) that were not completely completed, that were not processed, as it should be, not sealed, etc. Complications after treatment of canals can provoke delayed pain in the tooth or more serious conditions (temperature, facial swelling). So this seemingly “stump lifeless” could well become a breeding ground for infection if the doctor’s work was carried out defectively.
I understand that dozens, maybe even hundreds of thousands of people in our country have such badly treated teeth in the canals, and they don’t even have anything happening for many years, but again, it all depends on how much trouble the doctor did during treatment and what immunity in the patient. When a tooth begins to respond when “biting”, it is often a sign of exacerbation of chronic periodontitis. Such a diagnosis is often made when it comes to problems in a tooth already treated in the canals. It doesn’t matter: a week ago, a month, a year or 20 years later.
There is another option - when a neighboring tooth hurts, and the pain radiates to “dead”. You can understand the situation only by examining and analyzing a tooth picture. A picture is required here, since it is a question of checking a tooth for consistency, and your attending physician for aptitude. You write that the picture was checked: here you need to consider who checked it - the person concerned (the doctor who treated you) or an independent doctor from another clinic? If the doctor treating you, then I recommend, just in case, to seek additional advice from another specialist. Thanks for the question.
Hello. I ask for help. 2 weeks ago a tooth fell ill - pain appeared when pressed. The tooth is ground, as the doctor said. They removed the nerve under anesthesia, put the medicine and ordered to come in 3 days later. The tooth hurt. They again cleaned it, left it open and ordered to rinse with soda. After 3 days, they again cleaned and again put the medicine and a temporary seal. After 3 hours, he again came to the doctor, because the pain was unbearable. The doctor opened and cut the gum. She left everything open, appointed ciprolet, nise and rinse with soda.
Pain remained with pressure and tapping, but there was swelling of the cheek and a bruise under the eye. Before receiving another 2 days. Does everything go as it should? What should I do?
Hello! This treatment takes place with negative dynamics. In addition, the dentist for one reason or another uses a routine approach to treatment, which in the light of modern ideas often leads to a fiasco. I recommend contacting another dentistry of a higher level. The current prospect (if nothing is changed) is constant visits to the dentist + a high probability of tooth extraction in the near future.
Good afternoon! A week ago, the gum in the molars was very inflamed, the pain pulsed in 26 teeth. I got an appointment with a surgeon. He made a gum incision, washed it with chlorhexidine and put in a drain, prescribed antibiotics and sent me right away for treatment. The therapist, seeing that the gum is inflamed, made an anesthetic injection and began to drill the tooth. Narcosis did not work. Then she just put the arsenic and sent home before the inflammation was removed. A week later, the inflammation has passed. At the appointment with another therapist, they opened a tooth, cleaned the canals and injected the medicine, put a temporary filling. A day later, she bit a cookie with this tooth and felt a sharp pain. What is the problem? Need to urgently run to the reception, or is this pain the norm?
Hello! Regarding pain when biting off hard objects after canal treatment, this is a variant of post-filling pain, and it can have a variety of reasons (for example, a doctor could remove too much filling material beyond the top of the tooth root). For an accurate diagnosis, it is important to have a picture of the treated tooth. If you wish, you can send it to the site’s mail, and I will comment. In most cases, post-filling pain disappears within 1-2 weeks, but with serious errors made in the treatment of canals, it can last for months.
Good evening, I’m treating the teeth, the last one remains (31 lower front teeth with deep root caries, plus pulpitis). Allergy to articaines, treated without anesthesia. Before treatment, the whole tooth hurt when tapped. 2 times put a paste to kill the nerves, because after the first time it was painful. Today we cleaned the channels and sealed them. They put a temporary seal, but the tooth also hurts when tapped. With what it can be connected?
They also took a picture, there is no exit of materials beyond the root, as well as abandoned tools.
Hello! You wrote that you are allergic to Artikaines, but there are, for example, Mepivacaine and (in extreme cases) Lidocaine. I do not think that it is impossible to find an alternative to Artikain.
As for pain when tapping the tooth - after endodontic treatment pain of this kind (as well as when biting) can persist for several days, this is often found. Indeed, from the tooth, in fact, the neurovascular bundle was torn out, which is an injury.
However, if post-filling pains persist for a long time (more than 7 days), then it will not be superfluous to check the doctor’s work for serious errors. The fact that the clinic told you that everything is in order may turn out to be biased information - it would be better to get information in another dentistry in order to arrange all the currents over i. It’s useful to keep in mind that sometimes there are two channels in the lower central incisors, so it’s important to look at the picture from different angles.
Good afternoon. In mid-February, the nerve was removed from the tooth, the lower 6 on the left (experienced doctor, from a private clinic). They removed it in three doses: the nerve was removed in the first dose, a medicine and a temporary filling were placed. In the second, they cleaned and sealed the canals, put the medicine and a temporary seal. In the third - put a permanent seal. As soon as a seal was placed, the tooth began to hurt. The clinic said that everything was in order and this could be. Two weeks later I went to another clinic, took an x-ray (I am sending you a photo by mail).The doctor said that everything is sealed very well and it is very strange that it hurts. The pain subsided by 3 days, but still ached when biting. After 3 days, the pain returned. I went to another (already third) doctor, he looked and said that everything was in order, maybe I had a cold (although there were no symptoms) and I did not need to redo anything.
But the pain does not pass, the pain is aching, constant, at any time of the day, in the frost it is throbbing. Tell me, is this possible? How dangerous is this and what to do next? There is no strength to endure pain.
Hello. Did the seal interfere, and was it checked for overstatement? Post-filling pains usually go away within 1 week (in very rare cases, they can last for months if there has been a significant removal of the filling material outside the apex of the root). In the current situation, there may be an overestimation of the filling, it is also possible that the adjacent tooth is disturbing, for example, with hidden caries. If you are sure that it is a tooth that has just been sealed recently that hurts, it is worthwhile to conduct an additional research method - CT. The image you provided (printed) is not very informative, sometimes everything really looks great on them, although a CT scan may show an undetected defect.
To choose the tactics of further treatment, do a CT scan - perhaps this will clarify the situation in which three (!) Doctors say that everything is fine, although it is obvious that there is a pathology somewhere.
Hello, a few days ago they removed the nerve from the lower eight, sealed the canals, put a permanent seal. The tooth constantly aches and I feel a sharp pain when pressed. I read what should pass over time. But another question worries me: when filling the canal, despite the anesthesia, I felt a “shot” and a noticeable sharp pain when the doctor worked with the instrument. The doctor ordered to be patient and said that it’s even good, they got to the bone. Are such pain sensations when filling the canals?
Considering that there are big questions about permanent fillings, I’m no longer sure of the doctor’s qualifications. The second day I drink painkillers, until it becomes easier.
Hello Anastasia. Modern methods of treating canals really involve removing the pulp without using arsenic pastes - under anesthesia. When filling the canal, even despite anesthesia, slight pain in the form of a slight “injection” is allowed, since the root of the tooth is surrounded by tissues that can respond to any mechanical impact. Post-filling pains are quite common, normally they usually go away within 3-5 days. If pain during this time does not pass, then I recommend, just in case, consult a doctor.
Hello. Please answer my question, thanks in advance. On Monday, my nerves (pulpitis) were removed. So, when they were removed and cleaned the canals, put a temporary seal and told to come in 2 weeks to put a real seal. For two days everything was fine, but on the third day the tooth began to hurt a little. Not in the sense that the pain is unbearable - when you do not touch a tooth, then it does not bother. But if you knock with your upper teeth, then it hurts, and then the pain goes away. What could it be? Maybe I caused a tooth irritation, or something like that?
Hello, Gleb. The presence of pain in the first couple of days after the installation of a temporary composite material, as a rule, is explained by the effect of drugs embedded in the channels of the tooth - this is a variant of the norm. However, pain should not intensify over time. If the pain intensifies, then I do not recommend waiting 2 weeks, it is better to consult a doctor before this time.
Hello.I have this problem: a couple of weeks ago I was treating two teeth - the upper seven on the left and the lower seven on the right. The problems were the same - pulpitis. With the upper tooth, everything is fine, practically did not hurt after treatment, but the lower one ... We suffered with it for a very long time (what am I, what a dentist). They could not immediately remove the nerves and seal the canals, since everything was very running. They put arsenic, and a couple of days after the removal of arsenic, they started treatment. All done.
After treatment, the tooth was disturbed only for a week, and then only with chewing or pressing on the tooth. The dentist said that this is normal and that in a few days everything will go away. But a week after treatment, the pain became the same as before treatment. Aching pain somewhere inside, gives into the ear and the right side of the head. What could it be? After all, upon examination and from the pictures, the doctor said that everything was normal. We took pictures several times.
Hello, Valeria. The reasons for the preservation and even increase in pain in your case may be different - not found (missed) canal in the tooth, not completely sealed canal, perforation of the tooth wall during the passage of the canals, excessive removal of the filling material at the top of the tooth root, etc. There may be a combination of several reasons. It’s not worth guessing and waiting until everything goes away by yourself - it’s better to go to another 1-2 clinics, take a CT scan and find out the cause of the pain.
In March, a tooth was pulped (upper five). The diagnosis was ulcerative pulpitis. After the depulpation, the tooth hurt and hurt, the medicine and antibiotics were changed several times (9 days). Then another doctor redid it, said that everything was washed out there, and the filling material easily left the canal. She did three depophoresis procedures for me, laser treatment. But the tooth still fails. Now I’ve delivered some kind of new medicine that I have been walking with for two months.
In general, the tooth has been sore for just over four months. There was advice from a doctor: either wait, or do a resection of the root apex, or remove. I went to another dentist - they said that the material was removed for the top of the root. What then to do and how long to wait? In the clinic in which she began to treat, they say that the removal of material is not a complication in treatment, and why they don’t even know what hurts. Although I repeat, they advise either to wait, or to do a resection. I can’t chew on this side, the pain is severe. I would be grateful for the recommendations and advice.
Hello, Elena. After filling the canals, minor pain is allowed, which should pass in a short period of time (usually a week). Long pain indicates the presence of an inflammatory process. The reason is usually the removal of infected tissue from the canal beyond the apex of the root along with the filling material. In this case, the filling material itself plays the role of a kind of splinter in the tissues surrounding the root. In rare cases, pain can persist for months, since the filling material does not resolve.
Resection of the apex of the root of the tooth can be effective in the case of full confidence that the entire canal is sealed qualitatively, that is, tightly throughout. I would recommend you do computed tomography (CT scan) to fully assess the situation and make a prediction. If you wish, you can get a free consultation at our clinic.
Hello. Two years ago there was pulpitis in the 6th lower tooth. Six months ago, the tooth began to ache from the hot. They opened a tooth, cleaned the canals and told to rinse with soda and salt. On the second day, throbbing pains started (there was a cyst in the tooth and periostitis started). Saw antibiotic, rinsed. Two weeks later, the canals were re-cleaned. Again, throbbing pain in the tooth began. After a week of rinsing and drinking antibiotics, they cleaned the canals and put the medicine on for a week. All this time there was aching pain.Then the medicine was removed, the canals were filled (with resorcinol-formalin paste) and a temporary seal was placed.
After filling, the pain intensified. On the second day, the pain decreased, but its character changed - there was a sensation of aches, giving in the neck, ear. A month later, put a permanent seal.
4 months have passed. During this time, the tooth does not hurt, but aching pains are given to the neck, ear, chin, bones of the cheekbone, there is a sensation of the salivary glands fullness. I don’t chew on this side. Sometimes, if I try to chew something soft, the pain intensifies, if I do not chew, only periodic. There are no visible changes and redness of the gums.
I did an x-ray - there is a slight removal of the filling composition beyond the two dental roots (the third root could not pass). To remove a tooth or not? Could this pain be from another tooth?
Hello, Hope! Pain in your case can occur for various reasons:
- overestimation of fillings by bite;
- or poor-quality root canal filling;
- or allergic reactions to drugs located in the root canals (in addition, you write that part of the material went beyond the root).
Or a combination of these reasons. I recommend that you contact 1-2 more specialists and clarify the need for correction of the seal by bite. If this is not required, then further consideration should be given to channel retreatment using an endodontic microscope. And only then, if nothing helps, already discuss with the doctor the option of surgical intervention (it may be possible to get by only with a resection of the apex of the root, and not remove the entire tooth).
Good day, please answer. I went to the doctor, removed the nerve, filled the tooth. Then in the evening the jaw started to hurt - on top of 2 teeth, below 2 teeth (large, left and right). What to do? Is this the norm?
Hello, Cyril! The sensation of pain immediately after endodontic treatment and tooth filling is quite normal, since nerve branches are damaged during the procedure. Such pain is usually aching and lasts, on average, about three days (sometimes up to a week). With proper filling, it decreases daily. But there are other causes of pain, such as:
1. An allergic reaction with intolerance to the individual components of the material, which is quite rare.
2. Overpriced bite seal.
If within 2-3 days there will be no positive dynamics, it is worth contacting the clinic to solve the problem.
Good afternoon. 08/29/2018 turned to a paid dentist with acute pain. They opened a tooth, cleaned the canals, put some kind of medicine (as I understood, from inflammation, since the doctor diagnosed pulpitis). Imposed a temporary seal and sent home. After the procedure, it was naturally impossible to bite on the tooth, plus the gum ached, because they pricked it very hard for me (they did 3 doses of anesthesia, it was called somehow on D, they said it was based on Artikain).
08/31/18 came to the reception again, again they received 3 injections of anesthetic, injected the entire gum (as I understood, the doctors are either inexperienced or illiterate, because I warned the doctor at another appointment that I have a low pain threshold and I need to anesthetize so so that the sex of the face is strictly numb, that is, to get into the nerve or nerve ending, or where they inject it) ... As a result, we cleared the channels, it turned out that I have 4 nerves in the lower six. During the filling of the canal, the doctor filled them so deep that the anesthesia did not help, and at the moment of touching there was severe pain. After treatment, the doctor warned that she might be temporarily sick, as the filling material creates pressure on the tooth. So it was, the first 2 days I could not bite on a tooth, then it became easier.
And today the pain appeared again when biting even not very solid food, but with time it passed, it also hurts with tooth percussion.The doctor did not appoint to take pictures - both before treatment, and after. So I can’t say how the channels are sealed. The gum also aches, even with pressure from the side of the cheek (as I understand it, this is from injections). I was treating in another city, there is no possibility to go to this doctor again, I gave a lot of money.
Tell me, please, what can it be? Maybe you should take a picture and check how the channels are planned? Or run to the doctor? Or will it pass by itself?
Hello, Natalia! Root canal treatment is a traumatic and painful operation, and after it the pain in the tooth can last up to a week or even more (in different ways for everyone). Judging by your description, the situation as a whole fits into the case of classic post-filling pain. However, if the dynamics is negative, then the pictures really will not hurt to take to check the quality of root canal filling.
Good afternoon! Today I turned to a doctor for help. The 6th upper tooth on the right hurts. There is no nerve in the tooth, it was previously filled. The doctor removed the old seal (said that it was thin) and cleaned the canals. She said to rinse with soda and salt. The tooth is not sealed, in a simple way - a hole. Now I can eat only on the left side, because I can’t press on an open tooth, it hurts a lot. The doctor said to come in 3 days. This is normal?
They did an X-ray earlier, they said that the canals were sealed well (the filling on the tooth stood for 10 years). Please tell me why he became ill? Is it really because the seal is very thin? Thanks.
Hello Olga. Judging by your description and complaints, the problem is associated with the inflammatory process in the apex of one or more roots. After cleaning the canals, the tooth can really hurt for several days, so this can be considered a variant of the norm. But as to why a previously treated tooth got sick, it’s hard to say for sure without having an X-ray on hand. Although they told you that “the channels are sealed well”, it is not a fact that it was so in reality. Also, it is impossible to exclude a fracture or crack in the tooth that once appeared due to excessive mechanical stress on a dead tooth.
Good afternoon. The tooth was seriously ill when pressed. I went to the doctor - the doctor said that it was pulpitis, they removed the nerve. We put a temporary seal on the canal. After 1.5 weeks, a permanent filling was placed on the canal. And after 2 days, the tooth was completely filled. After treatment, the tooth did not bother for a couple of days, Then it began to bother when biting solid food, the pain immediately passes. I went to the dentist - she said that the seal may be interfering and slightly undermined it.
But the situation has not changed. What could it be, is that normal? A permanent seal was placed a month ago.
Hello Svetlana. Judging by your description, the most likely problem is the insufficient quality of root canal filling - it is possible that it is not sealed to the root apex. In this case, an infection may persist in the left cavity, which over time causes an inflammatory process in the apex region. It makes sense to take an aimed shot, so I recommend making an appointment with a doctor (it’s better not to the one who treated - to get an independent opinion).
Good evening! Tell me, please: the nerve was removed, the anesthesia was gone, and the pain is. Is this the norm, or is it worth it to panic? Very worried.
Hello, Elizabeth. After endodontic tooth treatment, pain can last up to a week. It is often painful to bite on a tooth. However, if during this time the pain does not go away or there will be a negative dynamics (increase in pain), then you should consult your doctor.
Hello! Please tell me. The nerves in the lower six were removed a month ago. Severe pains did not bother, only the first days when pressed. Now there are weak pulling pains in the tooth. With what it can be connected?
Hello, Olesya. From your question it is not clear whether the treatment of the canals is completed. For example, pain can occur if the processing of the channels was poorly performed or one of the channels was not found at all (this also happens). There can be many reasons. A thorough diagnosis is required (most likely, an X-ray will be required). I recommend to consult your doctor to clarify the situation.
Hello! She treated her teeth before installing braces. When treating a tooth (according to the doctor, on the 37th), at first the doctor did not remove the nerve, but said that if she was sick, then we would remove it, which happened. After removing the nerves, the tooth began to hurt, although initially this tooth did not hurt, the doctor herself advised to remove the caries. Then the doctor repeatedly tried to clean the canals for two weeks, laid the medicine, left my tooth open and I rinsed it. But the pain did not pass.
As a result, I went to the manager, she made a diagnosis and it turned out that parts of the broken instruments were left in all 3 channels. The manager removed the instruments from 2 channels, cleaned them, and from the third - said that it was impossible to remove, and even a microscope would not go there, because the root is long and curved. At the moment, she put me medicine and put a temporary seal, said to come to her in a week. The tooth continues to hurt, I drink painkillers for the 17th day. I ask you, tell me, please, what should doctors do next with this tooth? I’ll take the picture now to the site’s mail. Be kind, help.
Dear Daria, hello. Indeed, the case is not simple, and the treatment did not go in the most favorable way. Judging by the description, the doctor probably did everything possible to preserve the tooth. Extraction of instrument debris from root canals requires a lot of experience, and when breaking an instrument in the lower third of the canal, it is rarely obtained. If the tool cannot be removed, this eliminates the correct processing and sealing of the channel. Therefore, the tooth continues to hurt, and there is a high probability of the formation of a root cyst in the future.
In the current situation, there are options: visit another experienced endodontist, and using a microscope, try to still remove the chip from the channel. If this still cannot be done, then observe the tooth in dynamics. If the pain does not go away for a long time or even grows, then you can consider the resection of the apex of the root while removing the debris. If the pain quickly passes, the tooth will still need to be regularly observed, sometimes taking pictures - a cyst may form on the root over time, then you will have to deal with it already.
Hello. I was treated for tooth decay on a large molar, removed the nera, cured pulpitis, cleaned the canals. After treatment, for a couple of weeks everything was fine, then strong shooting and throbbing pains started when drinking warm, hot and cold liquids. The doctor took a picture, but everything is fine in the picture, one channel is only impassable, and, as I understand it, it was not completely cleared. They did not open their teeth, because they did not believe that there were problems, because the picture showed nothing. They also checked a tooth for a hot reaction (they heated a tool and applied it) - and I didn’t feel anything there. But drinking and eating is still painful ((Sent home. Tell me what it could be? Could it be because of an unclean impassable canal? Thanks!
Anastasia, hello.It is necessary to carefully check the condition of all the teeth on the side of the pain - both above and below, since it is possible that another tooth hurts (there may be an irradiation of pain). And only by excluding pulpitis on adjacent teeth, it will be possible to decide to open a previously treated tooth for revision. Moreover, if it comes to an autopsy, it makes sense to do it in another clinic - not in the one where the canal could not go to the top. It is desirable that the clinic has an endodontic (dental) microscope, it is useful to clarify in advance.
Hello. In June 2016, I had a seal, after which a tooth was removed and a seal was placed in the clinic. Immediately after the frost left, the pain became unbearable, drank painkillers, but the pain did not go away. A week later she went to the doctor, she advised to rinse with salt and soda and said that it hurts because there were narrow channels and she expanded them. After 1.5 months of daily intake of Nise tablets, the pain was dulled. But periodically renewed. I went to other doctors, but everyone said that everything is fine, everything is sealed and do not know why I react with pain to this tooth. And she suffered for more than 2 years until a fistula formed and the gum from the tooth moved away. The doctor pierced the fistula, squeezed out pus and made the same recommendation: salt, soda. After 2 weeks of terrible pain, I went again, but to another doctor who determined that the inter-root septum was perforated during treatment and the pin entered soft tissues. The tooth cannot be treated; it can only be removed. What to do? This is 7, I have it - the only chewing tooth.
Hello Valentine! Unfortunately, taking into account your description, I have nothing to reassure you - the tooth in such cases really needs to be removed, since it is impossible to cure it. However, after 3-4 months, it will be possible to restore the chewing groups of teeth using dental implants.
Hello. In 2011, the nerve was removed. First, the old fillings were removed, arsenic was inserted there for 2-3 days, the canals were cleaned, the nerve was removed and the fillings were filled with ultraviolet fillings.
A few days ago, pain began in the tooth in which the nerve was removed. The pain increased, it was impossible to endure even at rest (when drinking cold pain subsided). Dad has a problem with gums - periodontal disease, teeth are not subject to treatment and simply fall out. The pins will also not hold (according to the doctors). I really do not want it to be like that either. Tell me, please, what can it be? Now another tooth is beginning to hurt, which was treated second (also removed the nerve). I thought that wisdom teeth were climbing, because there were tremors and a crunch from that side ...
During the treatment, they cleaned the stones (the most popular area is the lower teeth from the palate). We did not notice stones on the upper and lower fangs from the lips. After such treatment, the desire to go to the clinic completely disappeared. I live in Novosibirsk. I don’t know where to go to a good and loyal clinic. As far as I heard, when filling teeth, they are now taking pictures before polymerising the filling in order to know that it is located correctly. In ordinary clinics this is not done. What is the likelihood that my pain began due to a wisdom tooth?
Good afternoon, Anna! To find out the causes of pain in a previously treated tooth and to make a diagnosis, you need to take an aimed picture of this tooth. Judging by the clinical picture that you described, there is an inflammatory process in the region of the apex of the tooth root (this is more likely than a connection with the wisdom tooth). But the nature and degree of development of the process can be determined only after an x-ray. I recommend to see a doctor as soon as possible, since if it comes to inflammation, then it can only get worse.
Good evening. In the top 5 after the chocolate, my tooth ached.The next day I went to the doctor. She took a picture and said she needed to remove the nerve. They gave me anesthesia and pulled out a nerve on the same day. After that she put me medicine there and a temporary seal. I went like this for a week and everything was fine. At the next appointment, they started cleaning my canal and at that moment I felt a sharp pain. The doctor immediately stopped, pulled a tampon out of her tooth and said that I couldn’t still fill the crying canal and the tooth. She put calcium on my tooth with some medicine and sent me home for another 2 weeks. Then I came, I cleaned the canal and stuffed in the filling material (endophile, as they said). After that, I went for a control x-ray. The doctor looked at him, said that everything was normal and completely filled the tooth. I already looked at the picture at home and saw that the material went beyond. You can look at the pictures and tell me if this is very scary? By the evening my temperature rose to 37.2 and after 4 hours I slept. A couple of times from the opposite nostril she blew blood clots. I am very worried now about the complications from such treatment. Thanks in advance for your reply.
Good afternoon, Julia! Yes, you can send pictures to the site mail indicated on the feedback page: https://stomatologist.expertexpro.com/en/obratnaya-svyaz
The removal of material beyond the apex of the root may be justified in some clinical situations. If there is no pain when pressing on the tooth, then there is nothing wrong with that. As for bleeding from the opposite half of the nose, this cannot be associated with therapeutic treatment, that is, there is no need to worry about damage to the maxillary sinus.
Good afternoon! After sinusitis (in May), a week after the end of treatment, pain appeared on the left in the upper jaw and began to block the left half of the nose. On the x-ray of the sinuses, there was residual parietal edema of the maxillary sinus - hormonal anti-inflammatory sprays were prescribed that did not help. But the pain in the jaw subsided. Further, until today, there is a feeling of pressure and rape in the left half of the nose. Nose pains do not go away after treatment with antibiotics and hormones. On cone beam tomography of teeth and x-ray of teeth - everything is normal. But there was discomfort in the jaw, went to another dentist, and found a blackout under the seal in the upper left five - it turned out that there was pulpitis!
On CT scan of the sinuses of the nose, cysts were found in the sinuses (left, 11 * 18 mm and 9 * 11 mm) and patches of heterogeneous discharge about 6 upper teeth - such as a cyst, but they were not confirmed on the cone beam tomogram of the teeth. During the treatment of the 5th pulpitis tooth, pain appeared - aching, bakes as if above the root of the tooth. This pain was the last time, intensified when a permanent filling was made. Prior to this, metronidazole was placed in the channels, but since the pain did not subside, the channels were opened for 5 days - it became slightly better. Then they put calcium in the channels for a week - also without improvement. A permanent seal with a pin is supplied.
Now the pains persist, the doctor taps and presses on the tooth and gum - the pain is the same aching, does not worsen with pressure. The dentist says that the pain is not characteristic of the tooth and that the cyst in the sinus probably hurts. How to be Do maxillary sinusotomy to remove cysts? And if the pain does not go away?
In the six next to the five there is a large old seal. On the pictures and CT there are no problems, when tapping and pressing it does not hurt, although when the gum is irritated by hard food, it seems to tick. Could it be a problem if the images and CT scans are good? The seal is large, and they do not want to heal with good pictures, since it will be necessary to depulpate. Thanks in advance!
Hello, Lena! Based on the description of the situation, I can only draw a preliminary conclusion that neither 5 nor 6 teeth are sources of infection in this situation.Most likely, initially the pain in the jaw was the result of a chronic inflammatory process in the maxillary sinus. I recommend continuing treatment with an ENT doctor - this seems more correct than depulping an innocent 6th tooth, since CT scans and visual examination do not confirm the presence of a problem in it.
Good afternoon! On my front tooth the edge was extended. Over time, he erased and began to respond to cold air. I went to the doctor, my tooth was covered with composite material. But the symptoms did not go away (the tooth also responded to the cold). I had to go again, they told me that it was pulpitis and removed the nerve. At first everything was fine, but after a month he began to respond to pressing (and pulling pain). Now I have a question: go to the same doctor again, or is it worth changing the clinic?
Hello Yulia! I would still recommend contacting your doctor and the clinic where you are undergoing treatment, since it is your doctor who knows the anatomical nuances of the channels of your tooth, knows the intricacies of previous treatment and has a guarantee for you. And only if there is absolutely no trust in the doctor, then it is worth looking for another.
Hello. 2 days ago I visited the dentist, as she was sick 7 on the lower jaw. They took a picture - it turned out that the sealed 6 got inflamed. We decided to destroy the seal and clean the canals. From there went pus. They put the medicine and a temporary seal for 2 weeks. On the same day, after the dentist, nothing hurt - as if nothing had been done (only with pressure). But the next day, a slight, aching pain began, only in the evening the pain intensified a little. I drank a pill - it seems to have passed. And today again no pain. The pain when biting also passed (either the pill still works, or the tooth really passed). But the tooth nearby (5) began to hurt when tapped. I'm worried that the inflammation could go to him, although he no longer bothers me anymore. I would like to understand that in general it can be, is it the norm or not?
Hello, Catherine! With purulent periodontitis, which, judging by the description, was in your 6th tooth, the radiation of pain into neighboring teeth is often observed, including when biting. So it's too early to think about problems in 5-ke. The treatment of your tooth has just begun (an outflow of pus is given), continue the treatment as planned. An important point: even if nothing hurts, it is necessary to finish tooth treatment with filling the canals.
Hello. A cyst was found on the 7th tooth. The doctor put the medicine with iodine, but the tooth continues to hurt so much that even painkillers do not help. Is it possible to save a tooth in such a situation or still have to remove it?
Hello Elvira! I would recommend you go to the clinic again (do not endure pain). The doctor will re-conduct the drug treatment of the root canals, check their patency and replace the medicine. If the gum swells, the doctor will make an incision and install drainage.
If all these measures fail, then only the question of tooth extraction should be considered.
Hello! A month ago, the upper canine was treated. The nerve was removed. First, the doctor put the medicine there under a temporary filling, because the tooth was bleeding. I went with the medicine for 2 weeks. But he reacted to a hot and cold tooth. After treatment, the same pain. Reaction to cold and hot. When biting, the tooth does not hurt, but when pressing on the wall of the tooth in front, there is pain. What could it be? How to proceed further? I read that after removing a nerve, a tooth can hurt for up to two months. Answer please.